Nursing

  • Credentials

    There are six types of credentials commonly used by nurses:
    Degree (for example, AD, BS, BSN, MS, MSN, PhD, EdD, DNP) indicates completion of an educational program. The highest degree attained is usually placed immediately after the last name.

    State licensure (for example, RN, LPN) indicates completion of an educational program, passing a national/state license exam or accepted application by a state licensing board of nursing. More advanced level examples are APN, APRN, ARNP, CRNP, NP, CNS and CS.

    National certification (for example, NP-BC, FNP-BC, ANP-BC, ACNP-BC, PNP-BC, GNP-BC, PMHNP-BC) is awarded by a nationally recognized body from the American Nurses Credentialing Center or the American Academy of Nurse Practitioners Certifying Board.

    Awards or honors are bestowed on individuals who are recognized for their outstanding achievements or service to the profession or nursing specialty.

  • Hourly Rounds

    Nursing rounds have a positive impact on patient health, increase patient satisfaction and decrease falls, pressure ulcers and mealtime problems. Frequent rounds provide the nurse with more chances to meet patient needs.

    A study has shown that hourly nursing rounds are most effective. During rounds nurses should ask about pain, provide medications when due, offer toileting assistance, check on your position and comfort and place the call bell, telephone, bedside table and water within reach. The nurse should also ask if there is anything else he or she could do while in the room, and tell you when they will return.

  • NICHE Vision and Mission

    Nurses Improving Care for Healthsystem Elders (NICHE) is an international program designed to help improve the care of older adults. The vision of NICHE is for all patients 65-and-over to be given sensitive and exemplary care. The mission of NICHE is to provide principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults. NICHE, based at the NYU College of Nursing, has hospitals and healthcare facilities from the U.S., Canada, Bermuda and Singapore in the network.

  • NICHE Implementation

    By the year 2030, 20% of the population is expected to be 65 or older. People are living longer, and with advances in technology and medicine, people are living longer with chronic illnesses and multiple diseases or disorders. Older adults going into the hospital typically have complex health needs. They often develop pressure ulcers, fall problems, inability to perform regular activities and infections during their stay. Physical and mental problems can slow down treatment, leading to increased length of stay.

    NICHE was created in response to the healthcare needs of older adults. The lack of specialized gerontologic training, lack of coordination between healthcare services, high rates of avoidable readmissions and other factors all spurred the creation of NICHE.

    The NICHE Geriatric Resource Nurse (GRN) Model is essential to improving geriatric care. The goal is to improve the geriatric knowledge and expertise of the bedside nurse. GRNs are staff nurses who act as guides for other nurses on geriatric issues.

    NICHE supplies information for staff training and education through:
    • Geriatric Resource Nurse Core Curriculum
    • Introduction to Gerontology
    • Materials to prepare staff to take the ANCC Gerontological Nurse Certification Examination
    • Evidence-Based Geriatric Nursing Protocols for Best Practice book
    • ConsultGeriRN.org website
    • NICHE website
    • Geriatric Institutional Assessment Profile (GIAP)

Links

Crednetials Links:
Hourly Rounds Links:

National Institutes of Health: Standards for Patient Care at the NIH Clinical Center

NICHE Vision & Mission Links:

Note: The NICHE for Patient+Family Encyclopedia provides links to third party web sites, however, NICHE does not recommend and or endorse any products or any of the content on any third party websites