NUR 407 Forces of Magnetism

19. Which of these are variables that relate to nursing leadership and demonstrate transformational leadership? a. Support education b. Supportive nurse manager-supervisor c. Adequacy of nurse staffing d. good nurse-physician relationships e. Nurse autonomy and accountability f. Recognition of bachelor's degree holding nurses

ABCDE Rationale: list on page 477 in finkleman

17. A nurse recruiter is visiting a local college of senior nursing students. She is reviewing the process for application and giving students advice to help in interviews. The nurse states "At Charger Hospital we look for excellent performance in exemplary professional practice." A nursing student is correct in assuming that he/she must possess what? SATA A. Comprehensive understanding of the role of nursing B. The ability to perform and depend solely on oneself to achieve task and goals for the patients, communities, and team C. Knowing the old knowledge and evidence that has been done that way for "years." D. Being able to establish a strong professional practice. E. All of the above

AD Rationale: page 478 Exhibit 14-4, paragraph 1, Exemplary professional practice, Chapter 14, Finkleman

2. Recognition for Magnet status, once obtained, is permanent. T or F?

ANSWER: FALSE "Recognition is not permanent, however, and the HCO must apply for renewal." (pg. 476)

4. Which of the following correctly describes the Magnet status management style in a hospital? a. The health care team had a meeting,without the registered nurses, about new ideas that could be implemented to provide higher quality care. b. The nurse manager allowed me to express my ideas of a better communication technique between nurses, but told me this idea would not work. c. The nurse manager allowed me to express my idea of a better communication technique between nurses and will consider implementing my idea. d. The health care team makes me feel that my ideas will not be considered because I am a registered nurse and not a manager or of higher power.

ANSWER: c RATIONAL: "A hospital with magnet status also demonstrates a different form of management in which staff have input into decisions, with managers listening to staff.." (Finkleman pg. 477)

12. The RN knows the new graduate nurse needs further teaching about organizational structures in magnet status hospitals when he states: A. "There is one best organizational structure and all magnet hospitals should follow it." B. "The organizational structure should be flexible and ever-changing." C. "There is no one best organizational structure." D. "There should be set ranks of authority must be established."

Answer: A Rationale: Textbook

15. Which of the following is NOT an example of participant management in hospitals that have achieved Magnet status? A. Staff have input into decisions B. Managers listen to staff C. Leaders understand nursing needs D. Centralized structures

Answer: D Rationale: A hospital that has achieved Magnet status also demonstrates a different form of management, focusing more on participative management in which staff have input into decisions, with managers listening to staff, and typically using a decentralized structure, such a shared governance. Textbook page 477

18. After applying for Magnet status and recognition is achieved, what must be done to keep it? SATA a. Maintain standards of a magnet hospital b. Provide reports on meeting national standards c. Hire enough good nurses that promote the face of a magnet hospital d. Participation in ANA's quality indicator study

Answers a,b,d Rationale finkleman pg 476

21. What is the first step for an organization that wants to apply for Magnet Status Recognition? a. Participate in the American Nursing Association's quality indicator study b. Provide certain annual monitoring reports to ensure all requirements are met c. Complete a self-assessment using materials provided by the program d. Have an on-site survey completed by the Magnet Recognition Program Surveyors.

C Rationale: Finkleman Pg. 476 "The first step for an organization that wants to apply for Magnet status recognition is to complete a self-assessment using materials provided by the program."

1.Studies show that achieving Magnet status has a positive impact on Health Care Organization. Which of the following are examples of those impacts? SATA. a. Increased staff retention rates b. Higher quality of care c. Decreased autonomy d. Decreased burn-out rates e. Increased ADN nurses

ANSWER: A, B, D RATIONAL: "Studies do indicate that achieving recognition has a positive impact on Magnet HCO's, such as improving professional practice, clinical competence, and job experience -- all which influence staff retention rates." (pg. 476) "The HCOs demonstrate higher levels of quality care, autonomy, a nursing model, mentoring, professional recognition, and respect, and they enable staff to practice nursing as it should be practiced." (pg. 477). "Theses HCOs have better outcomes - lower burnout rates, higher levels of job satisfaction, and higher quality of care..." (pg. 477). Magnet hospitals require more BSN nurses, not ADN nurses.

