OBJECTIVE: The aim of this study was to explore the relationship between Magnet RecognitionA and nurse-reported quality of care. BACKGROUND: MagnetA hospitals are recognized for nursing excellence and quality patient outcomes; however, few studies have explored contributing factors for these superior outcomes. METHODS: This was a secondary analysis of linked nurse survey data, hospital administrative data, and a listing of American Nurses Credentialing Center Magnet hospitals. Multivariate regressions were modeled before and after propensity score matching to assess the relationship between Magnet status and quality of care. A mediation model assessed the indirect effect of the professional practice environment on quality of care. RESULTS: Nurse-reported quality of care was significantly associated with Magnet Recognition after matching. The professional practice environment mediates the relationship between Magnet status and quality of care. CONCLUSION: A prominent feature of Magnet hospitals, a professional practice environment that is supportive of nursing, plays a role in explaining why Magnet hospitals have better nurse-reported quality of care.
OBJECTIVE: The aim of this study was to explore the relationship between Magnet RecognitionA and nurse-reported quality of care. BACKGROUND: MagnetA hospitals are recognized for nursing excellence and quality patient outcomes; however, few studies have explored contributing factors for these superior outcomes. METHODS: This was a secondary analysis of linked nurse survey data, hospital administrative data, and a listing of American Nurses Credentialing Center Magnet hospitals. Multivariate regressions were modeled before and after propensity score matching to assess the relationship between Magnet status and quality of care. A mediation model assessed the indirect effect of the professional practice environment on quality of care. RESULTS: Nurse-reported quality of care was significantly associated with Magnet Recognition after matching. The professional practice environment mediates the relationship between Magnet status and quality of care. CONCLUSION: A prominent feature of Magnet hospitals, a professional practice environment that is supportive of nursing, plays a role in explaining why Magnet hospitals have better nurse-reported quality of care.
Authors: Rachel Mosher Henke; Jared Lane Maeda; William D Marder; Barry S Friedman; Herbert S Wong Journal: Am J Manag Care Date: 2013-06-01 Impact factor: 2.229
Authors: Ann Kutney-Lee; Matthew D McHugh; Douglas M Sloane; Jeannie P Cimiotti; Linda Flynn; Donna Felber Neff; Linda H Aiken Journal: Health Aff (Millwood) Date: 2009-06-12 Impact factor: 6.301