Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment

Elizabeth Capezuti, Marie Boltz, Daniel Cline, Victoria Vaughan Dickson, Marie Claire Rosenberg, Laura Wagner, Joseph Shuluk, Cindy Nigolian

Research output: Contribution to journalArticle

Abstract

Aims and objectives. To explain the relationship between a positive nurse practice environment (NPE) and implementation of evidence-based practices. To describe the components of NICHE (Nurses Improving Care for Healthsystem Elders) programmes that contribute to a positive geriatric nursing practice environment. Background. The NPE is a system-level intervention for promoting quality and patient safety; however, there are population-specific factors that influence the nurses' perception of their practice and its' relationship with patient outcomes. Favourable perceptions of the geriatric-specific NPE are associated with better perceptions of geriatric care quality. Designs. Discursive paper. Method. In this selective critical analysis of the descriptive and empirical literature, we present the implementation of geriatric models in relation to the NPE and components of the NICHE programme that support hospitals' systemic capacity to effectively integrate and sustain evidence-based geriatric knowledge into practice. Results. Although there are several geriatric models and chronic care models available, NICHE has been the most successful in recruiting hospital membership as well as contributing to the depth of geriatric hospital programming. Conclusions. Although all geriatric care models require significant nursing input, only NICHE focuses on the nursing staff's perception of the care environment for geriatric practice. Studies in NICHE hospitals demonstrate that quality geriatric care requires a NPE in which the structure and processes of hospital services focus on specific patient care needs. Relevance to clinical practice. The implementation of evidence-based models addressing the unique needs of hospitalised older adults requires programmes such as NICHE that serve as technical resources centre and a catalyst for networking among facilities committed to quality geriatric care. Unprecedented international growth in the ageing population compels us to examine how to adapt the successful components of NICHE to the distinctive needs of health systems throughout the world that serve older adults.

Original languageEnglish (US)
Pages (from-to)3117-3125
Number of pages9
JournalJournal of Clinical Nursing
Volume21
Issue number21-22
DOIs
StatePublished - Nov 2012

Fingerprint

Geriatric Nursing
Nurses
Geriatrics
Quality of Health Care
Evidence-Based Practice
Nursing Staff
Patient Safety

Keywords

  • Elderly people
  • Geriatric care environment
  • Geriatrics
  • Healthcare organisations and systems
  • Hospitals
  • Nurse practice environment
  • Nursing
  • Patient care
  • Quality
  • Quality of geriatric care

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment. / Capezuti, Elizabeth; Boltz, Marie; Cline, Daniel; Vaughan Dickson, Victoria; Rosenberg, Marie Claire; Wagner, Laura; Shuluk, Joseph; Nigolian, Cindy.

In: Journal of Clinical Nursing, Vol. 21, No. 21-22, 11.2012, p. 3117-3125.

Research output: Contribution to journalArticle

Capezuti, Elizabeth ; Boltz, Marie ; Cline, Daniel ; Vaughan Dickson, Victoria ; Rosenberg, Marie Claire ; Wagner, Laura ; Shuluk, Joseph ; Nigolian, Cindy. / Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment. In: Journal of Clinical Nursing. 2012 ; Vol. 21, No. 21-22. pp. 3117-3125.
@article{e3765dda6a714685b2bce7b9ad32ca40,
title = "Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment",
abstract = "Aims and objectives. To explain the relationship between a positive nurse practice environment (NPE) and implementation of evidence-based practices. To describe the components of NICHE (Nurses Improving Care for Healthsystem Elders) programmes that contribute to a positive geriatric nursing practice environment. Background. The NPE is a system-level intervention for promoting quality and patient safety; however, there are population-specific factors that influence the nurses' perception of their practice and its' relationship with patient outcomes. Favourable perceptions of the geriatric-specific NPE are associated with better perceptions of geriatric care quality. Designs. Discursive paper. Method. In this selective critical analysis of the descriptive and empirical literature, we present the implementation of geriatric models in relation to the NPE and components of the NICHE programme that support hospitals' systemic capacity to effectively integrate and sustain evidence-based geriatric knowledge into practice. Results. Although there are several geriatric models and chronic care models available, NICHE has been the most successful in recruiting hospital membership as well as contributing to the depth of geriatric hospital programming. Conclusions. Although all geriatric care models require significant nursing input, only NICHE focuses on the nursing staff's perception of the care environment for geriatric practice. Studies in NICHE hospitals demonstrate that quality geriatric care requires a NPE in which the structure and processes of hospital services focus on specific patient care needs. Relevance to clinical practice. The implementation of evidence-based models addressing the unique needs of hospitalised older adults requires programmes such as NICHE that serve as technical resources centre and a catalyst for networking among facilities committed to quality geriatric care. Unprecedented international growth in the ageing population compels us to examine how to adapt the successful components of NICHE to the distinctive needs of health systems throughout the world that serve older adults.",
keywords = "Elderly people, Geriatric care environment, Geriatrics, Healthcare organisations and systems, Hospitals, Nurse practice environment, Nursing, Patient care, Quality, Quality of geriatric care",
author = "Elizabeth Capezuti and Marie Boltz and Daniel Cline and {Vaughan Dickson}, Victoria and Rosenberg, {Marie Claire} and Laura Wagner and Joseph Shuluk and Cindy Nigolian",
year = "2012",
month = "11",
doi = "10.1111/j.1365-2702.2012.04259.x",
language = "English (US)",
volume = "21",
pages = "3117--3125",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "21-22",

