Recognition by the American Nurses Credentialing Center (ANCC) as a Magnet organization is one of the distinctions that many hospitals strive to earn. Magnet status indicates excellent nursing practice, positive and improved patient outcomes, and professional working environments (Wise, 2009). ANCC believes that Magnet organizations “will serve as the fount of knowledge and expertise for the delivery of nursing care globally” and “will lead the reformation of health care; the discipline of nursing; and care of the patient, family, and community” (“Magnet model,” n.d.).
ANCC describes the five components that are at the core of the Magnet Model: transformational leadership; structural empowerment; exemplary professional practice; new knowledge, innovation, and improvements; and empirical quality results. The requirements of evidence-based practice can be found within the final two of these core components. The principles of new knowledge, innovation, and improvements recognize the application of existing evidence in nursing practice as well as the addition of new evidence into patient care (Wise, 2009). In Magnet hospitals, nurses participate in patient care policy and procedure review and are encouraged to evaluate research on current clinical practice in order to foster innovations and improvements that lead to better outcomes.
As far as my current practice environment goes, I would say that my organization has taken many steps toward the characteristics of a Magnet organization, but there is still a lot of room for improvement. I believe that the leadership in my current setting does have a theoretical framework in mind for achieving Magnet status, but that does not transfer over to the way the hospital is actually managed. Leadership talks about transformational ways of thinking, yet often puts up roadblocks to any suggestions that are put out by nursing staff. Oftentimes, they make the claim that doing things in a different way is just not possible, citing budget restraints as primary reason why. It’s been that way for years, even before the economic downturn and the pandemic. I do, however, believe that my organization values new knowledge and innovations and does want to use those things to improve patient care. We have nurse educators who are constantly researching the most up-to-date practices and work on implementing EBP into our clinical settings. The emergency department where I work is on top of implementing changes to practice based on this evidence and on the recommendations of various other agencies. We also have a number of committees within the emergency department that are made up of many different professionals, with nurses usually being the most represented discipline. These committees have researched EBP in things like nosocomial infection prevention, fall prevention, and stroke and STEMI protocols, to name a few, and use that research to improve upon the clinical processes that are in place in the department.
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