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The Association Between Magnet ® Recognition and Patient Outcomes : A Scoping Review
Linda Connor1, Cindy Beckett, Inga Zadvinskis
1Author Affiliations: Clinical Assistant Professor, The Ohio State University, College of Nursing, Columbus and Program Director, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Connor); Clinical Assistant Professor, The Ohio State University, College of Nursing, Columbus and Academic Core Assistant Director and Evidence-Based Practice Certification Program Director, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Beckett); Assistant Director, Community Core, Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Dr Zadvinskis); Vice President for Health Promotion, University Chief Wellness Officer, Dean, The Ohio State University, College of Nursing, Columbus, Professor of Pediatrics and Psychiatry, The Ohio State University, College of Medicine, and Executive Director, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare (Dr Melnyk); Statistician, The Ohio State University, College of Nursing, Columbus, and Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare (Messinger); Chief Operating Officer and Clinical Core Director, Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare (Dr Gallagher-Ford); and Research & Education Librarian, Nursing Liaison, and Affiliate Faculty (Brown), Virginia Commonwealth University School of Nursing, VCU Libraries, Health Sciences Library, Richmond.
Background:
Previous systematic reviews have explored nurse, patient, and organizational outcomes in Magnet®-recognized hospitals compared with non-Magnet hospitals, yet these did not comprehensively review a wide variety of patient outcomes.
Aim:
The purpose of this scoping review was to describe the findings from published research evaluating patient outcomes in Magnet-recognized hospitals compared with non-Magnet hospitals.
Methods:
A medical librarian conducted a systematic search for published peer-reviewed, English-language literature and a search of the reference lists for retrieved publications to identify articles addressing Magnet compared with non-Magnet hospitals related to patient outcomes.
Results:
Four patient outcomes improved in Magnet-designated hospitals: mortality, patient satisfaction, failure to rescue, and falls. Four patient outcomes showed undesirable or mixed outcomes. Five patient outcomes had insufficient evidence regarding patient outcomes when treated at Magnet-recognized hospitals.
Conclusion:
Magnet Recognition® is associated with improvement in a distinct set of patient outcomes, but not all key outcome measures. Standardized outcomes and rigorous study designs are needed to further explore the impact of Magnet Recognition on a wide variety of patient outcomes.
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