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Beyond Magnet® Designation: Perspectives From Nurse Managers on Factors of Sustainability and High-Performance Programming

Hayden, Margaret A. DNP, RN, NEA-BC; Wolf, Gail A. PhD, RN, FAAN; Zedreck-Gonzalez, Judith F. DNP, RN, NEA-BC

JONA: The Journal of Nursing Administration: October 2016 - Volume 46 - Issue 10 - p 530–534
doi: 10.1097/NNA.0000000000000397

OBJECTIVE: The aim of this study was to identify patterns of high-performing behaviors and nurse manager perceptions of the factors of Magnet® sustainability at a multidesignated Magnet organization.

BACKGROUND: The Magnet program recognizes exemplary professional nursing practice and is challenging to achieve and sustain. Only 10% (n = 42) of Magnet hospitals sustained designation for 12 years or longer. This study explored the perspectives of Magnet nurse managers regarding high-performing teams and the sustainability of Magnet designation.

METHODS: A qualitative study of nurse managers was conducted at 1 multidesignated Magnet organization (n = 13). Interview responses were analyzed using pattern recognition of Magnet model domains and characteristics of high-performing teams and then related to factors of Magnet sustainability.

RESULTS: Transformational leadership is both an essential factor for sustainability and a potential barrier to sustainability of Magnet designation.

CONCLUSIONS: Transformational nursing leaders lead high-performing teams and should be in place at all levels as an essential factor in sustaining Magnet redesignation.

Author Affiliations: UPMC Passavant (Dr Hayden); and University of Pittsburgh School of Nursing (Drs Wolf and Zedreck-Gonzalez), Pennsylvania.

The authors declare no conflicts of interest.

Correspondence: Dr Hayden, UPMC Passavant, 9102 Babcock Blvd, Medical Building S, Suite LL6, Pittsburgh, PA 15237 (

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