1. Harriett Chaney PhD, RN, ACNS-BC May 2009
American Nurses Credentialing Center MAGNET RECOGNITION: A Journey in Excellence
Harriett Chaney PhD, RN, ACNS-BC
May 2009

2. Discloser Statement I am not employed by ANCC
I do not represent ANCC in this presentation
I have no relationship with any vendors, publishers, or consulting firms
I am Magnet appraiser compensated by applicant organizations
An honorarium was offered but not accepted by me

3. What is ANCC Magnet Recognition?
Highest international award for nursing excellence
An institutional self study with a specific focus on nursing
A reflection of leadership’s impact on patient care and the nurses providing the care

4. Magnet Recognition History
A study in 1983 of 163 hospitals,
41 were nursing “magnets”
University of Washington was named the 1st magnet hospital in 1994
Magnet is the first research based accreditation process in health care
Magnet related research is ongoing with up-dates generally every 5 years

5. Magnet Recognition Today
~ 5.8% of US hospitals have achieved Magnet Recognition
The Magnet Model serves as the foundation of the program
Magnet requirements are both quantitatively & qualitatively focused
2008 Application Manual, Magnet Recognition Program® is now available

6. Benefits of Magnet
Magnet hospitals successfully retain & recruit nurses (L. Aiken et al)
Magnet hospitals consistently provide higher quality patient care (Center for Outcomes and Policy… U of Penn)
Seven of the Top 10 Hospitals also have Magnet Recognition (US News & World Reports)
Seven of the 11 Best Companies to Work For also have Magnet Recognition (Fortune)

7. Magnet Application Processes: A Brief Summary
Obtain the Magnet Manual
Review the Magnet website
Conduct an internal analysis
Use of consultants
Focus on outcomes & national benchmarks for a 2 year period
Review budget requirements
Apply online & receive a document submission date.

8. Magnet Application Processes: A Brief Summary
Prepare & submit the Magnet documents
Documents are reviewed by an appraiser team
A site visit will be scheduled if the document scores within the range of excellent
Post site visit documents are prepared

9. Magnet Recognition
Magnet appraisers do not make decisions nor do they make recommendations
The ANCC Magnet Commission decides if Magnet Recognition is to be awarded.

10. Magnet Model & Components

11. Transformational Leadership
Strategic Planning
Advocacy & Influence
Visibility, accessibility , & communications

12. Structural Empowerment
Professional Engagement
Commitment to Professional Development
Teaching & Role Development
Commitment to Community Involvement
Recognition of Nursing

13. Exemplary Professional Practice
Professional Practice Model*
Care Delivery Systems*
Processes for Staffing, Scheduling & Budgeting
Interdisciplinary Care*
Accountability, Competence, & Autonomy

14. Exemplary Professional Practice (continued)
Ethics, Privacy, Security & Confidentiality
Diversity & Workplace Advocacy
Culture of Safety
Quality Care Monitoring & Improvement

15. New Knowledge, Innovations & Improvements

16. New Knowledge, Innovations & Improvements
Research
Evidence Based Practice
Innovation

17. Testimonial Qualified Medical Librarians
are essential for the deep smarts, effective and efficient work required to achieve the last component of the
Magnet Model

18. New Knowledge, Innovation & Improvements
Research
Evidence Based Practice
Innovations

19. Research Evaluation and application of published research
Ongoing & completed nursing research
Knowledge about human subject research
Professional nurse participation in the IRB

20. Nursing Research The themes are: The generation of new knowledge
Education about research
Nurses as researchers / principle investigators
Institutional Review Board review & approval of nursing research proposals
Resources for conducting research
Dissemination of research findings internally & externally

21. Magnet Related Opportunities Immediate Contributions
Inquire about the Magnet goals
Know the Magnet definitions for
Research
EBP
QI/PI
Request membership on the Nursing Councils & Committees
Research & EBP
Clinical Practice

22. Immediate Contributions (continued)
Review your library website.
Does the website:
Reflect a clinical orientation
Provide links to a wide range of search engines
Supply information about the preferred model for evaluating published nursing research
Incorporate links for human subject research

23. Immediate Contributions (continued)
Promote fishing not feeding
Facilitate mastery of the basics
How to apply search limits
Which engine is best for certain topics
Invite chair-side searching
Use green strategies
How to document sources

24. Evidence Based Practices

25. Evidence Based Practice
The themes are:
Bench to bedside, science to service
Structures and processes within the organization
Translation of EBP into medical & nursing practice
EBP patient outcomes

26. Evidence Based Practice Drivers of the Movement
Centers for Medicare/Medicaid Services (CMS)
Pneumonia, flu vaccinations,
National Database of Nursing Quality Indicators
Falls, pressure ulcers, etc
Pre-established EBP guidelines

27. Evidence Based Practice
Request to be on all EBP / guideline teams
Ask, what EBP process is the organization using?
If one is not selected, here is an easy & beneficial resource:
Ensure agreement on key words & limits

28. Evidence Based Practice
Use EBP yourself
Work beyond obtaining published articles for your clinical colleagues
Stay current regarding the changing value of published work
Expert opinion, consensus opinion
Randomized controlled trials
Etc.
Negotiate credit for partnership / team contributions

29. Innovations

30. Innovations Innovation is a field of study Innovations are rare
Single individuals generally innovate
Creative ideas, adaptations & applications are common & highly valued
Assist professionals with how they use labels

31. Performance Improvement
PI / QI can lead to:
Research
EBP
Innovation & creative adaptations

32. Magnet Recognition Achieved

33. Requirements for the Magnet Recognized Organization
Interim monitoring is due at year two post award
During the 4th year, the process begins again
The re-designation process is less broad but deeper in scope
Mentoring other organizations pursing Magnet Recognition is expected

34. Closing Remarks Magnet is of benefit to the entire organization
Nurses & their colleagues learn about Magnet together
Medical librarian participation is extremely important to Magnet success
Achieving Magnet Recognition is part of your professional success story

35. Thank You for all you do for nurses & all clinical colleagues

36. Harriett Chaney PhD, RN, ACNS-BC harriettcf@aol.com
Questions / Comments
Harriett Chaney PhD, RN, ACNS-BC