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  1. Mezey, Mathy EdD, RN, FAAN
  2. Kobayashi, Mia MS, RN, PHN, CNM
  3. Grossman, Sheryl MS, CSW
  4. Firpo, Adolfo MD, MPA
  5. Fulmer, Terry PhD, RN, FAAN
  6. Mitty, Ethel EdD, RN


Nurses Improving Care to Health System Elders (NICHE) is a comprehensive program that hospitals use to foster system-wide improvements in the care of older patients. The authors report on a survey of 103 NICHE hospitals to determine perceptions of the NICHE program, the adoption of NICHE models and protocols, and the educational outcomes, policy changes, and benchmarks related to care of older patients established by the participating NICHE hospitals.