Regional Transformation: An Integrated System's Approach to Magnet Designation Utilizing High-Reliability Organization Implementation Strategies.
J Nurs Care Qual
; 39(4): 345-353, 2024.
Article
en En
| MEDLINE
| ID: mdl-38739892
ABSTRACT
BACKGROUND:
Synergistic opportunity exists between Magnet-aspiring environments and High Reliability Organization (HRO) cultures to elevate safety, quality, new knowledge, continuous improvement, hierarchical flattening, and frontline empowerment. LOCALPROBLEM:
Variation existed across a region's 15 hospitals regarding Magnet-readiness, leadership engagement, journey strategies, and resource capacity.METHODS:
Quality improvement (QI) methodology and a hybrid-hub-spoke-model (HHSM) were used to support region-wide Magnet designation, improve patient outcomes, and advance nursing research.INTERVENTIONS:
HRO strategies were used region-wide to strengthen implementation and enculturation of Magnet excellence infrastructure.RESULTS:
Nine facilities achieved Magnet recognition. Magnet sites demonstrated significantly lower falls with injury ( P = .012), lower health care-associated infections and hospital-acquired pressure injuries than non-Magnet sites. Nursing research studies increased 223%.CONCLUSIONS:
Utilizing a HHSM and HRO strategies represent effective methods for supporting region-wide Magnet designation and continuous QI.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cultura Organizacional
/
Mejoramiento de la Calidad
Límite:
Humans
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Estados Unidos