Institutional members access full text with Ovid®

Share this article on:

Identification of Potential Barriers to Nurse-Sensitive Outcome Demonstration

Beckel, Jean DNP, RN, MPH, CNML; Wolf, Gail PhD, RN, FAAN; Wilson, Roxanne PhD, RN; Hoolahan, Susan MSN, RN, NEA-BC

Journal of Nursing Administration: December 2013 - Volume 43 - Issue 12 - p 645–652
doi: 10.1097/NNA.0000000000000006

OBJECTIVE: The objective of this study was to determine differences in chief nursing officer, Magnet® program director, nurse leader, and direct care RN perspectives of potential barriers to demonstration of nurse-sensitive outcomes.

BACKGROUND: The Magnet Recognition Program® and other designations are focusing on patient outcomes. No evidence is available addressing barriers to demonstration of nursing outcomes at multiple levels of practice.

METHODS: A Likert scale tool was developed and administered to 526 attendees at the 2012 national Magnet conference. Questions related to available resources, benchmarks, outcome demonstration process understanding, perception of value, and competing priorities.

RESULTS: Significant perception differences by role were demonstrated related to available resources, competing priorities, and process understanding supporting demonstration of nurse-sensitive outcomes. No significant differences were identified related to benchmarks or perception of process value to the organization.

CONCLUSION: This study provides new information demonstrating potential barriers to demonstration of nurse-sensitive outcomes differing by role. Opportunity exists to develop systems and processes to reduce perceived barriers among the nursing workforce.

Supplemental Digital Content is available in the text.

Author Affiliations: Magnet Program Director and Performance Improvement Analyst (Dr Beckel), St Cloud Hospital, Minnesota; Professor and Coordinator of Nursing Administration (Dr Wolf), School of Nursing, University of Pittsburgh, Pennsylvania; Survivorship Director (Dr Wilson), St Cloud Hospital Coborn Cancer Center, Minnesota; Chief Nursing Officer and Vice President Patient Care Services (Ms Hoolahan), University of Pittsburgh, Passavant, Pennsylvania.

The authors declare no conflicts of interest.

Content related to this research has been submitted in an abstract for presentation at the 2013 national Magnet conference in Orlando, Florida, and accepted for podium presentation.

Correspondence: Dr Beckel, St Cloud Hospital, 207 River Oaks Dr, Cold Spring, MN 56320 (

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins