NICHE: Nurses Improving Care for Healthsystem Elders

Troy Brown, RN


October 21, 2016

In This Article

History of the NICHE Program

Beth Israel Hospital in Boston, Massachusetts, initiated the GRN model in 1981. Yale-New Haven Hospital adapted the GRN model within a care team led by a geriatrician from 1989 to 1991.[7]

NYU began field-testing geriatric nursing care models in the broader hospital community in the early 1990s, and the NICHE project was born. "Through our research, we've shown that NICHE helps change the organizational environment to where nurses can be leaders and the care needs of older adults are taken into consideration," Dr Gilmartin said.

In 2009 and 2010, the NICHE program received a seed grant from Atlantic Philanthropies that enabled it to professionalize and become a membership organization, after which it grew rapidly. "We covered 250 hospitals around 2009; by 2013, we doubled in size to 500 hospitals, and now in 2016, we're at 650 members," Dr Gilmartin noted.


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