American Nurses Credentialing Center MAGNET RECOGNITION: A Journey in Excellence

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American Nurses Credentialing CenterMAGNET
RECOGNITIONA Journey in Excellence

• Harriett Chaney PhD, RN, ACNS-BC
• May 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 any vendors,
  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 impact on 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 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

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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

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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)

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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 document submission
  date.

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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

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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.

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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 Professional Development
• 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 nursing research
• Knowledge about human subject research
• Professional nurse participation in the IRB

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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

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Magnet Related OpportunitiesImmediate
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

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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/

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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

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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

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Evidence Based PracticeDrivers 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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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

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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

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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

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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 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

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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

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Thank Youfor all you do for nurses all
clinical colleagues
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Questions / Comments

• Harriett Chaney PhD, RN, ACNS-BC
• harriettcf_at_aol.com