Magazine article American Nurse Today

Making the Case for Magnet[R] Designation to the C-Suite: How to Convince Senior Executives That the Magnet Journey Is Well Worth the Expense

Magazine article American Nurse Today

Making the Case for Magnet[R] Designation to the C-Suite: How to Convince Senior Executives That the Magnet Journey Is Well Worth the Expense

Article excerpt

With the added financial pressures hospitals currently are experiencing, all costs are being examined--and with good reason. For hospitals that have attained Magnet[R] designation, those seeking redesignation, and those on the Journey to Magnet Excellence[TM], the chief nursing officer (CNO) is the logical point person for convincing other senior executives (commonly called the C-suite, for the "chief" in their titles) of the value of Magnet designation to an organization.

Many articles have described how organizations benefit from Magnet recognition. This article presents a summary of the most important points of these articles. (For a list of these articles, see the selected references at the end of this article.) CNOs can use these points when discussing the importance of obtaining Magnet recognition with their executive colleagues.

* Magnet designation is not a prize or an award. It's a credential bestowed by the American Nurses Credentialing Center (the world's largest and most prestigious nurse credentialing organization), that formally recognizes an organization's attainment of nursing excellence. (Drenkard, 2010.)

* Magnet recognition extends beyond an organization's nursing staff. It's a process that "requires organizations to develop, disseminate, and enculturate evidence-based criteria that result in a positive work environment for nurses and, by extension, all employees." (Drenkard, 2010.)

* Quality indicators are increasingly important for both organizational cost savings and reimbursement. Nurses play a major role in enhancing quality and safety. Magnet-recognized organizations have lower incidences of pressure ulcers and falls, both of which relate directly to cost. Each patient fall per hospitalization costs an estimated $35,000. Magnet hospitals have a 10.3% lower fall rate than non-Magnet hospitals. (Drenkard, 2010.)

* Several studies indicate a significant positive link between overall Magnet hospital characteristics for nurses and the perceived patient-safety climate. (Drenkard, 2010.)

* Research by Aiken found Magnet environments are associated with significantly better mortality outcomes 30 days from admission. They also achieved better outcomes in nurse safety, job burnout, and patient satisfaction. (Drenkard, 2010.)

* Magnet-recognized hospitals have a history of enhanced nurse job satisfaction. Registered nurses (RNs) who work in Magnet hospitals report higher satisfaction with their present jobs (85% are very or somewhat satisfied) than RNs in non-Magnet hospitals. RN job turnover, vacancy rates, and use of agency nurses illustrate the importance of nurse satisfaction with the work environment. Magnet organizations consistently show significant differences in all of these costly indicators. The financial implications are reflected by the cost of turnover for one RN, which generally is accepted to be the same as the annual salary for the RN being replaced. (Drenkard, 2010.)

* Recent research has found Magnet-recognized hospitals have better work environments and more nurses with bachelor-of-science-in-nursing degrees and specialty certifications--characteristics linked to lower mortality. In Magnet hospitals, lower mortality can be attributed to these nursing characteristics. Magnet recognition puts a spotlight on existing quality and stimulates further positive organizational behavior, which in turn further enhances patient outcomes. …

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