title: TWICE: A NICHE program at North Memorial Health Care.
abstract: Becoming a site for Nurses Improving Care for Healthsystem Elders (NICHE) is an exciting way to improve the care of hospitalized elders. This article describes how a community-based hospital implemented the Geriatric Resource Nurse (GRN) Model on an orthopedic and acute medical surgical unit. Key elements of the program included focusing on a specific geriatric syndrome (acute confusion) and using outcome data to target practice changes. As a result, the incidence of acute confusion and the percentage of acutely confused patients at discharge decreased.
authors.affiliation: North Memorial Health Care, Minneapolis, MN, USA.
authors.forename: Patricia Finch
authors.initials: PF
authors.lastname: Guthrie
authors.forename: Germaine
authors.initials: G
authors.lastname: Edinger
authors.forename: Susan
authors.initials: S
authors.lastname: Schumacher
mesh_terms: D000208:Acute Disease; D000368:Aged; D003221:Confusion / Q000451:nursing / Q000517:prevention & control; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000193:education / Q000592:standards*; D006764:Hospitals, Community; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D008910:Minnesota; D016294:Models, Nursing; D020380:Needs Assessment; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D016730:Program Development; D017749:Total Quality Management / Q000458:organization & administration*; D014193:Trauma Centers