Dr. Mattia Gilmartin, Executive Director of NICHE and a faculty member at the New York University Rory Meyers College of Nursing, provides history of NICHE in acute care hospitals and the more recent movement of NICHE into the long-term care setting.

Dr. Gilmartin explains NICHE has Four Guiding Principles for improving geriatric capacity within the hospital setting:

  1. Evidence based, geriatric care at the bedside: Developing and sharing best practices for issues such as pain management, falls, delirium, pressure ulcers, medication management, and incontinence.
  2. Patient/family centered environments: Encouraging hospitals to create physical and social environments such as enhanced lighting, flooring, furniture, signage, age-appropriate communication, etc.
  3. Healthy and productive practice environments: Working with the healthcare organizations to develop values related to older adults and staff nurse autonomy, interdisciplinary collaboration, and access to geriatric specific resources.
  4. Multidimensional metrics of quality: Measuring the impact of the NICHE program through patient outcomes (reduced rates of falls, delirium, and length of stay), patient/family/staff satisfaction scores, and cost-avoidance as part of a continuous quality improvement initiatives.


Show originally aired April 17, 2017




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Melissa Batchelor, PhD, RN, FNP, FGSA, FAAN. I am a nurse, nurse practitioner, nurse educator and nurse researcher with over 25 years of experience in the aging and long-term care healthcare space. You can visit my website at MelissaBPhD.com to learn more about me, how you can work with me directly,
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