In the 1980s, the American Academy of Nursing reported on hospitals that were able to recruit and retain highly qualified nurses in a competitive market. Subsequent research showed that 'magnet hospitals' have better outcomes than nonmagnet hospitals. This study compares the original magnet hospitals with ones that met criteria for accreditation as magnet hospitals by the American Nurses Credentialing Center. It provides the evidence nurses need to convince their hospitals to seek this accreditation.
Linda H. Aiken is the Claire M. Fagin Leadership Professor, professor of sociology, and director of the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing, Philadelphia, PA. Donna S. Havens, the American Nurses Foundation 1998 Julia Hardy scholar, is a research scientist and adjunct faculty member in the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing and director of the Center for Patient Services, Evaluation, Research and Informatics at the Milton S. Hershey Medical Center, the Pennsylvania State University. Douglas M. Sloane is a research scientist and adjunct associate professor in the Center for Health Outcomes and Policy Research at the University of Pennsylvania School of Nursing, associate professor of sociology, Life Cycle Institute, the Catholic University of America, and senior social science analyst, U.S. General Accounting Office, Washington, DC.
This research was funded in part by the National Institute of Nursing Research, the National Institutes of Health, the Baxter Allegiance Foundation, and the Claire M. Fagin Leadership Chair in Nursing, University of Pennsylvania School of Nursing. The authors are grateful to the staff nurses and chief nurse officers of the 20 participating magnet hospitals for making this study possible, to Dr. Marlene Kramer for making available her 1986 magnet hospital nurse survey data, and to Drs. Eileen Lake and Julie Sochalski for their contributions to the study.