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The Rules of Attraction
Hospitals that refine their culture and policies can capture the coveted magnet status, turning their workplaces into RN havens and drawing more staff their way

 
 
The Rules of Attraction
The 14 forces of Magnetism
   
The 'A' list
Process and costs

At 9:30 p.m. May 30, 2000—the night of her birthday—Donna Poduska, MS, RN, received a call from her boss at Poudre Valley Hospital in Fort Collins, Colo. Margo Karsten, MSN, RN, chief nursing officer, told Poduska she had just heard from the national Magnet Recognition Program for Excellence in Nursing Services: Poudre Valley would become the 18th health care organization in the country to receive a Magnet designation.

Unable to sleep, Poduska and Karsten dashed to the hospital, picking up vanilla ice cream and root beer on the way. They announced the award amid cheers and handed out root beer floats. Larger and more formal celebrations would follow, but Poduska vividly recalls the exhilaration of that night, when nurses, physicians, support staff and even patients celebrated Poudre Valley’s admission to a select group of hospitals recognized for their commitment to nursing.

For Poduska, director of resource services for Poudre Valley, the award was a crowning achievement in her career, coming after an 18-month application process that included extensive documentation and a site appraisal. “It was the best birthday present I think I’ve ever got,” she said.

Since 1994, the Magnet Recognition Program, run by the American Nurses Credentialing Center, has recognized health care organizations “that provide the very best in nursing care and uphold the tradition within nursing that supports professional practice,” according to the center.

In Magnet hospitals, nurses participate in decision-making. Nurses are considered peers with physicians. Nurses have time to spend educating and caring for their patients. Nurses are encouraged to think.

“You have from the very top of the hierarchy identified nursing as a valued priority for that hospital,” said Julie Sochalski, Ph.D., RN, FAAN, associate professor at the University of Pennsylvania School of Nursing, research faculty member at the Center for Health Outcomes and Policy Research, and co-investigator on a number of studies on improved patient outcomes in Magnet hospitals. “You establish a culture that says nursing is a real asset.”

As a result, nurses, physicians, administrators and a growing number of patients consider Magnet hospitals the cream of the crop for patient care and for nursing as a profession. As of mid-September, more than 50 health care organizations have received Magnet designation, and more are in the process of applying.

Until the advent of the nursing shortage, a Magnet award usually meant a boost to staff morale and well-deserved accolades for hospitals that provided a professional environment for nurses. But in the last few years, as the program has become better known and the nursing shortage has worsened, hospitals have started to view the award as a potential marketing and recruitment tool.

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