Hospitals Known for Nursing Excellence Associated with Better Hospital Experience for Patients

Stimpfel, Amy Witkoski; Sloane, Douglas M.; McHugh, Matthew D.; Aiken, Linda H.

doi:10.1111/1475-6773.12357

Cited by 84 publications

(60 citation statements)

References 24 publications

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“…Providing feedback to residents27 and enrolling physicians in communication skills training28 have also been associated with better patient experience in single-centre studies at large academic teaching hospitals. Other research has found that hospitals recognised for nursing excellence also tend to have better patient experience 29. Furthermore, our work has potential implications for other countries that are also collecting patient experience to measure healthcare performance.…”

Section: Discussionmentioning

confidence: 70%

Hospital-level care coordination strategies associated with better patient experience

et al. 2018

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Section: Discussionmentioning

confidence: 70%

Hospital-level care coordination strategies associated with better patient experience

et al. 2018

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“…10,13 Yet, efforts to improve care quality through Magnet adoption may heavily depend on economic factors rather than institutional commitments to clinical quality, which can challenge more widespread Magnet adoption.…”

Section: Discussionmentioning

confidence: 99%

“…4 More than 400 hospitals have achieved Magnet recognition across the US, 4 and importantly, Magnet recognition has been associated with positive care delivery outcomes – such as lower mortality rates and higher patient satisfaction. 5–13 …”

Section: Introductionmentioning

confidence: 99%

A Race to the Top? Competitive Pressure and Magnet Adoption Among US Hospitals 1997–2012

2017

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Background Care quality continues to be a focal point within US health care. One quality innovation is the Magnet recognition program for hospitals, which is a nurse-driven initiative emphasizing care and patient safety improvements. To date, Magnet hospitals have been associated with better outcomes, but their distribution is highly uneven. Relatedly, little research has characterized what factors drive Magnet adoption (e.g., competitive pressure from other hospitals). Objective To examine if hospitals respond to more competing hospitals becoming Magnets by also becoming Magnet institutions. Research Design We use longitudinal data from the American Hospital Association, 1997 – 2012, and estimate hospital-level fixed effect regressions to capture the association between Magnet adoption among competitors and a hospital’s own likelihood of becoming a Magnet. We also explore heterogeneity in the relationships according to a hospital’s standing within its market. Results Having more competitors become Magnets strongly predicts that a given hospital seeks Magnet recognition; yet, a hospital’s market position and prevailing competition levels are moderating influences. Conclusions A large literature links Magnet hospitals with better outcomes for patients and nurses, and more recent evidence suggests a business case for becoming a Magnet. We find evidence that hospitals appear motivated by competitive pressure, which suggests economic considerations in the decision to invest in costly care improvements.

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“…Alternative approaches to international recruitment to address nurse shortages in the United States include evidence-based strategies that help retain experienced nurses and result in higher patient satisfaction such as the American Nurses Credentialing Center’s Magnet ® Program (Kutney-Lee et al, 2015; Stimpfel, Sloane, McHugh, & Aiken, 2015), and policies standardizing nurse residencies or transition programs to safely onboard new nurse graduates who are in plentiful supply (Goode, Lynn, McElroy, Bednash, & Murray, 2013; Adeniran et al, 2008). …”

Section: Discussionmentioning

confidence: 99%

U.S. Hospital Employment of Foreign-Educated Nurses and Patient Experience: A Cross-Sectional Study

Germack

McHugh

Sloane

et al. 2017

Journal of Nursing Regulation

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Introduction For over half a century, hospitals in the United States have actively recruited foreign-educated nurses (FENs) in response to nurse shortages in hospitals and nursing homes. Little attention has been paid to the quality of care in the United States related to employment of FENs. Aims The purpose of this retrospective study was to determine whether employment of FENs in U.S. hospitals is associated with patient care experience. Method This study used cross-sectional data from three sources in 425 hospitals in four large states to evaluate the relationship between patient perceptions of care and hospital employment of FENs. The study linked data from publicly reported patient experience of care surveys, nurse surveys, and administrative data using unique hospital identifiers common across the data sets. Results Patient-reported care experience was found to be more negative in hospitals employing more FENs, after controls for other possible explanations. Each 10% increase in FENs was associated with a decrease in the percentage of patients who would recommend their hospital and a decrease in the percentage of patients giving favorable reports on five nursing-specific aspects of patient experience. Conclusions The results of this study suggest that employment of substantial numbers of nurses educated outside the United States may have implications for quality of care. The findings suggest that research on the outcomes of transition programs for FENs would be useful to inform regulatory policies.

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Hospitals Known for Nursing Excellence Associated with Better Hospital Experience for Patients

Abstract: Magnet recognition is associated with better patient care experiences, which may positively enhance reimbursement for hospitals.

Cited by 84 publications

References 24 publications

Hospital-level care coordination strategies associated with better patient experience

Hospital-level care coordination strategies associated with better patient experience

A Race to the Top? Competitive Pressure and Magnet Adoption Among US Hospitals 1997–2012

U.S. Hospital Employment of Foreign-Educated Nurses and Patient Experience: A Cross-Sectional Study

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