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Background: Evidence suggests that Magnet and non-Magnet hospitals differ with respect to quality of care.
Purpose: Our study examined registered nurse (RN) staffing over time in Magnet and non-Magnet hospitals using unit-level, publicly available data in New Jersey.
Methods: A secondary analysis of longitudinal RN staffing data was conducted using mandated, publicly reported data of 64 hospitals representing 12 nursing specialties across 8 years (2008-2015). Staffing ratios were trended over time to compare RN staffing changes in Magnet and non-Magnet hospitals.
Results: Staffing was comparable in Magnet and non-Magnet hospitals for 9 of 12 specialties. On average, from 2008 until 2015, RN staffing slightly increased, with a greater percent increase in Magnet hospitals (6.9%) than in non-Magnet hospitals (4.7%).
Conclusions: Over 8 years in New Jersey, RN staffing improved in Magnet and non-Magnet hospitals. Although there was a slight increase for Magnet hospitals, there was no meaningful difference in staffing for all 12 specialties.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011811 | PMC |
http://dx.doi.org/10.1097/NCQ.0000000000000479 | DOI Listing |
Res Nurs Health
October 2024
School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
LGBTQ+ individuals face discrimination in healthcare settings. Magnet hospitals have been associated with positive patient outcomes, yet it remains uncertain whether Magnet designation is associated with hospitals' LGBTQ+ inclusivity in policies and practices. This study examined 801 American hospitals across 47 states that participated in the Healthcare Equality Index (HEI) in 2021.
View Article and Find Full Text PDFJ Nurs Care Qual
August 2024
Author Affiliations: Patient Care Services, Kaiser Permanente, Pasadena, CA.
Background: Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment.
Local Problem: Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity.
Methods: Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research.
ANS Adv Nurs Sci
May 2024
Author Affiliations: College of Nursing, Washington State University, Vancouver (Dr Brittain); and University of Florida, Gainesville (Dr Carrington).
Qualitative descriptive research can be used when researchers are seeking to find the "how," "what," or "when" of phenomena. The most common qualitative descriptive analysis methods are content and thematic analyses. Data triangulation through content analysis and natural language processing was first described in 2018 for the analysis of nurse-to-nurse communication in an acute care setting.
View Article and Find Full Text PDFNurs Ethics
August 2024
Advocate Health.
Background: Professional values are important in promoting healthy work environments, patient satisfaction, and quality of care. Magnet® hospitals are recognized for excellence in nursing care and as such, understanding the relationship between nurses' values and Magnet status is essential as healthcare organizations seek to improve patient outcomes.
Research Question/aim/objectives: The research question is: are there differences in individual values, professional values, and nursing care quality for nurses and nurse managers practicing in Magnet, Magnet journey, and non-Magnet direct patient care settings?
Research Design: This descriptive cross-sectional study is guided and informed by the conceptual framework of the Professional Values Model including individual values, professional values, and nursing care quality.
J Nurs Adm
October 2023
Author Affiliations: Clinical Assistant Professor, The Ohio State University, College of Nursing, Columbus and Program Director, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Connor); Clinical Assistant Professor, The Ohio State University, College of Nursing, Columbus and Academic Core Assistant Director and Evidence-Based Practice Certification Program Director, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Beckett); Assistant Director, Community Core, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Zadvinskis); Vice President for Health Promotion, University Chief Wellness Officer, Dean, The Ohio State University, College of Nursing, Columbus, Professor of Pediatrics and Psychiatry, The Ohio State University, College of Medicine, and Executive Director, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare (Dr Melnyk); Statistician, The Ohio State University, College of Nursing, Columbus, and Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Messinger); Chief Operating Officer and Clinical Core Director, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare (Dr Gallagher-Ford); and Research & Education Librarian, Nursing Liaison, and Affiliate Faculty (Brown), Virginia Commonwealth University School of Nursing, VCU Libraries, Health Sciences Library, Richmond.
Background: Previous systematic reviews have explored nurse, patient, and organizational outcomes in Magnet®-recognized hospitals compared with non-Magnet hospitals, yet these did not comprehensively review a wide variety of patient outcomes.
Aim: The purpose of this scoping review was to describe the findings from published research evaluating patient outcomes in Magnet-recognized hospitals compared with non-Magnet hospitals.
Methods: A medical librarian conducted a systematic search for published peer-reviewed, English-language literature and a search of the reference lists for retrieved publications to identify articles addressing Magnet compared with non-Magnet hospitals related to patient outcomes.
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