}

TY - JOUR

T1 - Nurses Improving Care for Healthsystem Elders - a model for optimising the geriatric nursing practice environment

AU - Capezuti, Elizabeth

AU - Boltz, Marie

AU - Cline, Daniel

AU - Vaughan Dickson, Victoria

AU - Rosenberg, Marie Claire

AU - Wagner, Laura

AU - Shuluk, Joseph

AU - Nigolian, Cindy

PY - 2012/11

Y1 - 2012/11

N2 - Aims and objectives. To explain the relationship between a positive nurse practice environment (NPE) and implementation of evidence-based practices. To describe the components of NICHE (Nurses Improving Care for Healthsystem Elders) programmes that contribute to a positive geriatric nursing practice environment. Background. The NPE is a system-level intervention for promoting quality and patient safety; however, there are population-specific factors that influence the nurses' perception of their practice and its' relationship with patient outcomes. Favourable perceptions of the geriatric-specific NPE are associated with better perceptions of geriatric care quality. Designs. Discursive paper. Method. In this selective critical analysis of the descriptive and empirical literature, we present the implementation of geriatric models in relation to the NPE and components of the NICHE programme that support hospitals' systemic capacity to effectively integrate and sustain evidence-based geriatric knowledge into practice. Results. Although there are several geriatric models and chronic care models available, NICHE has been the most successful in recruiting hospital membership as well as contributing to the depth of geriatric hospital programming. Conclusions. Although all geriatric care models require significant nursing input, only NICHE focuses on the nursing staff's perception of the care environment for geriatric practice. Studies in NICHE hospitals demonstrate that quality geriatric care requires a NPE in which the structure and processes of hospital services focus on specific patient care needs. Relevance to clinical practice. The implementation of evidence-based models addressing the unique needs of hospitalised older adults requires programmes such as NICHE that serve as technical resources centre and a catalyst for networking among facilities committed to quality geriatric care. Unprecedented international growth in the ageing population compels us to examine how to adapt the successful components of NICHE to the distinctive needs of health systems throughout the world that serve older adults.

AB - Aims and objectives. To explain the relationship between a positive nurse practice environment (NPE) and implementation of evidence-based practices. To describe the components of NICHE (Nurses Improving Care for Healthsystem Elders) programmes that contribute to a positive geriatric nursing practice environment. Background. The NPE is a system-level intervention for promoting quality and patient safety; however, there are population-specific factors that influence the nurses' perception of their practice and its' relationship with patient outcomes. Favourable perceptions of the geriatric-specific NPE are associated with better perceptions of geriatric care quality. Designs. Discursive paper. Method. In this selective critical analysis of the descriptive and empirical literature, we present the implementation of geriatric models in relation to the NPE and components of the NICHE programme that support hospitals' systemic capacity to effectively integrate and sustain evidence-based geriatric knowledge into practice. Results. Although there are several geriatric models and chronic care models available, NICHE has been the most successful in recruiting hospital membership as well as contributing to the depth of geriatric hospital programming. Conclusions. Although all geriatric care models require significant nursing input, only NICHE focuses on the nursing staff's perception of the care environment for geriatric practice. Studies in NICHE hospitals demonstrate that quality geriatric care requires a NPE in which the structure and processes of hospital services focus on specific patient care needs. Relevance to clinical practice. The implementation of evidence-based models addressing the unique needs of hospitalised older adults requires programmes such as NICHE that serve as technical resources centre and a catalyst for networking among facilities committed to quality geriatric care. Unprecedented international growth in the ageing population compels us to examine how to adapt the successful components of NICHE to the distinctive needs of health systems throughout the world that serve older adults.

KW - Elderly people

KW - Geriatric care environment

KW - Geriatrics

KW - Healthcare organisations and systems

KW - Hospitals

KW - Nurse practice environment

KW - Nursing

KW - Patient care

KW - Quality

KW - Quality of geriatric care

UR - http://www.scopus.com/inward/record.url?scp=84867975027&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867975027&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2702.2012.04259.x

DO - 10.1111/j.1365-2702.2012.04259.x

M3 - Article

C2 - 23083387

AN - SCOPUS:84867975027

VL - 21

SP - 3117

EP - 3125

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 21-22

ER -