NICHE relies on use of 1 of 2 nursing care models to support integration of knowledge. One model is the Geriatric Resource Nurse (GRN) model.
Nurses receive specialized training in geriatric nurses.
The specially trained nurses serve as a resource for all nurses on the floor.
When questions arise in care of an elderly patient, the GRN can provide guidance to support care.
The other model is the Acute Care for Elders (ACE) Unit.
The ACE model can be applied as part of the NICHE program.
Both the GRN model and ACE model can be implemented together or separately, depending on the preferences of the hospital.
However, a hospital is not required to use the NICHE program if an ACE unit is in place.
ACE is reviewed separately here because many hospitals implement ACE programs without following other NICHE recommendations.
Only 2 NICHE research reports were identified for review.