Nurse Outcomes in Magnet® and Non-Magnet Hospitals

被引:194
作者
Kelly, Lesly A. [1 ]
McHugh, Matthew D. [1 ]
Aiken, Linda H. [1 ]
机构
[1] Univ Penn, Ctr Hlth Outcomes & Policy Res, Philadelphia, PA 19104 USA
来源
JOURNAL OF NURSING ADMINISTRATION | 2011年 / 41卷 / 10期
基金
美国国家卫生研究院; 美国医疗保健研究与质量局;
关键词
PATIENT MORTALITY; WORKPLACE EMPOWERMENT; PRACTICE ENVIRONMENTS; JOB DISSATISFACTION; IMPACT; CARE; SATISFACTION; ENGLAND; BURNOUT;
D O I
10.1097/NNA.0b013e31822eddbc
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
The important goals of Magnet (R) 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.
引用
收藏
页码:428 / 433
页数:6
相关论文
共 27 条
[1]  
Aiken L, 2000, J NURS ADM S7, V39, pS5
[2]   LOWER MEDICARE MORTALITY AMONG A SET OF HOSPITALS KNOWN FOR GOOD NURSING-CARE [J].
AIKEN, LH ;
SMITH, HL ;
LAKE, ET .
MEDICAL CARE, 1994, 32 (08) :771-787
[3]   Educational levels of hospital nurses and surgical patient mortality [J].
Aiken, LH ;
Clarke, SP ;
Cheung, RB ;
Sloane, DM ;
Silber, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (12) :1617-1623
[4]   Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [J].
Aiken, LH ;
Clarke, SP ;
Sloane, DM ;
Sochalski, J ;
Silber, JH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (16) :1987-1993
[5]   Effects of hospital care environment on patient mortality and nurse outcomes [J].
Aiken, Linda H. ;
Clarke, Sean P. ;
Sloane, Douglas M. .
JOURNAL OF NURSING ADMINISTRATION, 2008, 38 (05) :223-229
[6]   Implications of the California Nurse Staffing Mandate for Other States [J].
Aiken, Linda H. ;
Sloane, Douglas M. ;
Cimiotti, Jeannie P. ;
Clarke, Sean P. ;
Flynn, Linda ;
Seago, Jean Ann ;
Spetz, Joanne ;
Smith, Herbert L. .
HEALTH SERVICES RESEARCH, 2010, 45 (04) :904-921
[7]   Transformative impact of Magnet designation: England case study [J].
Aiken, Linda H. ;
Buchan, James ;
Ball, Jane ;
Rafferty, Anne Marie .
JOURNAL OF CLINICAL NURSING, 2008, 17 (24) :3330-3337
[8]  
*AM NURS CRED CTR, HIST MAGN PROGR
[9]  
American Nurses Credentialing Center, Magnet Recognition Program®
[10]  
[Anonymous], 2014, FAST FACTS US HOSP