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Journal of Nursing Administration:
doi: 10.1097/NNA.0000000000000015

Understanding the Role of the Professional Practice Environment on Quality of Care in Magnet® and Non-Magnet Hospitals

Stimpfel, Amy Witkoski PhD, RN; Rosen, Jennifer E. MPH, MSN; McHugh, Matthew D. PhD, JD, MPH, RN, FAAN

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OBJECTIVE: The aim of this study was to explore the relationship between Magnet Recognition® and nurse-reported quality of care.

BACKGROUND: Magnet® 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.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins



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