Magnet Recognition Program American Nurses Credentialing Center ANCC

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Magnet Recognition ProgramAmerican Nurses
Credentialing Center (ANCC)

• Christine Mueller, PhD, RN, BC, CNAA
• University of Minnesota
• School of Nursing
• Minneapolis, Minnesota
• (Magnet Program Appraiser)

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ANCC Magnet Program Recognition Contact
Information

• American Nurses Credentialing Center
• 600 Maryland Ave. SE, Suite 100 West
• Washington, DC 20024-2571
• 202-651-7262 Magnet_at_ana.org
• www.nursecredentialing.org
• Kammie Monnarch, RN, MS, JD, Director
• MaryMoon Allison, MSHE, BSN, RN, Assistant
  Director
• Accreditation and Magnet Programs

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Purpose of Magnet Recognition Program is to
recognize excellence in

• The management, philosophy and practices of
  nursing services
• Adherence to national standards for improving the
  quality of patient care services
• Leadership of the nurse administrator in
  supporting professional practice and continued
  competence of nurses, and
• Understanding and respecting the cultural and
  ethnic diversity of patients, their significant
  others, and health care providers.

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Background on the Magnet Recognition Program

• 1983 American Academy of Nursing study on Magnet
  Nursing Organizations
• Purpose Examine characteristics of systems
  impeding and/or facilitating professional nursing
  practice in hospitals
• 1990 ANA Board of Directors approved the Magnet
  Recognition Program
• Infrastructure built within the ANCC

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Background on the Magnet Recognition Program

• Development of the Magnet Recognition Program
  within the American Nurses Credentialing Center
  (ANCC)
• Criteria for program
• Application and Review Process
• Commission on Magnet Recognition
• Magnet designation of first health care
  organization 1994

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Conceptual Framework for Magnet Recognition
Program

• Based on research
• Based on ANA Scope and Standards for Nursing
  Administration (1996)
• Forces of Magnetism

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Research on Magnet Designated Health Care
Organizations

• Outcomes for Patients
• Lower Medicare mortality rates
• Lower disease specific mortality rates (AIDS)
• Shorter lengths of stay
• Increased patient satisfaction

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Research on Magnet Designated Health Care
Organizations

• Outcomes for Nurses
• Increased nurse satisfaction
• Increased RN mix
• Increased RN ratings of the quality of care they
  perceive is being given at their hospitals
• Increased perception of productivity

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Research on Magnet Designated Health Care
Organizations

• Workplace outcomes
• Lower incidence of needle stick injuries
• Lower nurse turnover
• Increased ability to attract nurses
• Lower rates of nurse burnout

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ANA Scope and Standards for Nurse Administrators

• Standards of Care
• Standard of Professional Performance
• Each standard has a set of criteria

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Standards of Care

• Assessment- The nurse administrator develops,
  maintains, and evaluates patient/client and staff
  data collection systems and process to support
  the practice of nursing and delivery of patient
  care.
• Diagnosis-The nurse administrator develops,
  maintains, and evaluates an environment that
  supports the professional nurse in analysis of
  assessment data and in decisions to determine
  relevant diagnoses
• Outcomes Identification - The nurse administrator
  develops, maintains, and evaluates information
  processes that promote desired client-centered
  outcomes.

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Standards of Care

• Planning-The nurse administrator develops,
  maintains, and evaluates organizational planning
  systems to facilitate the delivery of nursing
  care.
• Implementation - The nurse administrator
  develops, maintains, and evaluates organizational
  systems that support the implementation of a
  systematic client-centered plan of care.
• Evaluation - The nurse administrator evaluates
  the client-centered plan and its progress in
  relation to the attainment of outcomes.

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Standards of Performance

• Quality of Care and Administrative Practice- The
  nurse administrator systematically evaluates the
  quality and effectiveness of nursing practice and
  nursing services administration.
• Performance Appraisal- The nurse administrator
  evaluates his/her performance based on
  professional practice standards, relevant
  statutes and regulations and organizational
  criteria.
• Education - The nurse administrator acquires and
  maintains current knowledge in administrative
  practice.
• Collegiality - The nurse administrator fosters a
  professional environment.

