Magnet Status in Hospitals Overview of A Magnet Facility A Magnet facility is defined as a healthcare organization where nurses have a high level of job satisfactionnursing delivers excellent patient outcomes, and there is low nurse staff turnover rate.
Evidence Table 3 Studies of Magnet Characteristics Evidence Table 1 includes two of the most compelling studies to have come out of the magnet literature, those initiated by Aiken and her colleagues 28—35 within a decade of the publication of the original magnet study.
For the Medicare mortality study 28magnet characteristics were not directly measured. However, the use of risk adjustment techniques for predicted mortality and multivariate matched sampling methods to control for factors that might affect mortality provided strong support for concluding that the set of reputational magnet hospitals was uniquely different as a group.
Guided by a conceptual framework originating in the sociology of organizations and professions, 20 the second compelling study 29—35 was formulated to examine how certain modifications to the organization of nursing in hospitals introduced by the AIDS epidemic affected patient and nurse outcomes.
Since the comparison group of hospitals for this study included two reputational magnet hospitals and a third hospital believed to Magnet status essay magnet-comparable, the researchers were able to discern that many of the same positive results achieved in dedicated AIDS units could apparently be attained by making changes at the organizational level.
Magnet characteristics as measured by the NWI-R subscales were associated with significantly better outcomes for nurse safety, job burnout, patient satisfaction, and mortality 30 days from admission.
The exception to this finding is the mixed results shown for the nurse-physician relationship subscale. Evidence Table 3 lists three studies that explored the degree to which magnet characteristics could be found in hospitals outside the United States or in nonhospital settings.
Thomas-Hawkins and colleagues 37 Magnet status essay Smith, Tallman, and Kelly 38 found that some magnet characteristics linked significantly to intentions to leave in freestanding dialysis units and to job satisfaction in rural Canadian hospitals, respectively.
Rondeau and Wagar 39 found significant associations between magnet characteristics and resident satisfaction and nurse satisfaction, turnover, and vacancy rates in long-term care organizations in western Canada.
The remaining studies shown in Evidence Table 3 are important for a number of reasons. The empowerment dimensions being measured—perceptions of formal and informal power and access to opportunity, information, support, and resources—also appear to overlay some descriptions of magnet characteristics from the original research.
By testing relationships with a set of theoretically selected variables and multivariate statistical methods, the studies of Laschinger and colleagues have been progressively building knowledge about how factors in the complex nursing practice environment interact with each other to affect outcomes.
The work that will be required to explicate how the organization and delivery of nursing services functions as a mechanism to improve patient safety and the quality of care has only just begun. The literature review conducted by Lundstrom and colleagues 45 found a number of studies that start to suggest the mechanisms by which organizational and work environment factors influence worker performance and ultimately patient outcomes.
Reviewing the magnet research presented in this chapter leads to similar conclusions. But the connections from those results based on staff nurse surveys to patient outcomes measured objectively by other means have seldom been studied.
However, other studies of the same attributes showed contrary or neutral results. Too much variability existed in measures, settings, and methodological rigor across studies to permit any pooling of results.
Evidence-Based Practice Implications The magnet framework outlined in Table 1 specifies a set of factors important for establishing positive work environments that support professional nursing practice. As the evidence reviewed in this chapter shows, few studies have explored the relationship of magnet characteristics to patient outcomes.
Since the associations found were consistently positive, this constitutes a promising body of work, but one that is just beginning to emerge.
In contrast, more evidence has accumulated to demonstrate links between magnet characteristics or Magnet recognition and favorable outcomes for nurses such as lower burnout, higher satisfaction, and fewer reports of intentions to leave.
In keeping with the realization that threats to patient safety result from complex causes, 2 Keeping Patients Safe identified a multifactor approach to creating favorable work environments for nurses. Many of the strategies and goals described in the report correspond to the descriptions of magnet environments initially provided by McClure and colleagues 8 and currently elaborated for contemporary settings in the appraisal criteria for Magnet recognition.
Research Implications Mick and Mark 5 have argued that while nursing research has contributed substantially to the knowledge about how internal structures and work processes relate to patient safety and quality outcomes in health care organizations, there is a compelling need to improve the methodological sophistication of the research and to expand the theoretical frameworks that guide it.
Many of the suggestions they make for doing so are echoed in the research implications generated by this review. Greater attention needs to be paid to addressing sampling bias issues, improving critical measures, collecting objective data from sources other than nurse self-reports, and designing multilevel and longitudinal studies.
As Table 1 reveals, the conceptual definition of a magnet environment encompasses many fields and disciplines from which theoretical insights may be borrowed and tested. Taking better account of multiple organizational perspectives and hierarchical levels in the research will build knowledge about how the relationships between magnet characteristics and patient outcomes differ by role or practice location.
Distinguishing unit locations may be particularly important. Finally, while the NWI-R and later versions of the NWI have yielded a wealth of useful data, questions have also been raised as to the measurement adequacy of at least three of them.
Yet developing, improving, and refining measures to reliably capture all of the factors of a magnet environment may be the most important next step. Conclusion The magnet concept defines a framework for facilitating the professional practice of nursing that has demonstrated effectiveness in attracting nurses and shows promise for contributing to optimal patient outcomes.
There is a compelling need to improve the measures and methods used to research magnet characteristics and environments before the links that connect organizational context to nurse and patient outcomes can be sufficiently understood.
The PubMed searches yielded unique titles to review. The overwhelming majority of articles identified by these searches fell into editorial, interpretive, or narrative categories—especially narratives describing how an individual organization prepared for or achieved ANCC Magnet recognition.
If an abstract was ambiguous about whether the article reported results from a primary or secondary data analysis, the article itself was retrieved in order to make a determination.Magnet Recognition Program Essay.
Magnet status is an award given by the American Nurses’ Credentialing Center (ANCC) an affiliate of the American Nurses Association (ANA) to hospitals that meet Magnet status criteria.
Magnet status has become the gold standard for healthcare organizations in the past few years. Policy changes, goal setting, meeting those goals and documenting all this to achieve magnet status. Achieving Magnet status is a rigorous, long, and costly process. Magnet status was designed to make.
Magnet school teachers are specially trained not only in theme integration but also in innovative and rigorous academic instructional methods.
Magnet schools offer students opportunities to discover, explore, and refine their talents and interests while focusing on excellence in academics. How a nursing professional practice model (PPM) or Magnet designation drives healthcare change in institutions.
Changes in Nursing Is It For The Better Or Worse Write a four to five page paper on how a nursing professional practice model (PPM) or Magnet designation drives healthcare change in institutions.
Review your readings from this week and. Nursing - Magnet Status, Essay Directions are very specific and need to be followed to a T! Each section of the paper has certain requirements including page lengths, and .
What is the Magnet Recognition Program? Question 2 What are the benefits of Magnet Recognition? 2 Answer 1 • Magnet Recognition is the highest – The impact of the care on health status.
5 Question 5 What are some characteristics of a transformational leader? Question 6 What are some ways that transformational leaders empower staff at MGH? 6.