8. Nurse Beth Barney has successfully landed her dream job in the Rodent ICU in the local Magnet Hospital. Why do nurses consider the Magnet designation as the "gold standard" for better outcomes overall? A. Increased RN retention, lower burnout rates, increased job satisfaction B. Increased RN retention, career development, higher pay and incentives C. Higher quality of care, lower burnout rates, increased job satisfaction D. Higher quality of care, career development, patient satisfaction

ANSWER: C Higher quality of care, lower burnout rates, increased job satisfaction Rationale: Textbook page 477, at the bottom of the first column. "These HCO's have better outcomes - lower burnout rates, higher levels of job satisfaction, and higher quality of care-than non-Magnet HCO's." While the variables in the other choices like career development, increased RN retention, and patient satisfaction may be true of a Magnet Hospital, those are not the reasons that contribute to the better outcomes of a Magnet Hospital.

3. Lucy, a registered nurse, is working at a Magnet hospital. She is taking care of a 65 year-old patient with CHF and has noticed a change in the status of the patient that is not severe, but enough to prompt her to change the coordination of care to benefit the patient. Which force of magnetism does this represent? a. Interdisciplinary Relationships b. Professional Development c. Management Style d. Autonomy

ANSWER: d Rationale: "Nurses viewed autonomy as making decisions, such as when to call physicians, coordinating care, and teaching." (Forces of Magnetism powerpoint)

13. Newer organizational models allow for a continuum of care while in the hospital and after discharge. True or False? A. True B. False

Answer: A Rationale: Tomey, A. M. (2009). Nursing leadership and management effects work environments. Journal of Nursing Management, 17(1), 16. doi:10.1111/j.1365-2834.2008.00963. In Powerpoint

16. A new grad nurse is interviewing for a job at a magnet hospital. The new grad ask the nurse manager interviewing her what are the differences in the type and styles of management typically displayed with a magnet status hospital. The nurse manager is correct when responding how? SATA A. Our managers and leaders here listen attentively and look to staff for input when addressing issues. B. The staff here feel that nursing leaders throughout the organization understand their needs and provide resources and support for the work that staff do daily. C. We expect that each and every nurse actively participate in committees and projects in order to advance healthcare with evidence based practice. D. The senior leadership team creates the vision for the future and they needs necessary to fulfill this vision. E. None of these.

Answer: A, B, C, D, Rationale: All of these fall under the transformation leadership category per research from the magnet hospitals as listed under the transformation leadership section in Chapter 14, exhibit 14-4 Transformational Leadership

20. Our current systems and practices in healthcare need to be redesigned to be successful in the future. This component includes new models of care, application of existing evidence, and visible contributions to the science of nursing. Which Force of Magnetism is Represented by this? a. Autonomy (Force No. 9) b. Quality Improvement (Force No. 7) c. Quality of Nursing Leadership (Force No. 1) d. Personnel Policies and Programs (Force No. 4)

Answer: B Rationale: Finkleman Pg. 479 "Our current systems and practices need to be redesigned and redefined if we are to be successful in the future. This component includes new models of care, application of existing evidence, and visible contributions to the science of nursing. Forces of Magnetism Represented: Quality Improvement (Force No.7)

10. The newly graduated RN is studying for her first job orientation at a highly respected Magnet hospital. The new nurse knows the objectives of the Magnet program are: Select all that apply. a. Strive toward better outcomes and shorter hospital stays b. Promote quality in a setting that supports professional practice c. Reduce the number of work related errors d. Identify excellence in the delivery of nursing services to patients/ residents e. Disseminate best practices in nursing services

Answer: B,D,E Rationale: "The objectives of the Magnet program respond to these needs: promote quality in a setting that supports professional practice, identify excellence in the delivery of nursing services to patients/ residents, disseminate best practices in nursing services." Textbook Page 476 bottom of second paragraph

14. To achieve and maintain Magnet status in their hospital, HCOs implement professional practice models for nursing, such as The Synergy Model for Care. Which of the following is NOT a characteristic of this particular model? A. Clinical judgement B. Advocacy and moral agency (ethics) C. Decrease in systems thinking D. Facilitation in learning

Answer: C Rational: The Synergy Model for Patient Care identify eight important competencies: clinical judgement, clinical inquiry, caring practices, response to diversity, advocacy and moral agency, facilitation or learning, collaboration, and systems thinking. Textbook page 468-469

11. A primipara woman is making decisions on where she wants to deliver her first baby. She has her choice narrowed down to two hospitals. One is a Magnet hospital and the other is not. The woman understands that the Magnet hospital: a. Provides the newborn with a month's supply of diapers free of charge b. Encourages shorter hospital stays c. Provides quality care that leads to positive outcomes for patients and better work environments for nurses d. Facilitates protocols to reduce the number of complications postpartum

