 Highest recognition of a health care organization’s attainment of excellence  A seal of approval for quality nursing care  Recognition of facilities.

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Presentation transcript:

 Highest recognition of a health care organization’s attainment of excellence  A seal of approval for quality nursing care  Recognition of facilities that uphold the tradition of professional nursing practice

 Established by ANCC in 1993  A culture supporting professional practice  Currently 378 Magnet Designated Hospitals – approximately 6% of US hospitals  16 Virginia hospitals with Magnet designation

 Bon Secours Memorial Regional  Bon Secours St. Mary’s Hospital  Carilion Roanoke Memorial-2003  Centra Health Lynchburg General-2005  Centra Health Virginia Baptist – 2005  Inova Fair Oaks  Inova Fairfax – 1997  Inova Loudoun – 2006  Martha Jefferson – 2006  Martha Washington Hospital  Montgomery Regional Hospital  Reston Hospital (HCA) – 2007  Sentara Norfolk General Hospital  UVA – 2006  VCU – 2006  Winchester Medical Center

 Greater recognition within the community for nursing and the hospital  Improved patient care outcomes  Improved nurse-physician relationships  Competitive marketing advantages  Improved recruitment and retention of nurses, physicians and other healthcare professionals  Enriched nursing staff satisfaction

 An opportunity to deploy a group of nurses to make a change – revisiting current practices - is change warranted?  Magnet Culture has no fear of failure and modeled, accepted and absorbed by all  Nursing Strategic Plan = Roadmap with all levels of nursing contributing  This component focuses on the CNO – someone who is capable of transforming the nurses and the culture

 Nurses are guided, mentored, coached, and educated - consensus decision used  Showcase your nurses to promote their image  Shared decision in the workplace – shared governance, unit based decision, task forces, interdisciplinary teams  Shared decision making in the profession – professional associations, presenting and publishing, competency and certification  Partnerships with schools of nursing

 Nurse in the model = RN  Use ANA Principles of Nurse Staffing - the ANCC does not say you have to use self- scheduling but it is an excellent way to demonstrate collaboration  Staffing and scheduling process must consider acuity, patient population needs as well as variations in patient population  Expectations in this component include – interdisciplinary care, accountability, competence and autonomy

 Resources for nurses in this component include ANA Code of Ethics for Nurses, ANA Bill of Rights for Nurses and safeguarding privacy, security and confidentiality  Nurse sensitive indicators, patient satisfaction and nurse satisfaction at or above national benchmark  Must be able to differentiate between Professional Practice Model and Care Delivery System

 More heavily weighted for Magnet facilities seeking redesignation especially innovation  Quality Improvement  Evidence Based Nursing – using the latest EBP to guide changes  Research – systematic search for knowledge about important nursing issues  Nursing Research is aligned with the mission, vision and values; fits with the strategic plan, and will provide value to the facility

Research and Magnet Model  Research must be integrated into clinical and operational processes  Nurses are educated about EBP and research and support human subjects rights  Published research is systematically evaluated and used by nurses at all levels  Nurses serve on the IRB - review and vote on nursing research proposals  Knowledge gained through research is disseminated to the nurses  Resources in place to support the advancement of EBP and research in all clinical settings

 Nursing research studies from the past 2 years, ongoing and completed are outlined in a table which includes  study title  study status  principal investigators (PI) name(s)  PI credentials  role(s) of nurses in the study  study scope (internal to a single organization, multiple organizations within a system, independent organizations collaboratively)  study type – replication – yes or no; qualitative, quantitative or both

 Document one completed research study and describe *purpose and background *how the work was done (methods or approach) *discuss who was involved *what units participated *measurement used to evaluate the outcomes and the impact  The organization must disseminate knowledge generated through nursing research to internal and external audiences

 Quality outcomes related to nursing  Clinical practice related to patient care  Dynamic and define areas of improved performance as well as additional efforts needed to achieve improvement  Most are graphically depicted  19 outcomes throughout the other 4 components

 Nursing Research Council leads EBP and Research Initiatives  RU partnership provides credibility and expertise  A growing culture of excellence and innovation

 EBP five-step Model:  Uncertainty to an answerable question  Retrieval of best evidence available  Critical appraisal of evidence for validity and applicability

 Application of results in practice  Evaluation of performance

 Gaining comfort with uncertainty  Moving clinical problems to searchable/answerable questions  PICOT format

 Music Therapy in Surgical Services  Skin to Skin Contact in Obstetrics  Bedside Reporting  Conflict Engagement

 IRB consolidation/mentoring  Research consortium  Dress Study  MRSA Guidelines  Wound Staging

 Continuing Education Opportunities  Local  Regional  National

 ICU Quiet Times  Dedicated Education Unit  Care Delivery Models  Hypothermia approaches in the ED  Bedside reporting-validation study

“ Improved statistics would tell us more of the relative value of particular operations and modes of treatment… and the truth thus ascertained would enable us to save life and suffering.”

 Application Manual, Magnet Recognition Program (2008)  Aravind, M. & Chung, K. (2009)  Fineout-Overholt, E. &Johnston, L. (2005)