editing paper

profilevigalz11
paper_1.docx

[Type text] [Type text] [Type text]

1

Running head: IMPACT OF HOSPITALS OBTAINING MAGNET DESIGNATION

Impact of Hospitals Obtaining Magnet Designation

Impact of Hospitals Obtaining Magnet Designation

As hospitals and long term care facilities compete to be the finest facility, one main focus is to create an environment that delivers service excellence and better patient outcomes (Drenkard, 2010). To achieve its goal, the American Nurses Credentialing Center (ANCC) has created designation recognizing hospitals for their outstanding nursing care delivery; Magnet Recognition Program (jcaho). In her book, Nursing Clinic of North America, Karen stated the designation ensures that a consistency level of practice and professionalism is demonstrated throughout magnet hospitals in the states and hospitals that are attaining magnet status share the same characteristics of qualitative factors known as “Forces of Magnetism” (Hill, 2011). Forces of magnetism is the requirement for designation as a magnet facility and exemplifies a professional environmental guided by a strong and visionary nursing leader who advocates and support excellence in nursing practice (Jordan, 2011). On the other hand, to earn magnet status can be challenging. According to Lorrie Mancuso, the process is a complex application process and extremely expensive (Lorrie, 2016). It is not an easy work to obtain the status and hospitals must work hard to meet strict requirements as well as commitment to the nursing practice (Hawke, 2003). <This paper proposes a review of what is the impact to the hospitals obtaining magnet designation versus the process of obtaining the designation, and compare which one has more advantages>

Discussion of Research

Points in Favor of Obtaining Magnet Designation

Magnet designation is recognized to be the golden standard in nursing world and it is recognized for nursing excellence and delivers high quality of nursing care (“Magnet Status for Nursing Excellence,” 2016). According to Joint Commission on Accreditation of Healthcare Organizations, there is less mortality rate in magnet hospitals due to higher nurse to patient ratios. For example, the incidence of pneumonia acquired in hospitals was associated to the nurse staffing level. A study revealed, “Adding just 30 minutes of RN staffing per patient day greatly reduced the incidence of pneumonia in patients following surgery” (Potter, Perry, Stockert, & Hall, 2016). Nurses’ safety is significantly improved at magnet hospital. Several studies have demonstrated up to one-third reduction in needle stick injuries in magnet facilities at a cost of $405 per incident. Occupational health injuries for musculoskeletal injuries and blood and body fluid exposures are also lower in hospitals with magnet status. Magnet hospitals are in a better position to recruit and retain nurses, most likely because of a better work environment, share governance structures, and nursing services support that are necessary to meet magnet criteria. As a result, they have lower vacancy and turnover rates.

Points in Opposition of Obtaining Magnet Designation

To apply, hospitals must going through an appraisal process that requires them to present evidence showing achievement of magnet standards. Magnet status requires nurses to collect data on specific nursing sensitive quality indicators or outcomes and compare their outcomes against national, state, or regional database to demonstrate quality of care (Potter, Perry, Stockert, & Hall, 2016). The journey of magnet certification is a journey for the entire organization. Teamwork, patience, dedication, and respect across the entire organization are important to obtaining Magnet Certification. The magnet process itself can take anywhere from 2-4 years or longer from idea generation to site visit. It can be challenging to implement a shared decision-making model, stay focused, meet deadlines and keep energized over this period (Layola nursing newsletter). <This voluntary process consumes a lot of time and hard work> On top of the lengthy application process, the hospitals must reapply every four years to keep the designation status (“Magnet Status for Nursing Excellence”).

Effects on Nursing Practice

By analyzing the benefit of obtaining magnet designation in healthcare organizations versus <is it worth enough the money and time to have it? Which seems often too much and making it impossible, the student nurse agrees that in order to demonstrate quality patient care and improve patients’ outcomes, magnet recognition program is worth all that it costs and then some>. A nurse must work in an environment so that they can grow and flourish. That is the environment where positive attitudes are enforced, nurses’ inputs are valued, management are supportive, high nurse to patient ratio, constructive communications between nurses and physicians as well as a structural empowerment all the nursing staff to participate in their professional practice, to implement new knowledge and innovations. The student nurse believes all of these characteristics can have positive impact on patient because the nurses in such environment are satisfied, involved, and innovative. Consequently, the patient outcomes are fewer complications, fewer adverse events, shorter lengths of stay, most importantly, lower mortality rate.

Conclusion

When comparing if it’s worth it obtaining magnet designation, the benefits of having it quite drastically outweigh when hospitals do not have one. Magnet program objective is to promote quality in the work setting that supports professional nursing practice. It identifies excellence in delivering nursing services and these facilities disseminate best practice in nursing services and live by nursing ethics. Besides lowering nurse turnover, magnet hospital is most likely the desirable facility that patients will seek. Understanding the disadvantages; costly, time consuming, need dedication from employees throughout the process are the reasons why not every facility would want to obtaining the status. However, nurses in magnet facilities have better positive attitudes at work, this benefits extend to the patient and organization.

Reference

Zittel, B., Moss, E., O'Sullivan, A., & Siek, T. (2016). Registered Nurses as Professionals: Accountability for Education and Practice. Online Journal Of Issues In Nursing, 21(3), 8. doi:10.3912/OJIN.Vol21No03Man01

Swanson, J., Tidwell, C., (September 30, 2011) "Improving the Culture of Patient Safety Through the Magnet® Journey" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 3, Manuscript 1.

Jordan, Z., (2011). A “force” to be Reckoned with: The International Attraction of Magnet Status. Pacesetters, (8)1, 10-13.

http://journals.lww.com/jbipacesetters/Fulltext/2011/01000/A__force__to_be_reckoned_with___The_international.3.aspx?trendmd-shared=0

https://www.americannursetoday.com/going-for-the-gold-the-value-of-attaining-magnet-recognition/

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2016). Fundamental of Nursing: The Health Care Delivery System. St. Louise, MO: Elsevier Health Science.

Hill, S. H., (2011). Nursing Clinics of North America. Lexington, KY: Elsevier Health Science

Finkelman, A., & Kenner, C., (2014). Professional Nursing Concept. New York: Jones & Bartlett Learning.

Magnet Status for Nursing Excellence. (2016). In Northwest Community Healthcare. Retrieved from http://www.nch.org/about-nch/high-quality-care/magnet-status-for-nursing-excellence

Joint Commision on Accreditation of Healthcare Organizations. (2016). Healthcare at the Crossroads: Strategies for Addressing the Evolving Nursing Crisis.

http://www.nch.org/about-nch/high-quality-care/magnet-status-for-nursing-excellence