The NICHE program is a nursing resource program developed in 1992 by the Hartford Institute for Geriatric Nursing at New York University.31 and 32 The goal of NICHE is to “achieve systematic nursing change that will benefit hospitalized older patients”32 through the implementation of “principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.”27 By educating nurses and changing practices, NICHE developers aim to improve patient outcomes.