Keeping the Magnet® Flame Alive With Appreciative Inquiry

Halm, Margo A.; Crusoe, Kristen

doi:10.1097/nna.0000000000000622

Cited by 6 publications

(9 citation statements)

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“…Findings from this study provide a foundation for successful redesignation based on qualitative inquiry with 14 CNOs, previously limited to singular accounts of redesignation efforts 2-6 . This study identified 6 themes reflective of the Magnet model components, supporting the need to focus and maintain an awareness on all components of the model even after initial designation.…”

Section: Discussionmentioning

confidence: 73%

“…[2][3][4][5][6] These efforts focused on leveraging a strategic plan inclusive of nursing leadership, practice, education, research, role clarity, and culture 3 ; implementing programs to develop a culture of safety for improved outcomes 5 ; restructuring the nursing leadership team to promote a culture of professional nursing practice 6 ; streamlining the transition of CNOs during Magnet redesignation 2 ; and using a continuous improvement framework rooted in building positivity. 4 However, these publications are limited to singular accounts of redesignation efforts, and there are no published reports exploring the infrastructure needed for Magnet redesignation following research methodology. Findings from research efforts are important to serve as the basis for the implementation of future evidence-based practices (EBPs) surrounding Magnet redesignation.…”

Section: Literature Reviewmentioning

confidence: 99%

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A Qualitative Exploration of Chief Nursing Officer Perspectives on Maintaining Magnet® Designation

Urden¹,

Baclig²,

Sanchez³

2021

JONA: The Journal of Nursing Administration

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OBJECTIVE The purpose of this study was to determine chief nursing officer (CNO) perspectives on how to sustain the infrastructure required for successful American Nurses Credentialing Center (ANCC) Magnet® redesignation. BACKGROUND American Nurses Credentialing Center Magnet designation is a prestigious achievement reflective of years of dedication, innovation, mentoring, and leadership support. As challenging as the initial attainment of Magnet status can be, sustaining the success and becoming redesignated is considered even more difficult by many CNOs. However, there have been no published reports indicating how to be successful in Magnet redesignation. METHOD A grounded theory qualitative approach was used, and data were collected through telephone interviews with CNOs who had successfully attained at least 1 redesignation. RESULTS Fourteen CNOs participated; data were organized into 6 themes and 15 subthemes describing the critical elements for Magnet redesignation. CONCLUSION Relationships among the 6 themes and subthemes are theorized in the form of a wheel with 6 spokes. When “set in motion,” the wheel gathers momentum and all of the model elements become coalesced into the organizational ethos.

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Section: Discussionmentioning

confidence: 73%

Section: Literature Reviewmentioning

confidence: 99%

A Qualitative Exploration of Chief Nursing Officer Perspectives on Maintaining Magnet® Designation

Urden¹,

Baclig²,

Sanchez³

2021

JONA: The Journal of Nursing Administration

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“…Twenty-three studies describe organisational change8 9 14 15 18 19 22–24 26–29 34–39 41 43–51, six measured it 22 23 34 35 37 38 46. The medium-quality randomised controlled trial measured preventative service delivery score, in primary care practices.…”

Section: Resultsmentioning

confidence: 99%

“…Some areas of change were described in multiple studies: altered patient care pathways or protocols26 34 35 47 50; new mechanisms for delivering care14 15 24 26 48; positive interactions with Human Resources22; staff meetings were initiated or altered8 9 23 24 26 36 51 and staff education or training was improved 29 39…”

Section: Resultsmentioning

confidence: 99%

Systematic review and narrative synthesis of the impact of Appreciative Inquiry in healthcare

et al. 2022

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BackgroundAppreciative Inquiry is a motivational, organisational change intervention, which can be used to improve the quality and safety of healthcare. It encourages organisations to focus on the positive and investigate the best of ‘what is’ before thinking of ‘what might be’, deciding ‘what should be’ and experiencing ‘what can be’. Its effects in healthcare are poorly understood. This review seeks to evaluate whether Appreciative Inquiry can improve healthcare.MethodsMajor electronic databases and grey literature were searched. Two authors identified reports of Appreciative Inquiry in clinical settings by screening study titles, abstracts and full texts. Data extraction, in duplicate, grouped outcomes into an adapted Kirkpatrick model: participant reaction, attitudes, knowledge/skills, behaviour change, organisational change and patient outcomes.ResultsWe included 33 studies. One randomised controlled trial, 9 controlled observational studies, 4 qualitative studies and 19 non-controlled observational reports. Study quality was generally poor, with most having significant risk of bias. Studies report that Appreciative Inquiry impacts outcomes at all Kirkpatrick levels. Participant reaction was positive in the 16 studies reporting it. Attitudes changed in the seventeen studies that reported them. Knowledge/skills changed in the 14 studies that reported it, although in one it was not universal. Behaviour change occurred in 12 of the 13 studies reporting it. Organisational change occurred in all 23 studies that reported it. Patient outcomes were reported in eight studies, six of which reported positive changes and two of which showed no change.ConclusionThere is minimal empirical evidence to support the effectiveness of Appreciative Inquiry in improving healthcare. However, the qualitative and observational evidence suggests that Appreciative Inquiry may have a positive impact on clinical care, leading to improved patient and organisational outcomes. It is, therefore, worthy of consideration when trying to deliver improvements in care. However, high-quality studies are needed to prove its effects.PROSPERO registration numberCRD42015014485.

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“…Sessions incorporated the discovery, dream, and design elements of Appreciative Inquiry 22–24. Positive, appreciative questions such as asking what worked well, why it worked well, and how to do more of it ensured the positive voice of every participant in their unique roles contributed to the project 22–24…”

Section: Session Designs: Planned and Emergentmentioning

confidence: 99%

Leading the Development of a Network-Wide Professional Practice Model

Mislan

Johnson²,

Keitel³

2021

Nursing Administration Quarterly

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The health care settings of today are rapidly evolving in form and function, challenging nurse executives to adopt, adapt, and develop new ways to lead and find professional fulfillment in their roles. The organizational design of many health care settings has changed from a functional to a matrix structure to facilitate more effective and efficient operations. While the structures and reporting relationship of contemporary nurse executives may have changed significantly, the primary responsibility of championing the advancement of the profession of nursing remains essential. The mastery of change management methods is critical for the nurse executive to successfully lead in today's dynamic health care settings. A well-developed and actualized nursing professional practice model is a foundational tool for the nurse executive to employ to advance the profession of nursing in any health care setting or structure. This article describes how a nurse executive used change management methods and principles to lead the development of a new network-wide unifying nursing professional practice model in a highly matrixed health care setting.

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Keeping the Magnet® Flame Alive With Appreciative Inquiry

Cited by 6 publications

References 0 publications

A Qualitative Exploration of Chief Nursing Officer Perspectives on Maintaining Magnet® Designation

A Qualitative Exploration of Chief Nursing Officer Perspectives on Maintaining Magnet® Designation

Systematic review and narrative synthesis of the impact of Appreciative Inquiry in healthcare

Leading the Development of a Network-Wide Professional Practice Model

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