Magnet May2009 HH

8/11/2019 Magnet May2009 HH

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American Nurses CredentialingCenter

MAGNET RECOGNITION:A Journey in Excellence

Harriett Chaney PhD, RN, ACNS-BCMay 2009


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Discloser Statement

I am not employed by ANCC I do not represent ANCC in this

presentation

I have no relationship with anyvendors, publishers, or consulting

firms

I am Magnet appraiser compensated

by applicant organizations

An honorarium was offered but not

accepted by me


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What is ANCC

Magnet Recognition?

Highest international award for

nursing excellence

An institutional self study with a

specific focus on nursing

A reflection of leaderships impacton patient care and the nurses

providing the care


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Magnet Recognition History

A study in 1983 of 163 hospitals,

41 were nursing magnets

University of Washington was namedthe 1st magnet hospital in 1994

Magnet is the first research based

accreditation process in health care

Magnet related research is ongoingwith up-dates generally every 5 years


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Magnet Recognition Today ~ 5.8% of US hospitals have achieved

Magnet Recognition

The Magnet Model serves as thefoundation of the program

Magnet requirements are both

quantitatively & qualitatively focused 2008 App l icat ion Manual, Magnet

Recogn i t ion Program

is now available


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Benefits of Magnet Magnet hospitals successfully retain

& recruit nurses (L. Aiken et al)

Magnet hospitals consistentlyprovide higher quality patient care(Center for Outcomes and Policy U of Penn)

Seven of the Top 10 Hospitals alsohave Magnet Recognition (US News &World Reports)

Seven of the 11 Best Companies toWork For also have MagnetRecognition (Fortune)


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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 documentsubmission date.


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Magnet Application

Processes: A Brief Summary

Prepare & submit the Magnetdocuments

Documents are reviewed by anappraiser team

A site visit will be scheduled if thedocument scores within the range of

excellent Post site visit documents are

prepared


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Magnet Recognition

Magnet appraisers do not make

decisions nor do they makerecommendations

The ANCC Magnet Commissiondecides if Magnet Recognitionis to be awarded.


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Magnet Model & Components

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Transformational Leadership

Strategic Planning

Advocacy & Influence Visibility, accessibility , &

communications


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Structural Empowerment

Professional Engagement

Commitment to ProfessionalDevelopment

Teaching & Role Development

Commitment to Community

Involvement

Recognition of Nursing


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Exemplary Professional

Practice

Professional Practice Model*

Care Delivery Systems*

Processes for Staffing, Scheduling& Budgeting

Interdisciplinary Care*

Accountability, Competence, &Autonomy


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Exemplary Professional

Practice (continued)

Ethics, Privacy, Security &

Confidentiality Diversity & Workplace Advocacy

Culture of Safety

Quality Care Monitoring &Improvement


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New Knowledge, Innovations

& Improvements

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New Knowledge, Innovations

& Improvements

Research

Evidence Based Practice Innovation


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Testimonial

Qualified

Medical Librarians

are essential for the deep smarts,

effective and efficient work

required to achieve the last

component of the

Magnet Model


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New Knowledge, Innovation &

Improvements

Research

Evidence Based Practice

Innovations


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Research Evaluation and application of

published research

Ongoing & completed nursingresearch

Knowledge about human subjectresearch

Professional nurse participation inthe IRB


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Nursing Research

The themes are: The generation of new knowledge

Education about research

Nurses as researchers / principleinvestigators

Institutional Review Board review &approval of nursing research proposals

Resources for conducting research Dissemination of research findings

internally & externally


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Magnet Related Opportunities

Immediate Contributions

Inquire about the Magnet goals

Know the Magnet definitions for Research

EBP

QI/PI

Request membership on the NursingCouncils & Committees Research & EBP

Clinical Practice


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(continued)

Review your library website.

Does the website: Reflect a clinical orientation

Provide links to a wide range of searchengines

Supply information about the preferred

model for evaluating published nursingresearch

Incorporate links for human subjectresearch http: / /www.hhs.gov/ohrp/


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(continued)

Promote fishing not feeding

Facilitate mastery of the basics

How to apply search limits

Which engine is best for certaintopics

Invite chair-side searching Use green strategies

How to document sources


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Evidence Based Practices

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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


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Drivers of the Movement Centers for Medicare/Medicaid

Services (CMS)

www.hospitalcompare.hhs.gov/

Pneumonia, flu vaccinations,

National Database of Nursing

Quality Indicators

https://www.nursingquality.org/ Falls, pressure ulcers, etc

Pre-established EBP guidelines

http://www.guideline.gov/


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Request to be on all EBP / guidelineteams

Ask, what EBP process is theorganization using?

If one is not selected, here is aneasy & beneficial resource:http://www.biomed.lib.umn.edu/learn

/ebp/

Ensure agreement on key words &limits


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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


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Innovations

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Innovations

Innovation is a field of study

Innovations are rare

Single individuals generallyinnovate

Creative ideas, adaptations &applications are common & highlyvalued

Assist professionals with how theyuse labels


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Performance Improvement

PI / QI can lead to:

Research

EBP

Innovation & creative adaptations


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Magnet Recognition Achieved

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Requirements for the

Magnet Recognized

Organization

Interim monitoring is due at yeartwo post award

During the 4th year, the processbegins again

The re-designation process is lessbroad but deeper in scope

Mentoring other organizationspursing Magnet Recognition isexpected


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Closing Remarks

Magnet is of benefit to the entireorganization

Nurses & their colleagues learn

about Magnet together

Medical librarian participation isextremely important to Magnetsuccess

Achieving Magnet Recognition ispart of your professional successstory


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Thank You

for all you do for nurses & allclinical colleagues


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Questions / Comments

Harriett Chaney PhD, RN, ACNS-BC

[email protected]