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:
- 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.
- Patient/family centered environments: Encouraging hospitals to create physical and social environments such as enhanced lighting, flooring, furniture, signage, age-appropriate communication, etc.
- 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.
- 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