In both Magnet and non-Magnet hospitals, each nurse cared for eight to 11 patients per shift. The variation in RN staffing between Magnet and non-Magnet facilities was moderate. RNs typically cared for five to six patients each shift depending on whether the unit was open or closed.
A 13.8% reduction in PNR occurred among pediatric units in Magnet hospitals. RNs cared for, on average, five patients per shift on med/surg units, four patients per shift in postpartum, three patients per shift in pediatrics, and four babies per shift in the newborn nursery in both classifications of hospitals. The largest decline in PNR occurred in neonatal intermediate care units, and the variation in RN staffing between Magnet and non-Magnet hospitals was moderate. Intermediate careĮach shift, the average RN cared for four patients in adult intermediate care and, on average, two babies per shift in both Magnet and non-Magnet hospitals. Additionally, the variation in RN staffing between Magnet and non-Magnet hospitals was small. Typically, nurses cared for one to two patients each shift in critical care units, and the lowest PNRs occurred in pediatric critical care units.
Both Magnet and non-Magnet hospitals had similar PNRs, but there were slightly lower PNRs in Magnet hospitals for six of the nursing units studied (adult and neonatal critical care, adult intermediate care, med/surg acute care, open psychiatric, and closed psychiatric units). However, there was a 6.9% increase in staffing ratios in Magnet hospitals compared to only 4.7% in non-Magnet facilities. Magnet recognition linked to better ratiosįrom 2008 to 2015, the researchers found that staffing was comparable in nine out of the 12 nursing units between Magnet and non-Magnet hospitals. This figure was calculated from monthly hospital reports which contained the number of RNs and patients present during each shift on specific hospital units.Īdditionally, 12 separate nursing units were recognized in the course of the work, each falling under one of five broad categories: Defining nurse staffing levelsįor the purposes of the study, nurse staffing was derived as a patient-per-nurse ratio (PRN). The authors speculate that using unit-level RN staffing information may help identify the extent to which RN staffing levels contributes to Magnet status. When reviewing staffing, nurse leaders should also consider nurse education level, certifications, skill competency, and the experience level of their nurses.Īn article in the Journal of Nursing Care Quality 1 examines the relationship between staffing by nursing specialty at New Jersey Magnet facilities compared with staffing levels at non-Magnet healthcare centers. But it is important to differentiate staffing at the unit level from hospital-wide staffing levels. Some research suggests that RN staffing levels are part of the causal chain linking Magnet status to improved patient care quality. Magnet designation identifies high-performing work environments and has also been linked to high-quality patient care. Decades of research also indicate that appropriate nurse staffing, combined with a healthy work environment, is associated with high-quality patient care. Once awarded, Magnet recognition is valid for four years, after which the institution must reapply.Among the nursing profession, it is commonly understood that lower nurse-to-patient ratios contribute to better patient outcomes and lower mortality rates.
During the site visit, hospital staff and patients are interviewed about how well the hospital meets patients’ needs and how well the providers and staff work together.
#Magnet status hospitals professional#
Leadership of the chief nurse executive in supporting professional practice.Adherence to standards for improving the quality of patient care.High scores on patient and nurse satisfaction.In the extensive application, hospitals must demonstrate: health care organizations - including Temple University Hospital - have achieved the honor of Magnet status.Īpplying for Magnet status is a voluntary and lengthy process.
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