This research suggests that the NICHE program is effective at improving geriatric nursing knowledge, institutional values of geriatric care, and the use of evidence-based practice in geriatric care.33 The reports available support the goals of NICHE to promote nursing culture. It is important to look beyond the promotion of nursing culture when evaluating NICHE. Research needs to evaluate how the implementation of NICHE affects patient outcomes, such as functional status, ADL performance, and overall well-being.