Magnet Hospitals:

Mandatory Overtime

"As long as employers are allowed to mandate overtime, their sense of urgency to find a safer staffing method will remain less."

Magnet Hospitals:

- Attraction and Retention of Professional Nurses - The ANA's development of Magnet Recognition Programs has evolved to become the most prestigious credential for nursing excellence. - Gold Standard - Increasing nursing job satisfaction and lowering turnover rates - Nurses are engaged in quality patient care and nursing excellence. - Demand for nurses will continue to outpace supply. - Peer review, safe harbor, and mandatory reporting can assist in resolving patient care issue

Studies find that Magnet-recognized organizations exhibit: Quality and Safety

- Higher adoption of National Quality Forum safe practices - Lower overall missed nursing care - Higher support for evidence-based practice implementation - Higher nurse-perceived quality of care - Higher patient ratings of their hospital experience

A growing body of research indicates that Magnet organizations enjoy:

- Lower nurse dissatisfaction and nurse burnout; - Higher nurse job satisfaction; and - Lower registered nurse (RN) turnover.

Collective Bargaining

- Process by which a union representing a group of workers negotiates with management for a contract - a method of equalizing power; negotiation between employees and employers. - Some collective bargaining clauses contain no-strike causes. - It takes support of at least 50% of the nurses in a facility to unionize. - A 10-day notice is required to strike

RN safe nursing and Patient Care Act of 2015

- Prohibits nurses from working more than 12 hours in a 24 hour period. - And more than 80 hours in a consecutive 14 day period except in certain circumstances. - Not accepting unsafe assignments.

How does Magnet status attract and retain the best nurses?

- The Magnet Recognition Program® provides a roadmap to advance nursing excellence, with contented staff at its core. - Optimum job satisfaction results in lower nurse attrition and an improved patient experience. - To attract and reward the very best in nursing talent, Magnet-recognized organizations embody a collaborative culture, where nurses are valued as integral partners in the patient's safe passage through their healthcare experiences. - This culture is supported by steadfast investment in nursing education and development, ensuring that nurses are supported in their chosen career path. - Interprofessional collaborative practice is nurtured, with a focus on mutual respect, autonomy, and shared values.

How does Magnet recognition support financial success?

- The benefits of Magnet translate to lower operational costs alongside the highest quality staff, and the effect on a health care organization's reputation should not be underestimated. - From increased press coverage that reduces marketing expenditure to stronger competitive advantages in regional markets, Magnet recognition assures quality, care, and the potential to be a strong business partner.

How does Magnet recognition benefit patients?

- The working environment of nurses has a direct effect on the standard of care. - When an organization embarks on a journey to Magnet designation, it commits to the highest quality health care. - This is not only evident in decreased in mortality rates and shorter hospital stays, but in the experience of every patient who walks through a Magnet organization's doors.

NCNA Recommendations for Workplace Advocacy

Collaborating Collective Bargaining

Barriers to Advocacy

Conflict, Institutional constraints, Fatigue, Ignorance, Lateral violence, Fear

Examples of cost advantages in Magnet organizations include:

Lower RN turnover Lower length of stay and Higher net inpatient income

Studies find that Magnet-recognized organizations exhibit: Patient Outcomes

Lower: - mortality rate, failure-to-rescue - patient fall rates, nosocomial infections - hospital-acquired pressure ulcer rates - central line-associated bloodstream infection rates

Patient Advocacy

Speak up for patients, Ensure patient wishes are honored and respected, Utilize evidence-based practices, 90 million health illiterate Americans are struggling to navigate our present health care system. Need safety from errors and infections

Workplace Advocacy

Work related issues are addressed locally within individual working environments