Exploring the Magnet hospital work environment : an integrative literature review
Adhikari, Usha; Thakali, Mamata (2019)
Adhikari, Usha
Thakali, Mamata
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2019120925480
https://urn.fi/URN:NBN:fi:amk-2019120925480
Tiivistelmä
Work environment has a major impact on nurses’ and patients’ outcomes. High nurse turnover, burnout, job dissatisfaction, increased emotional exhaustion, and clinical errors are the burning healthcare issues associated with poor nurse work environment in the contemporary era. Magnet hospital has been renowned for better patient and nurse outcomes because of their positive nurse work environment attributes.
The aim of this integrative literature review (ILR) was to provide evidence on the role of the Magnet hospital work environment attributes on nurses’ and patients’ outcomes. Additionally, this ILR aimed at providing knowledge and framework on how these attributes can be implemented in any other healthcare settings. The ILR was made as a cooperation work between Laurea UAS and Helsinki University Hospital (HUS). It provided an evidence-based theoretical background on the Magnet hospital work environment for the nurses of HUS and assists in the Magnet application process and in flourishing the Magnet culture in their work environment. HUS is the first hospital organization in Finland that is applying for Magnet designation.
Data search was carried out on five databases. After the data reduction process, twenty-four references were selected for final inclusion. The selected references were four qualitative studies, fifteen observational studies, two systematic reviews, two mixed-method studies, and one integrative review. Using various assessment tools, the references were appraised for quality assessment. Data from the primary studies were extracted and synthesized.
The results provided evidences that Magnet hospitals have better professional practice environment, nurse and patient outcomes. The results showed that it is the combination of Magnet special structures; shared governance, transformational leadership, nursing leadership, structural empowerment and the eight attributes of EOM that contribute to improvement in nurse work environment, better nurse outcomes, enhance patient safety and overall organizational efficiency. The results also highlight the role of nurse manager in empowering nurses. Nurse managers in Magnet hospital are highly empowered which enable them to support and empower nurses optimally. The literatures also showed some contradictory findings in relation to Magnet hospital outcomes. Some of the studies demonstrated that the outcomes are similar or no better than non-Magnet hospitals. Likewise, some studies were found to be unclear on proving whether better outcomes were due to other factors than the Magnet designations.
Nurse work environment attributes have a high impact on nurses, patients and organizational outcomes. Therefore, it is recommended for healthcare leaders to improve nurse work environment. The ILR provides knowledge for healthcare organizations who are applying for Magnet designation. The review brought forefront the fact that the work environment attributes of Magnet hospital can be procreated in other health settings independent of the Magnet designation through Magnet hospital’s special features and structural empowerment.
The aim of this integrative literature review (ILR) was to provide evidence on the role of the Magnet hospital work environment attributes on nurses’ and patients’ outcomes. Additionally, this ILR aimed at providing knowledge and framework on how these attributes can be implemented in any other healthcare settings. The ILR was made as a cooperation work between Laurea UAS and Helsinki University Hospital (HUS). It provided an evidence-based theoretical background on the Magnet hospital work environment for the nurses of HUS and assists in the Magnet application process and in flourishing the Magnet culture in their work environment. HUS is the first hospital organization in Finland that is applying for Magnet designation.
Data search was carried out on five databases. After the data reduction process, twenty-four references were selected for final inclusion. The selected references were four qualitative studies, fifteen observational studies, two systematic reviews, two mixed-method studies, and one integrative review. Using various assessment tools, the references were appraised for quality assessment. Data from the primary studies were extracted and synthesized.
The results provided evidences that Magnet hospitals have better professional practice environment, nurse and patient outcomes. The results showed that it is the combination of Magnet special structures; shared governance, transformational leadership, nursing leadership, structural empowerment and the eight attributes of EOM that contribute to improvement in nurse work environment, better nurse outcomes, enhance patient safety and overall organizational efficiency. The results also highlight the role of nurse manager in empowering nurses. Nurse managers in Magnet hospital are highly empowered which enable them to support and empower nurses optimally. The literatures also showed some contradictory findings in relation to Magnet hospital outcomes. Some of the studies demonstrated that the outcomes are similar or no better than non-Magnet hospitals. Likewise, some studies were found to be unclear on proving whether better outcomes were due to other factors than the Magnet designations.
Nurse work environment attributes have a high impact on nurses, patients and organizational outcomes. Therefore, it is recommended for healthcare leaders to improve nurse work environment. The ILR provides knowledge for healthcare organizations who are applying for Magnet designation. The review brought forefront the fact that the work environment attributes of Magnet hospital can be procreated in other health settings independent of the Magnet designation through Magnet hospital’s special features and structural empowerment.