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Practice Environment and Patient Outcomes by ANCC Designation: Insights From NDNQI
Angela Pascale1, Nicole George, Nora E Warshawsky
1Correspondence: Press Ganey Associates LLC, 1173 Ignition Dr, South Bend, IN 46601. angela.pascale@pressganey.com (A. Pascale). Author Affiliations: Research Analyst (Dr Pascale), Press Ganey Associates LLC, South Bend, IN; Vice President, Associate Chief Nursing Officer (Dr George), Press Ganey Associates LLC, South Bend, IN; Emeritus Nurse Scientist (Dr Warshawsky), Press Ganey Associates LLC, South Bend, IN.
Objective:
This study sought to examine differences in nursing-sensitive patient outcomes among Magnet® hospitals, Pathway To Excellence® (PTE) hospitals, and non-American Nurses Credentialing Center's (ANCC®) designated hospitals.
Background:
The ANCC Magnet Recognition Program® and PTE Program provide frameworks that foster nursing excellence, although limited research has examined the differences of nursing-sensitive patient outcomes among recognition programs.
Materials And Methods:
A cross-sectional comparative analysis was conducted using 2023 data from the National Database of Nursing Quality Indicators® (NDNQI).
Results:
Magnet hospitals reported significantly lower fall rates compared with non-ANCC hospitals (P=0.01). PTE hospitals exhibited significantly lower central line-associated bloodstream infection rates than non-ANCC hospitals (P<0.04). No statistically significant differences in catheter-associated urinary tract infection rates or hospital-acquired pressure injury prevalence were observed.
Conclusions:
ANCC designations were inconsistently associated with better nurse-sensitive patient outcomes in this study. The absence of consistent differences across outcomes may reflect unbalanced sample distribution across designation groups in this sample.
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