Answer: C Rationale: "There are now significant research results that indicate that Magnet HCOs tend to provide quality care that leads to positive outcomes for patients and better work environments for nurses. " Textbook Page 477 middle of second column

9. The local hospital wants to apply for Magnet Status Recognition. Put the steps the hospital must complete to achieve recognition in order. A. An on site-survey completed by Magnet Recognition Program Surveyors B. Provide annual monitoring reports to ensure that the Magnet requirements are met C. Complete self-assessment using materials provided by the program D. Participate in the American Nurses Association's quality indicator study coordinated by the National Center for Nursing Quality

Answer: C, A, D, B Rationale: Textbook page 764, second column. "The first step for an organization that wants to apply for Magnet status recognition is to complete a self-assessment using materials provided by the program.... After extensive sharing of information, an on-site survey is completed by the Magnet Recognition Program surveyors. After recognition is obtained, the organization must maintain the standards; participate in the American Nurses Association's quality indicator study coordinated by the National Center for Nursing Quality; and provide certain annual monitoring reports to ensure that the requirements for Magnet recognition continue to be met over time."

6. Which of the following are NOT represented as part of the five components of the forces of magnetism? Select all that apply. a. Transformational Leadership b. Interprofessional Teams c. Leading, Changing and Advancing Health d. New Knowledge, Innovation and Improvements e. Excellence of Nursing

Answer: b,c,e Rationale: pg. 477 and 478- "These forces are organized into 5 components- structural empowerment, exemplary professional practice, transformational leadership, new knowledge, innovations and improvements, and empirical quality results." Interprofessional teams, excellence in nursing and leading, changing and advancing health are not included in the 5 components.

5. Which force of magnetism component is represented from the following excerpt: "the organization's leadership team must enlighten the organization as to why change is necessary and communicate each department's part in achieving change...they must also enlighten the organization as to why change is necessary"? a. New Knowledge, Innovation, and Improvements b. Structural Empowerment c. Empirical Quality Results d. Exemplary Professional Practice e. Transformational Leadership

Answer: e Rationale: pg 478 in Finkelman text under "Transformational Leadership"

7. Recent UAH Nursing School Graduate Beth Barney is looking for jobs. She has narrowed down her two options to a Magnet Hospital and a hospital that is world-renowned for their patient care model. What are some qualities that the magnet hospital offers, that the world renowned hospital may not offer? Select all that apply. A. Increased pay, benefits, and incentives B. Active pursuing of Evidence-Based Practice C. Fast Track Promotion options D. Autonomy E. Mentoring

Answers: B,D,E Rationale: Textbook page 477, first and second columns. "Evidence-based practice is actively pursued, and the hospitals are involved in nursing research." "The HCO's demonstrate higher levels of quality of care, autonomy, a nursing model, mentoring, professional recognition, and respect, and they enable staff to practice nursing as it should be practiced." The world-renowned hospital may offer active pursuing of evidence-based practice, autonomy, and mentoring. However, the Magnet Hospital must offer those services to qualify as a Magnet Hospital.

22. A student nurse correctly demonstrates that he understands Forces of Magnetism in the healthcare organization for which he works when he states: a. "Forces of Magnetism are used at my hospital for MRIs, along with magnetic bands for healing purposes." b. "Forces of Magnetism refers to an organizational movement in healthcare to deliver more cost-effective care." c. "Forces of Magnetism refers to the way that the doctors, nurses and other healthcare workers relate to each other." d. "Forces of Magnetism refers to organizational elements of excellence in nursing care."

Correct Answer: D Rationale: Textbook, page 477

23. Which of the following are characteristics of Magnet hospitals? (Select all that apply.) a. Interdisciplinary collaboration b. ANCC-mandated maximum nurse-patient ratios c. Superior outcomes d. Nurses in policy-making positions e. ANCC tracking of patient outcomes

Correct Answers: A, C, D Rationale: Currently, no staffing ratios are required for achieving Magnet status - not surprising, considering ANA's opposition to specific RN-to-patient ratios. ANCC does no direct tracking of outcomes at Magnet facilities. Crotty, M. (2005). Forces of magnetism. Revolution (Oakland, Calif.), 6(2), 26-31.4 Organizations must excel in principles at the heart of the program, known as the 14 Forces of Magnetism, which include having visionary nursing leadership, building an environment that encourages participation, having strong representation of nurses at the top levels of management, empowering nurses in patient care, and showing superior outcomes. Magnet hospitals also have to show interdisciplinary success, meaning nurses work in collaboration with pharmacists, physicians and therapists.