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.
MeSH terms
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Acute Disease
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Aged
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Confusion / nursing
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Confusion / prevention & control
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Education, Nursing, Continuing / organization & administration
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Geriatric Assessment
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Geriatric Nursing / education
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Geriatric Nursing / standards*
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Hospitals, Community
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Humans
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Inservice Training / organization & administration
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Minnesota
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Models, Nursing
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Needs Assessment
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Nurse Clinicians / education
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Nurse Clinicians / organization & administration
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Nursing Staff, Hospital / education
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Nursing Staff, Hospital / organization & administration*
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Outcome Assessment, Health Care
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Program Development
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Total Quality Management / organization & administration*
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Trauma Centers