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American Nurses CredentialingCenter
MAGNET RECOGNITION:A Journey in Excellence
Harriett Chaney PhD, RN, ACNS-BCMay 2009
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Discloser Statement
I am not employed by ANCC I do not represent ANCC in this
presentation
I have no relationship with anyvendors, publishers, or consulting
firms
I am Magnet appraiser compensated
by applicant organizations
An honorarium was offered but not
accepted by me
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What is ANCC
Magnet Recognition?
Highest international award for
nursing excellence
An institutional self study with a
specific focus on nursing
A reflection of leaderships impacton patient care and the nurses
providing the care
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Magnet Recognition History
A study in 1983 of 163 hospitals,
41 were nursing magnets
University of Washington was namedthe 1st magnet hospital in 1994
Magnet is the first research based
accreditation process in health care
Magnet related research is ongoingwith up-dates generally every 5 years
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Magnet Recognition Today ~ 5.8% of US hospitals have achieved
Magnet Recognition
The Magnet Model serves as thefoundation of the program
Magnet requirements are both
quantitatively & qualitatively focused 2008 App l icat ion Manual, Magnet
Recogn i t ion Program
is now available
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Benefits of Magnet Magnet hospitals successfully retain
& recruit nurses (L. Aiken et al)
Magnet hospitals consistentlyprovide higher quality patient care(Center for Outcomes and Policy U of Penn)
Seven of the Top 10 Hospitals alsohave Magnet Recognition (US News &World Reports)
Seven of the 11 Best Companies toWork For also have MagnetRecognition (Fortune)
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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 documentsubmission date.
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Magnet Application
Processes: A Brief Summary
Prepare & submit the Magnetdocuments
Documents are reviewed by anappraiser team
A site visit will be scheduled if thedocument scores within the range of
excellent Post site visit documents are
prepared
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Magnet Recognition
Magnet appraisers do not make
decisions nor do they makerecommendations
The ANCC Magnet Commissiondecides if Magnet Recognitionis to be awarded.
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Magnet Model & Components
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Transformational Leadership
Strategic Planning
Advocacy & Influence Visibility, accessibility , &
communications
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Structural Empowerment
Professional Engagement
Commitment to ProfessionalDevelopment
Teaching & Role Development
Commitment to Community
Involvement
Recognition of Nursing
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Exemplary Professional
Practice
Professional Practice Model*
Care Delivery Systems*
Processes for Staffing, Scheduling& Budgeting
Interdisciplinary Care*
Accountability, Competence, &Autonomy
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Exemplary Professional
Practice (continued)
Ethics, Privacy, Security &
Confidentiality Diversity & Workplace Advocacy
Culture of Safety
Quality Care Monitoring &Improvement
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New Knowledge, Innovations
& Improvements
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New Knowledge, Innovations
& Improvements
Research
Evidence Based Practice Innovation
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Testimonial
Qualified
Medical Librarians
are essential for the deep smarts,
effective and efficient work
required to achieve the last
component of the
Magnet Model
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New Knowledge, Innovation &
Improvements
Research
Evidence Based Practice
Innovations
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Research Evaluation and application of
published research
Ongoing & completed nursingresearch
Knowledge about human subjectresearch
Professional nurse participation inthe IRB
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Nursing Research
The themes are: The generation of new knowledge
Education about research
Nurses as researchers / principleinvestigators
Institutional Review Board review &approval of nursing research proposals
Resources for conducting research Dissemination of research findings
internally & externally
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Magnet Related Opportunities
Immediate Contributions
Inquire about the Magnet goals
Know the Magnet definitions for Research
EBP
QI/PI
Request membership on the NursingCouncils & Committees Research & EBP
Clinical Practice
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Immediate Contributions
(continued)
Review your library website.
Does the website: Reflect a clinical orientation
Provide links to a wide range of searchengines
Supply information about the preferred
model for evaluating published nursingresearch
Incorporate links for human subjectresearch http: / /www.hhs.gov/ohrp/
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Immediate Contributions
(continued)
Promote fishing not feeding
Facilitate mastery of the basics
How to apply search limits
Which engine is best for certaintopics
Invite chair-side searching Use green strategies
How to document sources
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Evidence Based Practices
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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
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Evidence Based Practice
Drivers 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/
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Evidence Based Practice
Request to be on all EBP / guidelineteams
Ask, what EBP process is theorganization using?
If one is not selected, here is aneasy & beneficial resource:http://www.biomed.lib.umn.edu/learn
/ebp/
Ensure agreement on key words &limits
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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
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Innovations
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Innovations
Innovation is a field of study
Innovations are rare
Single individuals generallyinnovate
Creative ideas, adaptations &applications are common & highlyvalued
Assist professionals with how theyuse labels
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Performance Improvement
PI / QI can lead to:
Research
EBP
Innovation & creative adaptations
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Magnet Recognition Achieved
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Requirements for the
Magnet Recognized
Organization
Interim monitoring is due at yeartwo post award
During the 4th year, the processbegins again
The re-designation process is lessbroad but deeper in scope
Mentoring other organizationspursing Magnet Recognition isexpected
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Closing Remarks
Magnet is of benefit to the entireorganization
Nurses & their colleagues learn
about Magnet together
Medical librarian participation isextremely important to Magnetsuccess
Achieving Magnet Recognition ispart of your professional successstory
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Thank You
for all you do for nurses & allclinical colleagues
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Questions / Comments
Harriett Chaney PhD, RN, ACNS-BC