Magnet Hospitals Revisited: Attraction and Retention of Professional Nurses

by McClure, Margaret L.

• ISBN13: 9781558101999
• ISBN10: 1558101993
• Edition: 1st
• Format: Paperback
• Copyright: 2002-08-01
• Publisher: AMERICAN NURSES ASSOCIATION

Summary

(American Academy of Nursing) Presents the history, the science, the impacts, and the promise of creating work environments to attract and hold competent nurses. Reviews the 1983 findings and the ANCC program and details the evidence base for the superior outcomes of magnet hospital. Softcover. DNLM: Nursing Staff, Hospital--supply & distribution.

Table of Contents

Preface	vii
Foreword	xi
Acknowledgments	xiii
About the Authors	xv
Magnet Hospitals: Attraction and Retention of Professional Nurses (The Original Study)	1	(24)
Margaret L. McClure
Muriel A. Poulin
Margaret D. Sovie
Mabel A. Wandelt
The Problem	2	(1)
Methodology	3	(5)
Selection of Magnet Hospitals	3	(1)
Sample Characteristics	4	(1)
The Interviews	5	(2)
Definition of Terms	7	(1)
Limitations of the Study	7	(1)
Summary and Analysis of Findings	8	(11)
Administration	8	(1)
Management Style	9	(1)
Quality of Leadership	10	(1)
Organizational Structure	11	(1)
Staffing	12	(1)
Personnel Policies	13	(1)
Work Schedules	13	(1)
Promotion Opportunities	13	(1)
Professional Practice	14	(1)
Quality of Patient Care	14	(1)
Professional Practice Models	14	(1)
Autonomy	15	(1)
Consultation and Resources	16	(1)
Teaching	16	(1)
Image of Nursing	16	(1)
Professional Development	17	(1)
Orientation	17	(1)
Inservice and Continuing Education	18	(1)
Formal Education	18	(1)
Career Development	18	(1)
Change Is Possible	19	(1)
Discussion	19	(6)
Difference in Perspective: Similarities in Values	20	(1)
Role Definitions	21	(1)
Concept of Power	22	(3)
Staff Nurses Identify Essentials of Magnetism	25	(36)
Marlene Kramer
Claudia Schmalenberg
The 2001 Study	26	(3)
Essentials of Magnetism	29	(24)
Working with Nurses Who Are Clinically Competent	29	(2)
Good Nurse-Physician Relationships	31	(3)
Nurse Autonomy and Accountability	34	(4)
Supportive Nurse Manager-Supervisor	38	(3)
Control over Nursing Practice and Practice Environment	41	(2)
Support for Education	43	(2)
Adequate Nurse Staffing	45	(6)
Concern for the Patient Is Paramount	51	(1)
Overview of Culture	52	(1)
Conclusions and Recommendations	53	(2)
Summary	55	(6)
Superior Outcomes for Magnet Hospitals: The Evidence Base	61	(22)
Linda H. Aiken
Conceptual Framework	62	(1)
Research Strategies	63	(1)
Research Approach and Measures	64	(2)
Magnet Hospitals: Evidence of Improved Nurse Satisfaction, Retention, and Safety	66	(5)
Burnout	66	(1)
Nurse Turnover	67	(2)
Nurse Safety	69	(1)
ANCC Magnet Evaluation	69	(1)
Job Satisfaction and Nurse-Assessed Quality of Care	70	(1)
Negative Impact of Restructuring	71	(1)
Better Patient Outcomes in Magnet Hospitals	71	(2)
Hospital Mortality Rates	72	(1)
Patient Satisfaction	73	(1)
Do Magnet Hospitals Cost More?	73	(1)
International Research	74	(3)
Conclusion	77	(6)
Building Magnetism into Health Organizations	83	(20)
Ada Sue Hinshaw
Why Develop Magnet Characteristics in a Hospital?	84	(1)
Comparison of Magnet Hospital Characteristics Across Studies	85	(3)
The Original Magnet Hospital Study	86	(1)
The Kramer and Schmalenberg Studies	86	(1)
The Aiken Studies	86	(2)
Strategies for Building Magnetism	88	(12)
Nurse Staffing	89	(1)
Strategies for Enhancing Nurse-Patient Ratios	90	(2)
Defining Autonomy and Control over Nursing Practice	92	(1)
Clinical Autonomy	93	(1)
Strategies for Enhancing Autonomy	93	(1)
Control Over Nursing Practice	94	(1)
Strategies to Facilitate Control Over Nursing Practice	94	(1)
Nurse-Physician Relationships	95	(1)
Strategies for Promoting Nurse-Physician Relationships	96	(1)
Educational Support and Professional Development	97	(1)
Strategies for Supporting Education and Professional Development	97	(1)
Organizational and Administrative Support	98	(1)
Strategies for Developing Organizational and Administrative Support	99	(1)
Conclusion	100	(3)
The ANCC Magnet Recognition Program: Converting Research Findings into Action	103	(14)
Linda D. Urden
Kammie Monarch
ANCC and the Development of the Magnet Recognition Program	103	(3)
Development of the American Nurses Credentialing Center	103	(1)
The Magnet Recognition Program	104	(1)
The Magnet Commission	104	(1)
Appraiser Selection and Training	105	(1)
Key Aspects of the Recognition Program	106	(2)
Forces of Magnetism	106	(2)
Magnet Program Standards	108	(1)
Obtaining Magnet Recognition: The Process	108	(4)
Organizational Commitment to Seek Magnet Designation	108	(1)
Magnet Application and Designation Process	109	(1)
Assessment and Application	109	(1)
Documentation Review	110	(1)
Site Visit	110	(1)
Review and Decision	111	(1)
Magnet Recognition Program Outcomes	112	(2)
The Research Evidence	113	(1)
The Anecdotal Evidence	113	(1)
Summary	114	(3)
The Future of Magnet Hospitals	117	(12)
Margaret L. McClure
Ada Sue Hinshaw
Lessons Learned	117	(4)
Magnet Hospitals Involve Enlightened Administration	117	(1)
Magnet Status Is Not Permanent	118	(1)
Magnet Hospitals Successfully Recruit and Retain All Employees	119	(1)
Magnet Hospital Designation Brings Business Benefits	120	(1)
Conceptual Issues	121	(3)
The Meaning of Magnet Designation	121	(1)
The Validity of Magnet Hospital Designation	122	(1)
Global Opportunities and Challenges	123	(1)
Research Agenda	124	(2)
Cost-Benefit Studies	124	(1)
Magnet Hospital Characteristics	125	(1)
Summary	126	(3)
Index	129