What is Magnet?

The American Nurses Credentialing Center (ANCC) Magnet Recognition Program recognizes outstanding
organizations for superior quality in nursing and patient care.

In order for an organization to obtain Magnet status, it must have top scores in the areas of:

1. Clinical outcomes
2. Patient satisfaction
3. Nurse satisfaction

The 5 Components of the MagnetModel

·Transformational Leadership
·Structural Empowerment
·Exemplary Professional Practice
·New Knowledge, Innovations, & Improvements
·Empirical Outcomes

TRANSFORMATIONAL LEADERSHIP
· Nursing leaders must demonstrate advocacy and support for the sraff and patients to
transform values, beliefs, and behaviors.
· The CNO must have influence with other executive stakeholders, including the board of
directors and trustees.
· Nursing’s mission, vision, values and strategic plan must be the same as the hospital’s to
improve performance.
· Nurse’s voices should be heard, their input be valued, ad their practice supported.
 STRUCTURAL EMPOWERMENT
· Nurses are involved in shared governance and decision-making process to establish standards
of practice and address areas for improvement.
· Nurse leaders serve on decision boards that focus on excellence in patient care and safe,
efficient, and effective operation of the hospital.
· Nurses and leadership from a strong partnership with community leaders to improve patient
outcomes and better the overall health in the community that they serve. This is done with
strategic planning, structure, systems, policies, and programs.

EXEMPLARY PROFESSIONAL PRACTICE

· Nurseswork with patients, families, support staff, and inter-professional teams to positively
impact patients care and outcomes.
· The hospital values a collegial working relationship within and among all the disciplines.
· Nurses work with the other disciplines to ensure that the care provided is comprehensive,
coordinated, and monitored for effectiveness.
· All nurses analyze data to the national bechmarks to compare their performance and the care
the patients receive.

NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS

· Integrate evidence-based practice and research into clinical and operational processes.
· Nurses are trained to use evidence-based practice to ensure the fastest and best practices for
the patients and to gain new knowledge
· Establish new ways to achieve high-quality, effective, and efficient patient care.

EMPIRICAL OUTCOMES
· The empirical measurement of quality outcomes related to nursing leadership and clinical
practice is imperative.
· Magnet-recognized hospitals are graded on clinical outcomes related to nursing, workforce
outcomes, patients and customer outcomes, and organizational outcomes.
· This is a simple way of demonstrating excellence.

Magnet Designation and Patient Outcomes

The government has increased its emphasis on patient outcomes in the form of recognition and
reimbursements, so having high-quality patient outcomes is beneficial to the patient, and to
patient, and to the hospital.
Patients are able to recover and return to their life, and hospitals are able to show that they
have a commitment to high quality care, which leads to increased earnings, and the ability to
market their facility.
Magnet designated facilities have been found to improved outcomes in maby areas, this
designation is attractive to patients when considering their health care options.
 Patients Outcome and EBP
The Magnet Recognition Program does not specify nurse staffing levels or educational or
specialty certification requirements for bedside nurses.
Instead, the program requires evidence-based processes aimed at organizational reforms of
nurse’s work environment in relation to desired patient outcomes.
To affect better patients’ outcomes, new knowledge must be transformed into clinically useful
forms, and measured in terms of meaningful impact on performance and health outcomes.
Magnet Hospitals recognize that evidence-based practice holds great promise for moving care to
a high level of likehood for providing the intended health outcome.
The component of exemplary professional practice involves inter-professional collaboration,
working with patients and families, and achieving high-quality patient outcomes.
Magnet recognized hospitals continue to demonstrate better outcomes, in this case, lower
surgical mortality and failure-to-rescue.
Their better outcomes could be attributed in large part, but not investments in high qualified
and educated nurses, and practice environment supportive of high-quality nursing care.

Patient Outcomes and Magnet Designation

Across the thirteen-year study period, patient outcomes were significantly better in Magnet
Hospitals than in non-Magnet Hospitals.
Surgical patients treated in Magnet Hospitals, compared to those treated in non-Magnet
hospitlals, were 7.7 percent less likely to die within thirty days.
Patients treated in Magnet hospitals were 8.6 percent less likely to die after a postoperative
complication than patients treated in matched control hospitals.
However, outcomes did not improve for hospitals after they received Magnet recognition, which
suggests that the Magnet program that recognized existing excellence and does not lead to
additional improvement is surgical outcomes.

Recruitment and Retention: How does Magnet status affect the nurse?

Numerous studies over the past ten years document a lower turnover rate in Magnet Hospitals
versus non-Magnet hospitals
What factors influence retention:
· Managerial
Support
Adequate staffing
Incentive to continue education
Career ladder, advanced certificate programs

The New Graduate Residency Program

Typical new graduate is one to three months

Residency programs last a minimum of three months and upwards of one year
Promote teamwork, continued education, confidence, and commitment to the organization
As of 2015, all Magnet hospitals are required to offer a new graduate nurse residency program
and/or continuing education fellowship programs.

Magnet Recognition Criteria

High nursing satisfaction and low nursing turnover

EBP-determined educational requirements.
Fee requirement $ 14,000 for 100 beds.

Four phases include:

Phase 1 – Application
Phase 3- Submission of documentation
Phase 4 – Appeal process

Magnet Recognition Application