OBJECTIVE: The objective of this study was to compile a rich description of the phenomenon Magnet® journey by registered nurses in clinical settings who provide direct patient care in community healthcare systems recently receiving Magnet designation.
BACKGROUND: Evidence supports that Magnet designation leads to improved nursing, patient, and organizational outcomes. Descriptions abound regarding the organizational and cultural transformation during the time leading up to the Magnet designation, commonly referred to as the Magnet journey. There are no published reports regarding the impact of this transformational process on staff nurses.
METHODS: Focus groups were conducted at recently designated Magnet hospitals; data were transcribed, reviewed, coded, and themed. The 58 subjects represented various work areas, specialties, and practice sites.
RESULTS: Key themes emerged consistent with components of the Magnet model: relationships with leaders, professional accountability, staff voice, Magnet continuum, professional relationships, professional development, and resources/supports. Overall, staff nurses emphasized the positive impact of the transformation that occurred during the journey and the resultant Magnet designation on stakeholders.
CONCLUSIONS: Results from this study offer guidance for Magnet project directors, chief nursing officers, managers, advanced practice nurses, and staff nurses involved in or considering the Magnet journey. “Magnet slippage” emerged as a new concept.
Author Affiliations: Professor and Director, Master’s and International Nursing Programs (Dr Urden); Clinical Adjunct Professor (Dr Ecoff); PhD Candidate (Ms Baclig); PhD Student (Ms Gerber), Hahn School of Nursing and Health Science, University of San Diego; Director (Dr Ecoff), Research, Education, and Professional Practice, Sharp Memorial Hospital, San Diego; Manager (Ms Baclig), Clinical Education and Magnet Program, Rady Children’s Hospital, San Diego; Nursing Supervisor (Ms Gerber), Scripps Clinic, Encinitas, California.
The authors declare no conflicts of interest.
Correspondence: Dr Urden, Hahn School of Nursing and Health Science, University of San Diego, 5999 Alcala Park, San Diego CA 92110 (firstname.lastname@example.org).
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