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Nurse Outcomes in Magnet® and Non-Magnet Hospitals

Kelly, Lesly A. PhD, RN; McHugh, Matthew D. PhD, JD, MPH, RN, CRNP; Aiken, Linda H. PhD, RN, FAAN

JONA: The Journal of Nursing Administration: October 2011 - Volume 41 - Issue 10 - p 428-433
doi: 10.1097/NNA.0b013e31822eddbc

The important goals of Magnet® hospitals are to create supportive professional nursing care environments. A recently published paper found little difference in work environments between Magnet and non-Magnet hospitals. The aim of this study was to determine whether work environments, staffing, and nurse outcomes differ between Magnet and non-Magnet hospitals. A secondary analysis of data from a 4-state survey of 26,276 nurses in 567 acute care hospitals to evaluate differences in work environments and nurse outcomes in Magnet and non-Magnet hospitals was conducted. Magnet hospitals had significantly better work environments (t = −5.29, P < .001) and more highly educated nurses (t = −2.27, P < .001). Magnet hospital nurses were 18% less likely to be dissatisfied with their job (P < .05) and 13% less likely to report high burnout (P < .05). Magnet hospitals have significantly better work environments than non-Magnet hospitals. The better work environments of Magnet hospitals are associated with lower levels of nurse job dissatisfaction and burnout.

Author Affiliations: Postdoctoral Research Fellow (Dr Kelly), Assistant Professor (Dr McHugh), Claire M. Fagin Leadership Professor of Nursing and Director of the Center for Health Outcomes and Policy Research (Dr Aiken), University of Pennsylvania, Philadelphia.

Funding: This study was supported by funding from the Margretta M. Styles Scholar/American Nurse Foundation (L. Kelly, PI); the National Institute for Nursing Research, National Institutes of Health (T32-NR-007104 and R01NR04513, L. Aiken, PI); and the Agency for Healthcare Research and Quality (K08-HS017551, M. McHugh, PI).

The authors declare no conflict of interest.

Correspondence: Dr Kelly, Banner Good Samaritan Medical Center, 1111 East McDowell Rd, Phoenix, AZ 85006 (

© 2011 Lippincott Williams & Wilkins, Inc.