Decisional Involvement in Magnet®, Magnet-Aspiring, and Non-Magnet Hospitals

Houston, Susan M.; Leveille, Marygrace; Luquire, Rosemary; Fike, Angela; Ogola, Gerald; Chando, Shingisai

doi:10.1097/nna.0b013e318274b5d5

Cited by 27 publications

(37 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Houston et al (2012) found a statistically significant difference in actual global scores in DI between Magnet, Magnet-aspiring, and non-Magnet facilities. The Magnet hospitals' DI scores were statistically higher than the other two types of facilities (Houston et al, 2012). Thus, it is necessary for organizations not only to provide nurses the opportunity to be involved in decision making but also to provide the structure for advancement of nurses.…”

Section: Of Staff Nursesmentioning

confidence: 89%

Decisional Involvement Among Staff Nurses Based on Educational Level and Certification Status

2014

View full text Add to dashboard Cite

Mechanisms to enhance the work environment are nurse decisional involvement (DI), obtainment of a baccalaureate or higher degree, and specialty certification. The purpose of this descriptive comparative study was to determine the difference between actual and preferred DI of staff nurses on the overall Decisional Involvement Scale (DIS), the differences based on its subscales, and those based on education level and certification. The sample included 163 staff nurses from a Midwestern health care organization. A statistically significant difference was found between actual and preferred DI, but no difference was found based on educational level and certification. There is a need to focus on nurses with a BSN/master's degree or specialty certification and to conduct comprehensive studies to address the effects of education and certification on DI. An additional strategy that can be useful for organizations is to provide nurses with the empowerment structures, expectations, and mentoring/coaching to become involved in the process of decision making.

show abstract

Section: Of Staff Nursesmentioning

confidence: 89%

Decisional Involvement Among Staff Nurses Based on Educational Level and Certification Status

2014

View full text Add to dashboard Cite

show abstract

“…28 Other studies identified positive associations between ANCC Magnet recognition and/or Magnetaspiring hospitals and nurse outcomes such as empowerment, involvement in decision making, efficiencies in operations, job satisfaction, and turnover intentions, as well as on patient outcomes such as mortality. [29][30][31][32][33] Productive WardYReleasing Time to Carei, also known as The Productive Ward (PW), was developed by the National Health Service (NHS) Institute for Innovation and Improvement and launched in England in 2007. Specifically, it is a quality improvement program designed to provide staff with more time to provide direct patient care.…”

mentioning

confidence: 99%

The Productive Ward Program™

Bogaert

heusden

Somers

et al. 2014

JONA: The Journal of Nursing Administration

View full text Add to dashboard Cite

show abstract

“…[2][3][4][5][6][7] Magnet hospitals have achieved superior financial performance and nursing satisfaction metrics. 1,[22][23][24][25][26] However, the association of this recognition with the outcomes of neurosurgical procedures has not been studied before.…”

Section: Discussionmentioning

confidence: 99%

“…Magnet hospitals have been found to have higher nursing satisfaction and autonomy, less organizational hierarchy, and are prone invest in quality benchmarking and reporting. 1,[22][23][24][25][26][32][33][34] Such institutional commitment to quality improvement empowers nurses and physicians to deliver evidence-based care, establish effective communication, and identify patient problems quicker. [32][33][34] When focusing on policy development, it is important to recognize such effective initiatives, given the growing body of public reporting.…”

Section: Discussionmentioning

confidence: 99%

Association of Hospitalization for Neurosurgical Operations in Magnet Hospitals With Mortality and Length of Stay

Missios

Bekelis

2017

NEUROSURGERY

View full text Add to dashboard Cite

BACKGROUND:The association of Magnet hospital status with improved surgical outcomes remains an issue of debate. OBJECTIVE: To investigate whether hospitalization in a Magnet hospital is associated with improved outcomes for patients undergoing neurosurgical operations. METHODS: A cohort study was executed using all patients undergoing neurosurgical operations in New York registered in the Statewide Planning and Research Cooperative System database from 2009 to 2013. We examined the association of Magnet status hospitalization after neurosurgical operations with inpatient case fatality and length of stay (LOS). We employed an instrumental variable analysis to simulate a randomized trial. RESULTS: Overall, 190 787 patients underwent neurosurgical operations. Of these, 68 046 (35.7%) were hospitalized in Magnet hospitals, and 122 741 (64.3%) in non-Magnet institutions. Instrumental variable analysis demonstrated that hospitalization in Magnet hospitals was associated with decreased case fatality (adjusted difference, -0.8%; -95% confidence interval, -0.7% to -0.6%), and LOS (adjusted difference, -1.9; 95% confidence interval, -2.2 to -1.5) in comparison to non-Magnet hospitals. These associations were also observed in propensity score adjusted mixed effects models. These associations persisted in prespecified subgroups of patients undergoing spine surgery, craniotomy for tumor resection, or neurovascular interventions. CONCLUSION:We identified an association of Magnet hospitals with lower case fatality, and shorter LOS in a comprehensive New York State patient cohort undergoing neurosurgical procedures.

show abstract

Decisional Involvement in Magnet®, Magnet-Aspiring, and Non-Magnet Hospitals

Abstract: Decisional involvement is higher among Magnet-designated than non-Magnet facilities.

Cited by 27 publications

References 14 publications

Decisional Involvement Among Staff Nurses Based on Educational Level and Certification Status

Decisional Involvement Among Staff Nurses Based on Educational Level and Certification Status

The Productive Ward Program™

Association of Hospitalization for Neurosurgical Operations in Magnet Hospitals With Mortality and Length of Stay

Contact Info

Product

Resources

About