nursing excellence: your journey – our passion ancc information brief

Nursing Excellence: Your Journey – Our Passion

ANCC Information BriefANCC Information Brief


GoalsGoals

The goals of the Magnet The goals of the Magnet Recognition Program are to:Recognition Program are to:

► Identify excellence in the delivery of Identify excellence in the delivery of nursing care to patients,nursing care to patients,

►Promote the quality of health care Promote the quality of health care services in an environment that services in an environment that supports professional nursing practice, supports professional nursing practice, andand

►Provide a mechanism for the Provide a mechanism for the dissemination of best practices in dissemination of best practices in nursing services.nursing services.


Chronology (part 1)Chronology (part 1)

►1980’s – Original research by 1980’s – Original research by American Academy of NursingAmerican Academy of Nursing

►1991 - ANA Standards for Organized 1991 - ANA Standards for Organized Nursing Services and Responsibilities Nursing Services and Responsibilities of Nurse Administrators Across All of Nurse Administrators Across All Settings approved by ANA Board of Settings approved by ANA Board of Directors and ANCC was createdDirectors and ANCC was created


Chronology (part 2)Chronology (part 2)

►1993 – infrastructure of Magnet 1993 – infrastructure of Magnet Nursing Services Recognition Nursing Services Recognition Program built within ANCCProgram built within ANCC

►1994 - first health care organization 1994 - first health care organization was awarded Magnet statuswas awarded Magnet status

►2000 - program expanded 2000 - program expanded internationally and 7 organizations internationally and 7 organizations designateddesignated


Forces of MagnetismForces of Magnetism

► Quality of Nursing Quality of Nursing LeadershipLeadership

► Organizational Organizational StructureStructure

► Management StyleManagement Style► Personnel Policies Personnel Policies

and Programsand Programs► Professional Models Professional Models

of Careof Care► Quality of CareQuality of Care► Quality ImprovementQuality Improvement

► Consultation and Consultation and ResourcesResources

► AutonomyAutonomy► Community and the Community and the

HospitalHospital► Nurses as TeachersNurses as Teachers► Image of NursingImage of Nursing► Interdisciplinary Interdisciplinary

RelationshipsRelationships► Professional Professional

DevelopmentDevelopment


Magnet EnvironmentsMagnet EnvironmentsBenefitsBenefits

►For the Health Care ConsumerFor the Health Care Consumer Reduced Patient Mortality (Aiken, 1994; Reduced Patient Mortality (Aiken, 1994;

Aiken, 2002)Aiken, 2002) Reduced Patient Morbidity (Aiken, 2002; Reduced Patient Morbidity (Aiken, 2002;

Needleman, 2002)Needleman, 2002) Increased Patient Satisfaction (Aiken, Increased Patient Satisfaction (Aiken,

1996; Bryan, et al, 1998)1996; Bryan, et al, 1998) Decreased “failure to rescue” (Aiken, Decreased “failure to rescue” (Aiken,

2002) 2002)


Magnet EnvironmentMagnet EnvironmentBenefits, continuedBenefits, continued

►NursingNursing Lower nurse turnover (Kramer & Schmalenberg, 1988; Lower nurse turnover (Kramer & Schmalenberg, 1988;

Kramer, 1990) Kramer, 1990) Lower nurse vacancy rates (Kramer & Schmalenberg, 1988; Lower nurse vacancy rates (Kramer & Schmalenberg, 1988;

Kramer, 1990)Kramer, 1990) Lower nurse “burn-out” rates (Aiken, 2000; Aiken, 2002)Lower nurse “burn-out” rates (Aiken, 2000; Aiken, 2002) Lower nurse emotional exhaustion (Aiken, 1997)Lower nurse emotional exhaustion (Aiken, 1997) Decreased needle stick injury (Aiken, 1997)Decreased needle stick injury (Aiken, 1997) Better nurse-physician relationships (Kramer & Better nurse-physician relationships (Kramer &

Schmalenberg, 2003)Schmalenberg, 2003) Higher nurse satisfaction (Aiken, 2000; Aiken, 2002; Bryan Higher nurse satisfaction (Aiken, 2000; Aiken, 2002; Bryan

et al, 1998)et al, 1998) Higher nurse to Patient ratio (Aiken (2000)Higher nurse to Patient ratio (Aiken (2000)


Magnet EnvironmentMagnet EnvironmentBenefits, continuedBenefits, continued

► Corporate/Financial:Corporate/Financial: Decreased length of Stay (Bryan et al, 1998; Decreased length of Stay (Bryan et al, 1998;

Needleman, 2002)Needleman, 2002) Decreased cost of nursing staff replacement Decreased cost of nursing staff replacement

(Advisory Board, 2000)(Advisory Board, 2000) Increased opportunity to market the institution-Increased opportunity to market the institution-

► US News and World Report-100 Best Hospitals--Magnet US News and World Report-100 Best Hospitals--Magnet part of criteriapart of criteria

Variable costs of start upVariable costs of start up


Return on InvestmentReturn on Investment

► Georgetown University Georgetown University HospitalHospital 8 Million dollar cost avoidance-8 Million dollar cost avoidance-

one fiscal yearone fiscal year Increased recruitment successIncreased recruitment success Less dependent on agency Less dependent on agency

nursesnurses

► James A. Haley VA HospitalJames A. Haley VA Hospital Total Cost: FY 95-03 $144, Total Cost: FY 95-03 $144,

413413 Total Benefit: FY 95 – 03 Total Benefit: FY 95 – 03

$14.8 Million $14.8 Million

► Children’s Memorial Children’s Memorial HospitalHospital Approx. cost $250,000Approx. cost $250,000 Savings: 2,625,540.00Savings: 2,625,540.00


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