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Standards of Performance

• Ethics- The nurse administrator's decisions are
  based on ethical principles.
• Collaboration - The nurse administrator
  collaborates with nursing staff at all levels,
  interdisciplinary teams, executive officers, and
  other stakeholders.
• Research - The nurse administrator supports
  research and integrates it into practice.
• Resource Utilization - The nurse administrator
  evaluates and administers the resources of
  organized nursing services.

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Forces of Magnetism

• Quality of nursing leadership
• Strong, Dynamic, Respected, Highly Qualified,
  Supportive, Risk-Taker, Listens
• Management style
• Participative, Involves all levels of nurses,
  Accessible, Open communication
• Organizational structure
• Flat, Decentralized, Nursing actively involved
  at all decision-making levels, committees
  utilized

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Forces of Magnetism

• Personnel policies and programs
• Competitive salaries benefits, developed
  by/for employees, Promotion opportunities
  available, work schedules flexible and respect
  employees personal lives
• Professional models of care
• Nurses have responsibility, authority, and
  autonomy, best-practices utilized
• Quality of care
• High staff perceptions, family members
  involved, Nurse Executive responsible for
  environment enabling quality care

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Forces of Magnetism

• Quality improvement
• Widespread involvement, lived, viewed as
  assisting mechanism rather than punitive
• Autonomy
• Autonomy coupled with Responsibility results
  in Innovation and Creativity results in
  Self-actualization
• Consultation and resources
• Accessible, intra- and inter-professional,
  peer support, often APRNs utilized

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Forces of Magnetism

• Image of nursing
• Positive, Nurses supported when conflicts
  arise, high self-esteem
• Professional development
• Emphasized, Focus on education seen as a
  commitment to quality care, Education supported,
  baccalaureate and higher education valued,
  Includes inservice, continuing education, career
  development
• Collegial nurse-physician relationships
• Value nurse opinions, respected as
  professionals

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Forces of Magnetism

• Community and the hospital
• Involved, common goals, strong corporate
  citizen
• Nurses as teachers
• Expected, Encouraged, Opportunities for
  teaching or participating in educational programs
  provided, Preceptor opportunities provided

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Number of organizations achieving Magnet
designation/year
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73 of all applicants (acute care health
organizations) received Magnet designation
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Location of Magnet Health Care Organizations

• 25 States
• Rochdale Trust, United Kingdom

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Characteristics (statistics) of Magnet Nursing
Organizations
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Profile of Magnet Nursing Organizations (n82)

• 100 of Nurse Executives hold graduate or higher
  degrees
• 98 have affiliations with schools of nursing
• 86 have affiliations with medical schools
• 92 of nursing staff have attended at least 1
  continuing education program each year

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Profile of Magnet Nursing Organizations (n82)

• Nurses who serve in leadership positions
• 52 have at least one graduate degree
• 36 are advanced practice nurses
• 19 are certified in a nursing specialty
• Staff nurses
• 27 are certified in a nursing specialty

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Profile of Magnet Nursing Organizations (n82)

• Staffing
• 88 of nursing staff provide direct care
• 69.7 RN skill mix
• Nursing hours/patient day 10.39 HPPD
• Turnover
• Average rate 12.6
• Vacancy
• Average rate 8.56
• Length of employment
• Average 8.5 years

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Process for seeking Magnet designation

• Phase I Application
• Phase II Written documentation
• Phase III Site visit
• Phase IV Making the Decision

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Application Phase

• Applicant purchases the Magnet Application Manual
• Applicant submits completed application form and
  application fee. Application form identifies
  applicants anticipated date to submit written
  documentation

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Written Phase

• Applicant submits written documentation to ANCC
  Magnet Program Office
• Written documentation reviewed by Magnet program
  staff to ensure that documentation is complete
  and applicant is eligible to apply

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Written Phase

• Appraisers review documentation and determine
  whether documentation provides evidence that
  applicant
• Meets Core Criteria/Organizational Review
• Must be 100
• Meets Measurement Criteria
• Must score within a range of excellence

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Site Visit

• If applicant passes written documentation phase,
  appraisers come to applicant organization to
  verify, amplify and clarify the written
  documentation submitted and to evaluate the
  organizational milieu in which nursing is
  practiced

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Final decision

• Appraisers submit a final report summarizing the
  evidence to support Measurement criteria and the
  presence of the Forces of Magnetism.
• Commission on Magnet Recognition reviews final
  report and makes decision regarding Magnet
  designation.