ArticleJournal of clinical nursing2012
Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment.
Article in Journal of clinical nursing, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 73 citations in OpenAlex.
- Can geriatric expertise be codified? Why geriatric judgment extends beyond algorithms.European geriatric medicine · 2026Article
- Psychometric evaluation of the current geriatric Institutional assessment profile: a tool for age-friendly care evaluation.BMC nursing · 2026Article
- Predictive model of positive attitudes in Spanish health care students towards older people: assessment and associated factors.Frontiers in psychiatry · 2025Article
- Implementing a real-world dementia care training program for nursing assistants in the acute care setting.Journal of the American Geriatrics Society · 2024Article
- Factors That Contribute to Recovery of Community Mobility After Hospitalization Among Community-Dwelling Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2020Article
- Mortality and associated risk factors for older adults admitted to the emergency department: a hospital cohort.BMC geriatrics · 2018Article
- Nurse perception of care of hospitalized older adults - a comparative study between northern and central regions of Portugal.Revista latino-americana de enfermagem · 2017Article
- From research to reality: minimizing the effects of hospitalization on older adults.Rambam Maimonides medical journal · 2015Review
- Implementation of geriatric acute care best practices: initial results of the NICHE SITE self-evaluation.Nursing & health sciences · 2013Article
- Research priorities in geriatric palliative care: policy initiatives.Journal of palliative medicine · 2013Article
- Validation of geriatric care environment scale in portuguese nurses.Current gerontology and geriatrics research · 2013Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIMS AND
objectivesTo explain the relationship between a positive nurse practice environment (NPE) and implementation of evidence-based practices. To describe the components of NICHE (Nurses Improving Care for Healthsystem Elders) programmes that contribute to a positive geriatric nursing practice environment.
backgroundThe NPE is a system-level intervention for promoting quality and patient safety; however, there are population-specific factors that influence the nurses' perception of their practice and its' relationship with patient outcomes. Favourable perceptions of the geriatric-specific NPE are associated with better perceptions of geriatric care quality. DESIGNS: Discursive paper.
methodIn this selective critical analysis of the descriptive and empirical literature, we present the implementation of geriatric models in relation to the NPE and components of the NICHE programme that support hospitals' systemic capacity to effectively integrate and sustain evidence-based geriatric knowledge into practice.
resultsAlthough there are several geriatric models and chronic care models available, NICHE has been the most successful in recruiting hospital membership as well as contributing to the depth of geriatric hospital programming.
conclusionsAlthough all geriatric care models require significant nursing input, only NICHE focuses on the nursing staff's perception of the care environment for geriatric practice. Studies in NICHE hospitals demonstrate that quality geriatric care requires a NPE in which the structure and processes of hospital services focus on specific patient care needs. RELEVANCE TO CLINICAL PRACTICE: The implementation of evidence-based models addressing the unique needs of hospitalised older adults requires programmes such as NICHE that serve as technical resources centre and a catalyst for networking among facilities committed to quality geriatric care. Unprecedented international growth in the ageing population compels us to examine how to adapt the successful components of NICHE to the distinctive needs of health systems throughout the world that serve older adults.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.