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)