Introduction
The Magnet Recognition Program is an unpaid program for healthcare settings seeking the highest qualifications internationally for offering high-quality care and excellent nursing skills using evidence-based practices. Generally, Magnet Recognition’s goal is to build a healthcare culture that supports the environment of professional nursing care (Anderson et al., 2018). The authors argue that the Magnet Recognition Program’s attainment requires a healthcare organization to shift in culture to enable the gains of the Magnet Recognition Program to go beyond nursing practice development and quality improvement (Anderson et al., 2018). Additional areas which depend on culture are improved patient outcomes, increased measurable financial return, higher patient satisfaction, improved service, retention, satisfaction, increased nurse engagement, and safety. Understanding the Nursing Theory Framework is important for improved nursing to practice and enhancing patient health outcomes.
The improvements of an organization are rooted in the five synthesized magnetizing forces of Magnet. This includes empirical outcomes improvements, innovations and new knowledge, excellent professional practice, structural empowerment, and transformational leadership (Anderson et al., 2018). The Magnet model component’s major goal is transforming the organization’s culture by changing outcomes, processes, and structures. It then gives power to nurses enabling them to jointly participate in making common-decision at all levels (Anderson et al., 2018). A type of organizational culture related to this model is founded on beliefs, attitudes, and values of specialized practice and the procedures by which expertise practice is held in the work environs.
The development of the Magnet Recognitions Programme based on organizational culture entails cultural change. This requires multilevel and inter-professional support within the organization. As the major employees in healthcare organizations, nurses possess the mobilizing efforts that promote an environment of professional practice (Anderson et al., 2018). Therefore, the Magnet Model framework focuses on nurses’ roles, capabilities and responsibilities maintained and driven by medical practitioners. These may be used to realize cultural change at a single unit and hospital level to ensure ultimate continuing cultural impact and organizational change.
Importance of a Nursing Theory Framework for Nursing Practice and Patient Health Outcomes
The Nursing Theory Framework is important because it produces the required patient data for precise nursing analysis, suitable nursing interventions, and nursing-sensitive patient outcomes. For instance, the NANDA-International contains case studies of nurses’ assessment of a healthy person which have been produced using the Functional Health Pattern (FHP) nursing framework (Jasemi et al., 2017). The development of nursing care plans for restoring, protecting, and promoting health bio-system frameworks used today by many healthcare agencies are not efficient. This is because data on the functional and structural biological system statuses are inadequate to recognize a wide range of a person’s responses (Jasemi et al., 2017). In addition, the collection of data through biological systems is difficult since the frameworks do not produce enough amounts of trustful data for nursing care plans. On the contrary, some nursing frameworks such as FHPs help nurses to recognize important illnesses to nurses.
Frameworks like FHP have successfully revealed they can produce data required by medical practitioners for efficient documentation and care plans. According to Jasemi et al. (2017), the FHP framework mirror the relations of spiritual, cultural, social, psychological, biological, and other human being dimensions. It helps nurses make medical analyses reflecting on the interactions of these measurements. In addition, the framework reflects on the data type required to make accurate diagnoses of problems of human health and life processes (Wietlisbach, 2019). Conclusively, all nursing activities across the world ought to be directed by a “universal assessment framework,” like the way the bio-system framework is general for medication.
New York University Hospital Center’s Tisch Hospital (NYU-TH) Steps of Incorporating Nursing Theory as a Framework
The first hospital to be identified as a Magnet Hospital was New York University Hospital Centre’s Tisch Hospital (NYU-TH) in 2005. Nurse leaders and clinical nurses had labored for many years to create the structural base required to set up the magnetic assessment. However, a weakness was discovered known as the lack of a logical practice model (Glassman, 2016). Nevertheless, defining the model was done after the identification of the weakness. The initial work was to create a caring idea to manage the foundational role that care plays in the hospital. The work was done by the holistic nurses together with faculty from the college focusing first on nurse’s self-care, as the groundwork of patient care. Development of a standard curriculum followed, and it tested three clinical units. Nurses were allowed to perform a pretest on practices of self-care. They attended the session of trial and finished a post-test.
Data received showed that self-care techniques were centered on contributions of oneself to nurses’ perceptions, and therapeutic care delivery. Even though the work was never published, it signified an internal test of the program and that it had been integrated with the program of post-baccalaureate nurse residency (Glassman, 2016). The process began by defining the model components: professional practice, knowledge, and caring culture. This was followed by identifying the Magnet model’s building blocks at the time. It comprised professional development, communication, collaboration, and practice. It was necessary because the components could be joined in various ways to show every clinical location or unit (Glassman, 2016). Development of the schematic started and it included the two strands: “new evidence-based practice and structure, with caring as the central concept weaving within the two strands that mirrored the two biopolymer strands of DNA to form the double helix” (Glassman, 2016). The period that followed was a redesign of the Magnetic Recognition program.
The second Magnet redesignation period took four years. It involved the generation of new knowledge, and thus it was essential to the model. The group developed the components of caring culture and identified semantics with details (Glassman, 2016). After that, the model was shared with the larger nursing community. The committee members gave the draft to their colleagues for a response. Surprisingly, there were no recommendations received to perform any changes to the model. Afterward, the model was adopted, and thus work on acculturation began, moving the model into practice.
The magnetic profession is likely to be affected positively by the nursing career. Evidence reveals that the Magnetic hospitals possess a higher percentage of enhanced patient satisfaction, improved nurse autonomy, better patient clinical outcomes, fewer vacancies, reduced turnover, and enhanced patient satisfaction (Suresh, 2017). Magnetic hospitals have been seen to improve nursing job outcomes such as burnout and satisfaction. Additionally, Magnetic recognition has been linked to improved financial performance in hospitals (Suresh, 2017). Generally, there are better patient outcomes in Magnetic hospitals compared to non-magnetic hospitals.
Conclusively, this paper has defined the Magnet Recognition Program as a program for hospitals looking for the highest qualifications internationally because of the provision of excellent nursing skills and patient care. The program aims at creating a culture that supports the environment of professional nursing care. This paper has also discussed the importance of the Nursing Theory Framework as the source of patient data required to analyze and make suitable medical decisions. The nursing theory application in New York University Hospital Center’s Tisch Hospital (NYU-TH) has also been discussed. Finally, the paper has highlighted the impact that the magnetic journey will have on the nursing profession. Therefore, incorporating the Nursing Theory Framework plays an important role in enhancing the provision of improved healthcare and patient health outcomes.
References
Anderson, V. L., Johnston, A. N., Massey, D., & Bamford-Wade, A. (2018). Impact of MAGNET hospital designation on nursing culture: A integrative review. Contemporary Nurse, 54(4-5), 483-510. Web.
Glassman, K. S. (2016). Developing and implementing a professional practice model. Nursing Science Quarterly, 29(4), 336-339. Web.
Jasemi, M., Valizadeh, L., Zamanzadeh, V., & Keogh, B. (2017). A concept analysis of holistic care by a hybrid model. Indian Journal of Palliative Care, 23(1), 71-80. Web.
Suresh, S. (Ed.). (, 2017). Potter and Perry’s fundamentals of nursing: Second south Asia edition-e-book (2nd ed.). Elsevier India.
Wietlisbach, C. M. (2019). Cooper’s fundamentals of hand therapy e-book: Clinical reasoning and treatment guidelines for common diagnoses of the upper extremity (1st ed.). Elsevier Health Sciences.