Impact of Hospitals Obtaining Magnet Designation on Nurses and Patients
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1. Transformational leadership
Nursing leaders at all levels of a magnet-designated facility must demonstrate advocacy and support on behalf of staff and patients to transform values, beliefs, and behaviors.
The Chief Nursing Officer (CNO) must be strategically positioned within the organization to effectively influence other executive stakeholders, including the board of directors.Nursing's mission, vision, values, and strategic plan must align with the organization's priorities to improve performance, wherever nursing is practiced. Mechanisms must be implemented for evidence-based practice to evolve and for innovation to flourish. As a result, nurses throughout the organization should perceive their voices are heard, their input is valued, and their practice is supported.
2. Structural empowerment
Nurses throughout magnet-designated facilities are involved in shared governance and decision-making structures and processes to establish standards of practice and address opportunities for improvement. Nurse leaders serve on decision-making bodies that address excellence in patient care and the safe, efficient, and effective operation of the organization. The flow of information and decision-making is multidirectional among profession nurses at the bedside, leadership, interprofessional teams, and the chief nursing officer. Nurses and nurse leaders develop strong partnerships with community organizations to improve patient outcomes and advance the health of the communities they serve. This is accomplished through the organization's strategic plan, structure, systems, policies, and programs.
3. Exemplary professional practice
Exemplary professional practice in magnet-designated facilitiyis evidenced by effective and efficient care services, interprofessional collaboration, and high-quality patient outcomes. Magnet nurses partner with patients, families, support systems, and interprofessional teams to positively impact patient care and outcomes. Interprofessional team members include but are not limited to personnel from medicine, pharmacy, nutrition, rehabilitation, social work, psychology, and other professions that collaborate to ensure a comprehensive plan of care. Collegial working relationships within and among the disciplines are valued and promoted by the organization's leadership and its employees.The achievement of exemplary professional practice is grounded in a culture of safety, quality monitoring, and quality improvement. Nurses collaborate with other disciplines to ensure that care is comprehensive, coordinated, and monitored for effectiveness through the quality improvement model.Nurses at all levels analyze data and use national benchmarks to gain a comparative perspective about their performance and the care patients receive. Magnet organization data demonstrate outcome measures that generally outperform the benchmark statistic of the national database used in patient- and nurse-sensitive indicators.
4. New knowledge, innovations & improvements
Magnet-designated facilitiesintegrate evidence-based practice and research into clinical and operational processes. Nurses are educated about evidence-based practice and research, enabling them to appropriately explore the safest and best practices for their patients and practice environment and to generate new knowledge.Innovations in patient care, nursing, and the practice environment are the hallmark of organizations receiving Magnet recognition. Establishing new ways of achieving high-quality, effective, and efficient care is the outcome of transformational leadership, empowering structures and processes, and exemplary professional practice in nursing.
5. Empirical outcomes
The empirical measurement of quality outcomes related to nursing leadership and clinical practice in magnet-designated facilitiesis imperative.Outcomes are categorized in terms of clinical outcomes related to nursing, workforce outcomes, patient and consumer outcomes, and organizational outcomes. These outcomes will represent the "report card" of a Magnet-recognized organization, and a simple way of demonstrating excellence.