NICHE: Nurses Improving Care for Healthsystem Elders

Troy Brown, RN


October 21, 2016

In This Article

Adapting the NICHE Model to Long-term Skilled Nursing Facilities

The NICHE program is also addressing the needs of skilled care and long-term skilled nursing care facilities. Dr Gilmartin explained that within members that are large integrated delivery systems, the hospitals' unit-based GRNs and clinical leaders were going to the long-term care units and helping them develop their processes. "That's when we realized that we could offer a new kind of program specifically for long-term care. We've taken the acute care model and are adapting it to both the workforce needs and the care needs for older adults who need long-term skilled nursing care," she said.

Because the hospital-based GRN model is focused on RNs, Dr Gilmartin said they've adapted that model to the long-term care setting to build leadership skills among RNs, who are responsible for planning and assessment, as well as among licensed practical nurses, who also play a big role in patient care. Certified nursing assistants—the "eyes and ears"—also have leadership potential, and it is important to have them engaged in patient care, Dr Gilmartin added.

"We see an opportunity; we think we can be useful in shaping nursing practice there, and now we're on a journey to figure out the best way to do that, in terms of the delivery. We know what we need to change and how practice needs to advance, so now it's figuring out the best way to meet the nursing organizations' needs," said Dr Gilmartin.


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