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Achieving age-friendly cancer care through the NICHE practice model
1NICHE Program Education Consultant and Leadership Training Program Mentor, NYU Rory Meyers College of Nursing, 380 Second Avenue, Suite 306, New York, NY, 10010, United States.
Geriatric Nursing (New York, N.Y.)
|August 12, 2026
Summary
Cancer care for older adults is complex. This article aligns the NICHE model with the Age-Friendly 4Ms framework to improve evidence-based oncology nursing for seniors.
Area of Science:
- Geriatric Oncology
- Oncology Nursing
- Healthcare Quality Improvement
Background:
- Over 50% of cancer diagnoses and 60% of cancer deaths occur in adults aged 70 years and older.
- Cancer care for older adults is complicated by comorbidities, physiological changes, social needs, and functional limitations.
Purpose of the Study:
- To align the NICHE (Nurses Improving Care for Healthsystem Elders) practice model with the Institute for Healthcare Improvement's Age-Friendly 4Ms framework.
- To advance evidence-based care for older adults with cancer.
- To integrate international oncology nursing standards into geriatric cancer care.
Main Methods:
- Review and alignment of the NICHE practice model with the Age-Friendly 4Ms framework (What Matters, Medication, Mentation, Mobility).
- Integration of international professional oncology nursing practice standards.
- Application of a framework to enhance care delivery for older adults with cancer.
Main Results:
- The NICHE model and Age-Friendly 4Ms framework provide a comprehensive approach to geriatric oncology care.
- Alignment facilitates evidence-based practice improvements.
- Enhanced integration of nursing standards supports holistic patient care.
Conclusions:
- The NICHE model, when aligned with the Age-Friendly 4Ms framework and oncology nursing standards, offers a robust strategy for improving cancer care in older adults.
- This integrated approach addresses the complex needs of geriatric oncology patients.
- Implementation can lead to better health outcomes and quality of life for older adults with cancer.
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