Deirdre McCaughey, PhD, MBA, is Associate Professor, Cumming School of Medicine, University of Calgary. E-mail:
Health Care Manage Rev. 2020 Jan/Mar;45(1):21-31. doi: 10.1097/HMR.0000000000000198.
The term Magnet hospital is an official designation ascribed by the American Nurses Credentialing Center for hospitals that meet specific criteria indicating they have a "magnetic work environment" for nurses. The objective of the Magnet designation is to encourage hospitals to design work in such a way as to attract and retain high-quality nurses and thus improve the quality of patient care. Empirical research has demonstrated that hospitals who earn a Magnet designation appear to have nurses who are more satisfied and committed to their work environments. Although research on whether patients are more satisfied with their care in these hospitals is still in its infancy, preliminary studies suggest that patients receiving care at Magnet-designated hospitals report more positive care experiences.
This study used a large secondary survey data set to explore the extent to which inpatient perceptions differed between Magnet and non-Magnet hospitals.
Ordinal logistic and multinomial logistic regression analyses were used to examine whether Magnet hospital status and positive nurse communication are related to overall hospital rating and willingness of patients to recommend the hospital.
Results indicated that patients treated at a Magnet hospital and patients who rated nurses' communication highly were significantly more satisfied and more likely to say they would recommend the hospital.
Evidence from this study suggests that it would be worthwhile for hospital leaders to consider organizational policies and practices consistent with the criteria put forth for Magnet hospital designation.
磁石医院是美国护理资格认证中心赋予那些符合特定标准、表明其拥有“磁性工作环境”的医院的官方称号。磁石称号的目的是鼓励医院以吸引和留住高素质护士的方式来设计工作,从而提高患者护理质量。实证研究表明,获得磁石称号的医院的护士似乎更满意,更投入于他们的工作环境。尽管关于患者是否更满意在这些医院接受的护理的研究仍处于起步阶段,但初步研究表明,在磁石指定医院接受护理的患者报告了更积极的护理体验。
本研究使用大型二次调查数据集,探讨了磁石医院和非磁石医院之间住院患者感知的差异程度。
有序逻辑回归和多项逻辑回归分析用于检验磁石医院状态和护士沟通积极程度与整体医院评分以及患者愿意推荐医院之间的关系。
结果表明,在磁石医院接受治疗的患者和对护士沟通评价较高的患者,对医院的满意度明显更高,更有可能表示愿意推荐该医院。
本研究的证据表明,医院领导值得考虑与磁石医院称号标准一致的组织政策和实践。