The goal of Nurses Improving Care for Healthsystem Elders (NICHE) is to impart principles and tools to stimulate changes in clinical practice to achieve patient-centered nursing care for older adults in healthcare facilities. 

NICHE was founded in 1992 by Terry Fulmer, PhD, RN, FAAN, who saw a national need for continued education and consultation for nurses providing care for older adults. Later, NICHE introduced the online Leadership Training Program (LTP) to increase the flexibility and affordability of starting a NICHE program in a healthcare facility.

Today, NICHE continues to be a leader in geriatric care and our network of healthcare organizations now includes 519 member organizations and continues to expand its national and international reach.

Guiding principles:

  • Evidence-based geriatric care at the bedside 
  • Patient/family-centered environments
  • Healthy and productive practice environment
  • Multidimensional metrics of quality

NICHE membership is only available to facilities that provide care.