American Nurses Credentialing Center MAGNET RECOGNITION: A Journey in Excellence

1. American Nurses Credentialing CenterMAGNET RECOGNITION:A Journey in Excellence Harriett Chaney PhD, RN, ACNS-BC May 2009

2. 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

3. 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

4. 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

5. 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

6. 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)

7. 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.

8. 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

9. 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.

10. Magnet Model & Components

11. Transformational Leadership • Strategic Planning • Advocacy & Influence • Visibility, accessibility , & communications

12. Structural Empowerment • Professional Engagement • Commitment to Professional Development • Teaching & Role Development • Commitment to Community Involvement • Recognition of Nursing

13. Exemplary Professional Practice • Professional Practice Model* • Care Delivery Systems* • Processes for Staffing, Scheduling & Budgeting • Interdisciplinary Care* • Accountability, Competence, & Autonomy

14. Exemplary Professional Practice (continued) • Ethics, Privacy, Security & Confidentiality • Diversity & Workplace Advocacy • Culture of Safety • Quality Care Monitoring & Improvement

15. New Knowledge, Innovations & Improvements

16. New Knowledge, Innovations & Improvements • Research • Evidence Based Practice • Innovation

17. Testimonial Qualified Medical Librarians are essential for the deep smarts, effective and efficient work required to achieve the last component of the Magnet Model

18. New Knowledge, Innovation & Improvements • Research • Evidence Based Practice • Innovations

19. Research • Evaluation and application of published research • Ongoing & completed nursing research • Knowledge about human subject research • Professional nurse participation in the IRB

20. 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

21. 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

22. 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/

23. 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

24. Evidence Based Practices

25. 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

26. 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/

27. 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

28. 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

29. Innovations

30. 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

31. Performance Improvement • PI / QI can lead to: • Research • EBP • Innovation & creative adaptations

32. Magnet Recognition Achieved

33. 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

34. 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

35. Thank Youfor all you do for nurses & all clinical colleagues

36. Questions / Comments Harriett Chaney PhD, RN, ACNS-BC harriettcf@aol.com