Magnet

1980s event that inspired Magnet

- 1980's the American Academy of Nursing (AAN) - Study high retention rates - Able to recruit nurses despite the NURSING SHORTAGE - Attributes of success

How are magnet hospitals alike - 1980's study results

- Certified Nurse Educators involved at highest levels of organization - Nurses help make highest decisions - Flat nursing organizational structure- min hierarchy - Staff nurses make decisions for units - Administration listens to staff nurses decision - Good communication between RN and MD/DO

List a minimum of three benefits for patients.

- Fewer falls - Satisfaction - Shorter stay - Less complaints - Higher quality - Confidence - Decreased length of stay - Increased patient/family satisfaction - Decreased risk of falls, medication errors, and post-procedure complications - Reduced family complaints - High quality of nursing care - Confidence in the hospital because it has obtained the highest honor awarded for nursing care.

Two essential elements to being magnet

- Meeting the 5 or 14 goals of Magnet via documentation submission - Site visit

Stages of magnet

1. Apply 2. Prove: documents and evaluation 3. Site visit 4. Magnet response

Describe the five Key Components of the Magnet Recognition conceptual model.

1. Leadership: Transformational of culture and education 2. Empowerment: Enables staff to achieve and meet culture 3. Exemplary 4. New knowledge, innovation, and improvement 5. Empirical: Outcome-based and

14 Forces of Magnetism

1. Quality of nursing leadership 2. Organizational structure 3. Management style 4. Personnel policies and programs 5. Professional models of care 6. Quality of care 7. Quality improvement 8. Consultation and resources 9. Autonomy 10. Community and the hospital 11. Nurses as teachers 12. Image of nursing 13. Interdisciplinary relationships 14. Professional development

When was magnet formed?

1994

What organization sponsors Magnet

American Nurses Credentialing Center (ANCC)

1991

American Nurses Credentialing Center (ANCC) established to provide process for individual/ organizations to seek accreditation, certification, and the recognition the profession needed.

List a minimum of three benefits for nurses.

Autonomy, Participation, Staffing, Satisfaction, Interpro collab, Pro models of care, Needle sticks - Autonomy : in clinical practice decision-making - Participation : in nursing leadership and organizational decision-making - Adequate nurse staffing - Higher RN job satisfaction - Enhanced nurse-physician collaboration - Integration of professional models of care - Decreased needle-stick injuries

Describe the culture of magnetism

Commitment to patient care excellence Organizational structure and process empower nurses Disseminate Magnet culture values

Socialability

Friendliness

What does the ANNC recommend doing to assess for Magnet culture

Gap analysis

Magnet 5

LEENE Leadership, Empowerment, Exemplary, New, Empirical 1.Transformational Leadership (Forces #1 and #3) 2.Structural Empowerment (Forces #2, #4, #10, #12, and #14) 3.Exemplary Professional Practice (Forces #5, #8, #9, #11, and #13) 4.New Knowledge, Innovations, & Improvements (Force #7) 5.Empirical Outcomes (Force #6)

Professional develop

Making sure nurses have Bachelors

4 community types based on sociability and solidarity

Networked: High social; low solidarity Mercenary: Low Social; High solidarity Communal: High and High Fragmented: Low and Low

Magnet hospitals in MI

OWilliam Beaumont Royal Oak in 2004 OMunson Medical Center in Traverse City in 2006 OSpectrum Health -Butterworth, Blodgett & Helen DeVos in 2009 OSparrow Hospital in Lansing in 2009 ODMC - Huron Valley Sinai Hospital in 2009 OWilliam Beaumont Troy in 2009 OBronson in Kalamazoo in 2009 (note, they did not receive magnet status after their first site visit and had to reapply) ONorthern Michigan Regional Hospital (now McLaren Northern Michigan) in Petoskey in 2011 OMercy Health Saint Mary's in 2013 OVHS/DMC Rehabilitation Institute of Michigan in 2013 ODMC Harper-Hutzel Hospital in 2015

State the three goals of the Magnet Recognition program.

QEB 1. Quality and support: "Promoting quality in a setting that supports professional practice." 2. Excellence: Identifying excellence in the delivery of nursing services to patients. 3.Best practices "Disseminating "best practices" in nursing services."

Solidarity

Same goal

How does an organization develop Magnet culture

Transforms leaderships who are accountable for transforming employees. Top down but SHARED goals

First Magnet hospital

University of Washington

Goffee and Jones argued that 2 factors predicate Magnet culture

sociability and solidarity