Journal
JOURNAL OF NURSING ADMINISTRATION
Volume 44, Issue 1, Pages 10-16Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/NNA.0000000000000015
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Funding
- National Institute of Nursing Research [R01-NR-004513, T32-NR-007104]
- National Institute of Nursing Research
- Robert Wood Johnson Foundation
- NATIONAL INSTITUTE OF NURSING RESEARCH [T32NR007104, R01NR004513] Funding Source: NIH RePORTER
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OBJECTIVE: The aim of this study was to explore the relationship between Magnet Recognition (R) and nurse-reported quality of care. BACKGROUND: Magnet (R) hospitals are recognized for nursing excellence and quality patient outcomes; however, few studies have explored contributing factors for these superior outcomes. METHODS: This was a secondary analysis of linked nurse survey data, hospital administrative data, and a listing of American Nurses Credentialing Center Magnet hospitals. Multivariate regressions were modeled before and after propensity score matching to assess the relationship between Magnet status and quality of care. A mediation model assessed the indirect effect of the professional practice environment on quality of care. RESULTS: Nurse-reported quality of care was significantly associated with Magnet Recognition after matching. The professional practice environment mediates the relationship between Magnet status and quality of care. CONCLUSION: A prominent feature of Magnet hospitals, a professional practice environment that is supportive of nursing, plays a role in explaining why Magnet hospitals have better nurse-reported quality of care.
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