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| Nurses Improving Care for Healthsystem Elders ： ウィキペディア英語版 |
Nurses Improving Care for Healthsystem Elders
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Nurses Improving Care for Healthsystem Elders (NICHE) is a program of the Hartford Institute for Geriatric Nursing at New York University College of Nursing, that works to achieve systematic nursing change to benefit hospitalized older patients. Founded in 1992, NICHE has evolved into a national geriatric nursing program comprising over 620 hospitals in more than 40 states as well as parts of Canada.
Unlike similar programs, NICHE does not prescribe how institutions should modify geriatric care; rather, it provides the materials and services necessary to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.
== History ==
NICHE is based on 1981 Geriatric Resource Nurse (GRN) model, in which unit-based GRN nurses provided consultation to other staff nurses leading improved care of older adults by creating standard protocols for common geriatric problems and enhancing the expertise of staff nurses. Initially a part of the Hartford Foundation’s Hospital Outcomes Program for the Elderly (HOPE) multi-site initiative, after a series of funds for the project, the NICHE program was officially created in 1992. Through a rigorous screening-process using the Geriatric Institutional Assessment Profile (GIAP), an instrument designed to help hospitals analyze the needs of their elderly patients and determine gaps in geriatric care provision, the NICHE Program has become an integral part of the Hartford Institute since 1996. In 2006, Hartford Institute received funding from Atlantic Philanthropies to develop a business plan to expand its organizational capacity, improve dramatically the program’s “toolkit”—particularly its measurement and reporting capacity—and initiate outreach to accelerate adoption of this program by additional hospitals.(1)
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
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