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Analysis of role of Magnet designation in developing a culture of professional nursing partnerships and evidence-based practice in the ICU: an expanded secondary analysis of a national ICU survey

Pyankov, Matthew A. (2021) Analysis of role of Magnet designation in developing a culture of professional nursing partnerships and evidence-based practice in the ICU: an expanded secondary analysis of a national ICU survey. Undergraduate Thesis, University of Pittsburgh. (Unpublished)

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The American Nurse Credentialing Center (ANCC) Magnet® hospital designation indicates a hospital’s commitment to patient-centered care; evidence-based nursing practice, and a culture of interprofessional collaboration. A key characteristic of Magnet institutions is participation in generating new knowledge. The purpose of this study was to determine, in a random sample of US adult acute care hospitals, if Magnet designation was associated with greater rates of research participation of ICU nurse managers, and among hospitals with participating nurse managers if there were differences between Magnet and non-Magnet hospitals on measures of interprofessional collaboration and the demographics of nursing leadership. We conducted an expanded secondary analysis of data from an online survey of ICU nurse managers and medical directors regarding practices, barriers, and facilitators related to interdisciplinary family meetings. The parent study sample (n= 525) was randomly selected from the 2015 American Hospital Association database and stratified by region, hospital size and model of intensivist care. We obtained contact information and surveyed 304 nurse managers; of those, 164 completed the survey. Subsequently, we compared responses from Magnet and non-Magnet participants on their ICU’s practices as well as managers’ level of education and experience. Fifty-four of 525 sampled hospitals were Magnet designated; and 29 of 164 respondents were from Magnet designated hospitals. Nurse managers of Magnet ICUs were significantly more likely to receive and return the survey (53%) compared to those of non-Magnet ICUs (29%), p < 0.001. Regarding patient and family-centered interprofessional collaborative practices, RNs at Magnet hospitals were significantly more likely to attend team rounds (p=0.027) and ICUs were significantly more likely to include families in team rounds (p=0.006). However, we found no differences between Magnet and non-Magnet ICUs regarding nurse manager education and experience or other measures of interprofessional collaborative practice. Overall, nurse managers of Magnet hospital ICUs demonstrated a significantly greater willingness to provide contact information and complete the survey, which may suggest a greater commitment to knowledge generation through research participation. Magnet ICUs were more likely to include nurses and families in team rounds, demonstrating empirical nurse-centered Magnet outcomes indicative of empowered nursing and patient-centered care.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Pyankov, Matthew
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorSeaman, Jennifer B.jbs31@pitt.edujbs31
Committee MemberZedreck Gonzales, Judith F.jfz5@pitt.edujfz5
Committee MemberHupp, Diane
Committee MemberRen, Dianxudir8@pitt.edudir8
Date: 12 April 2021
Date Type: Publication
Defense Date: 21 October 2020
Approval Date: 12 April 2021
Submission Date: 1 April 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 41
Institution: University of Pittsburgh
Schools and Programs: David C. Frederick Honors College
School of Nursing > Nursing
Degree: BSN - Bachelor of Science in Nursing
Thesis Type: Undergraduate Thesis
Refereed: Yes
Uncontrolled Keywords: Nursing, Magnet, Administration, Research, Interprofessional, Survey, Patient-centered
Date Deposited: 12 Apr 2021 14:25
Last Modified: 12 Apr 2021 14:25


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