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Magnet Accredited Hospitals and Patient Outcomes

Magnet Accredited Hospitals and Patient Outcomes. Jennifer Delasko RN, BSN Juline Lloyd RN, BSN NURS 531 Spring 2016 Ferris State University. Objective. Hospitals are under pressure to improve patient outcomes and patient satisfaction. Magnet accreditation has become the gold standard.

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Magnet Accredited Hospitals and Patient Outcomes

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  1. Magnet Accredited Hospitals and Patient Outcomes Jennifer Delasko RN, BSN Juline Lloyd RN, BSN NURS 531 Spring 2016 Ferris State University

  2. Objective • Hospitals are under pressure to improve patient outcomes and patient satisfaction. Magnet accreditation has become the gold standard. • Is this the best option? • What does evidence say?

  3. Introduction • “Benefits of Magnet Designation • Attract and retain top talent • Improve patient care, safety and satisfaction • Foster a collaborative culture • Advance nursing standards and practice • Grow your business and financial success” (American Nurse Credentialing Center, 2016)

  4. Introduction • Cost • Total average cost reported • Time – 4.25 years • Money- $2,125,000 (American Nurse Credentialing Center, 2016)

  5. PICO Question In regards to hospitalized patients dose the implementation of Magnet status in hospitals, compared to non-magnet hospitals, show improved patient outcomes?

  6. Evidence-Based Practice • Empowering Nurses With Evidence-Based Practice Environments • Presented in Worldviews on Evidence-Based Nursing • Magnet Recognition and advancing nursing knowledge= • Fewer EBP barriers • Higher EBP desire and ability • Increased EBP frequency • (Wilson et al., 2015)

  7. Central Line-Associated Bloodstream Infection (CLABI) Rates Magnet Hospital Recognition Linked to Lower CLABI Rates Presented in Research in Nursing & Health Magnet recognized hospitals compared to similar = non-magnet hospitals 54% higher odds of better CLABSI rates (Barnes, Rearden, & McHugh, 2016)

  8. Mortality Rates • Magnet Hospitals are a Magnet for Higher Survival Rates at Adult Trauma Centers • Presented in the Journal of Trauma and Acute Care Surgery • 10 Magnet and 17 non-Magnet trauma center similarities: • Level of designation • Medical school association • Surgical residency programs • In-house surgeon • Urban location • Magnet hospitals were associated with a 20% reduction in mortality rates • (Evans et al.,2014)

  9. Suggested Practice Change • Initiating Magnet recognition: • Improvement EBP • Reduction in CLABSI • Decrease in mortality rates

  10. Patient Outcomes Comparison of Patient Outcomes in Magnet and Non-Magnet Hospitals Presented in The Journal of Nursing Administration (Goode, Blegen, Park, Vaughn & Spetz, 2011)

  11. Working Conditions A Comparison of Working Conditions Among Nurses in Magnet and Non-Magnet Hospitals Presented in The Journal of Nursing Administration (Trinkoff et al., 2010)

  12. Patient Outcomes – FallsDeterminants of hospital fall rate trajectory groups: A longitudinal assessment of nurse staffing and organizational characteristicsPresented in Health Care Management (Everhart et al., 2014)

  13. Suggested Practice Change • Increased nursing staff • Improve fall rate • Improve nurse related patient outcomes • Improved working conditions. Patient Outcomes

  14. Critique of Evidence • One article: LOE IV • Five articles: LOE V • Evidence not strong to conclude Magnet status significance to patient outcomes

  15. Recommendation -Weighing the evidence Mortality rate – Magnet status reduced rate by 20% Non-magnet hospitals in this study had no statistical differences in mortality rate. Infection rate – Magnet designated hospitals had 54% better odds of reduced CLABI Non-magnet hospitals had lower rates of post-operative sepsis and HAI Fall rate trajectory – Magnet designated hospitals and hospitals with increased patient care hours increased their chances of being in the consistently low fall category. EBP – Magnet hospitals encourage EBP which in turn has shown to improve outcomes The articles supporting magnet status are using more current data.

  16. References • American Nurses Credentialing Center. (2016). Magnet recognition program • overview. Retrieved from http://www.nursecredentialing.org/Magnet/ProgramOverview • Barnes, H., Rearden, J., & McHugh, M. D. (2016). Magnet hospital recognition linked to lower central line-associated bloodstream infection rates. Research in Nursing & Health, 39, 96-104. Retrieved from http://0-onlinelibrary.wiley.com.libcat.ferris.edu/doi/10.1002/nur.21709/epdf • Elsevier. (2014). Is magnet status worth the cost? Retrieved from http://confidenceconnected.com/blog/2014/10/30/is-magnet-status-worth-the-cost/ • Evans, T., Rittenhouse, K., Horst, M., Osler, T., Rogers, A., Miller, J. A., ... Rogers, F. B. • (2014). Magnet hospitals are a magnet for higher survival rates at adult trauma centers. • Journal of Trauma and Acute Care Surgery , 77, 88-94. • http://dx.doi.org/10.1097/TA.0000000000000262 • Everhart, D., Schumacher, J., Duncan, R. P., Hall, A.. G., Neff, D. F., & Shorr, R., I. (2014). • Determinants of hospital fall rate trajectory groups: A longitudinal assessment of nurse • staffing and organizational characteristics. Health Care Management, 39, 352-360. • doi: 10.1097/HMR.0000000000000013

  17. References Cont. • Goode, C. J., Blegen, M. A., Park, S. H., Vaughn, T., & Spetz, J. (2011). Comparison of patient outcomes in magnet and non-magnet hospitals. The Journal of Nursing Adminstration, 41, 517-523. doi: 10.1097/NNA.0b013e3182378b7c • Ponte, P. R., & Luzinski, C. (2012). Comparison of patient outcomes in magnet and non-magnet hospitals. Journal of Nursing Administration, 42, 65-66. doi:10.1097/NNA.0b013e318244bdc0 • Trinkoff, A. M., Johantgen, M., Storr, C. L., Han, K., Liang, Y., Gurses, A. P., & Hopkinson, S. (2010). A comparison of working conditions among nurses in magnet and non-magnet hospitals. The Journal of Nursing Administration, 40, 309-315. doi: 10.1097NNA.0b013e3181e93719 • Wilson, M., Sleutel, M., Newcomb, P., Behan, D., Walsh, J., Wells, J., & Baldwin, K. M. (2015). Empowering nurses with evidence-based practice environments: Surveying Magnet, Pathway to Excellence, and non-Magnet facilities in one healthcare system. Worldviews on Evidence-Based Nursing, 12, 12-21. Retrieved from https://fsulearn.ferris.edu/courses/1/10720.201601/groups/_32356_1//_1735949_1/Wilson_et_al-2015-Worldviews_on_Evidence-Based_Nursing.pdf

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