Magnet Status Is Generally Better for Nurses and Patients

Discussed in this post: “Original Research: How Magnet Hospital Status Affects Nurses, Patients, and Organizations: A Systematic Review” (July, AJN)

Is the work it takes to become a Magnet hospital worth it?

The Magnet award recognizing excellence in nursing has been around for decades. It’s not an easy process, nor an inexpensive one—hospitals that apply invest a lot of time, effort, and money. There’s a considerable fee plus the expenses for the site visit appraisers, and many institutions designate or hire a Magnet coordinator whose job it is to ensure policies throughout the organization comply with Magnet requirements. It’s a huge undertaking. And while administrators may groan over the prospect of going through it, many hospitals do pursue it—there are over 500 Magnet-designated hospitals worldwide.

No institution is perfect, but Magnet does mean improved visibility for nursing.

I’ve had experiences, with friends or family, in both Magnet and non-Magnet hospitals. While I felt that overall patient care and responsiveness to patients and families was better at the Magnet facilities, there were also instances where things didn’t go quite the way they should. But in the harried hospital setting, I don’t expect 100% smooth sailing with every encounter with every nurse. What I have heard from several nurses who participated in their hospitals’ Magnet […]

2020-07-13T12:40:55-04:00July 13th, 2020|Nursing|1 Comment
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Environmentally Sustainable Nursing Practices: Small Changes Make a Big Difference

“The decisions nurses make about waste and efficiency on the front lines of clinical care matter, and the potential impact on health and the environment should not be underestimated.”

These days, most nurses have little time for anything that isn’t COVID related. Either we’re inundated with patients, changing work flow and physical spaces to accommodate long-term social distancing, or trying to home-school our kids or plan the next trip to the grocery store. Inevitably, though, our attention will return to other urgent issues in health care. The impact of our everyday work practices on the health of the planet is one of these issues.

How often do you toss unused linen into a laundry hamper after a patient is discharged, or discard leftover but unopened supplies that have been in a patient’s room, or hurriedly throw away soiled “chux” in a “red-bagged waste” container because that’s the nearest receptacle? In “Reducing Waste in the Clinical Setting” in this month’s issue, Sara Wohlford and colleagues at Carilion Roanoke Memorial Hospital in Roanoke, Virginia, share how increased attention to wasteful practices and modest changes in workflow can impact the environment and save money.

Small changes in three areas can make a big difference.

The authors looked at three […]

2020-06-04T10:11:36-04:00June 4th, 2020|environmental health, Nursing, nursing research|0 Comments
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Workplace Violence Training: Beyond Tabletop Exercises 

Breaking the rules of ordinary nurse behavior.

Have you ever thrown a fire extinguisher at a hospital visitor?

In this issue, “Workplace Violence Training Using Simulation” describes how one Ohio health system employs classroom learning, hands-on defense techniques, and simulated violence scenarios to prepare staff for potentially violent situations, including the presence of an active shooter.

Part of this training involves learning how to break the rules of ordinary behavior. This is hard for nurses, because it’s so ingrained in us to protect and never to harm. Grabbing a fire extinguisher to throw at someone, even if that person is holding a gun, is not the initial reaction most of us would have in this situation.

“People often freeze or panic in response to acts of aggression, assault, or other violence, including shots fired,” note authors Robin Brown and colleagues. The remarkable workplace violence training that they have developed at their hospital aims to empower staff to respond effectively in dangerous situations. Key points of discussion include learning to

  • recognize the potential for violence in a patient or visitor,
  • identify our own behaviors that may trigger a person who already is upset,
  • and perhaps most importantly, overcome our panic and take action.

[…]

2018-10-12T10:25:56-04:00October 12th, 2018|Nursing, nursing research|0 Comments
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Health Care Reform Must Target Hospitals, Physicians Who Push Expensive Treatments Over Prevention

But the cost of the hospitalization alone for an uncomplicated bariatric surgery is now about $28,000. That goes up to over $38,000 if complications arise—and almost $70,000 if the patient has to be readmitted. Now, what if a patient decides he'd like to go to a nutritionist every week for several years to gradually lose the weight and change his eating habits permanently? Let's say that the cost of seeing a nutritionist is $100 per visit—that's just over $15,000, but who's paying to put up signs advertising a hospital's nutritional service for weight loss ?

2016-11-21T13:22:38-05:00September 10th, 2009|health care policy|3 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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