Transcript THE MAGNET STORY

American Nurses Credentialing
Center
MAGNET RECOGNITION:
A Journey in Excellence
Harriett Chaney PhD, RN, ACNS-BC
May 2009
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
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
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
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
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)
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.
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
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.
Magnet Model & Components
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Transformational Leadership
• Strategic Planning
• Advocacy & Influence
• Visibility, accessibility , &
communications
Structural Empowerment
• Professional Engagement
• Commitment to Professional
Development
• Teaching & Role Development
• Commitment to Community
Involvement
• Recognition of Nursing
Exemplary Professional
Practice
• Professional Practice Model*
• Care Delivery Systems*
• Processes for Staffing, Scheduling
& Budgeting
• Interdisciplinary Care*
• Accountability, Competence, &
Autonomy
Exemplary Professional
Practice (continued)
• Ethics, Privacy, Security &
Confidentiality
• Diversity & Workplace Advocacy
• Culture of Safety
• Quality Care Monitoring &
Improvement
New Knowledge, Innovations
& Improvements
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New Knowledge, Innovations
& Improvements
• Research
• Evidence Based Practice
• Innovation
Testimonial
Qualified
Medical Librarians
are essential for the deep smarts,
effective and efficient work
required to achieve the last
component of the
Magnet Model
New Knowledge, Innovation &
Improvements
• Research
• Evidence Based Practice
• Innovations
Research
• Evaluation and application of
published research
• Ongoing & completed nursing
research
• Knowledge about human subject
research
• Professional nurse participation in
the IRB
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
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
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 http://www.hhs.gov/ohrp/
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
Evidence Based Practices
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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
Evidence Based Practice
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/
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:
http://www.biomed.lib.umn.edu/learn
/ebp/
• Ensure agreement on key words &
limits
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
Innovations
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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
Performance Improvement
• PI / QI can lead to:
– Research
– EBP
– Innovation & creative adaptations
Magnet Recognition Achieved
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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
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
Thank You
for all you do for nurses & all
clinical colleagues
Questions / Comments
Harriett Chaney PhD, RN, ACNS-BC
[email protected]