Chapter II

Adrylyn G. Canlas, EMT, RN

1. Identify the historical
evolution and •
significance of the
Magnet of hospital. •
2. Differentiate and
supports the forces of •
magnetism
3. Describe the Magnet •
Nursing Service Program
its impact on nursing •

Adrylyn G. Canlas, EMT, RN

 What does Magnet recognition mean?
•For patients
Magnet hospitals offer the best care,

Magnet Hospitals delivered by nurses who are supported

to be the best that they can be.

•For nurses
A Magnet hospital is a healthcare facility that has been
recognized for its high-quality nursing care and patient Magnet hospitals offer professional
outcomes. The American Nurses Credentialing Center (ANCC) development opportunities, including
awards this designation. education and development through every
career stage. This leads to greater autonomy
at the bedside and job satisfaction.

Adrylyn G. Canlas, EMT, RN

 •Origin:
Evolution and •Research in the early 1980s identified hospitals with high nurse retention rates,
which were found to have common characteristics that "attracted" nurses, hence

significance of the the term "Magnet effect.".

•ANA Adoption:

Magnet of hospital •The American Nurses Association (ANA) recognized the value of this concept and
established the "Magnet Hospital Recognition Program" in 1990 to formally
designate hospitals meeting these standards.
A "Magnet hospital" evolved from a concept in the
early 1980s where researchers identified hospitals •First Magnet Designation:
that were exceptionally successful at attracting and •The University of Washington Medical Center in Seattle became the first hospital
retaining nurses during a national nursing shortage, to receive Magnet recognition in 1994.
attributing this ability to specific characteristics within
•Program Development:
their organizational culture and work environment,
which were then labeled as "magnetic forces"; the •The Magnet program continued to evolve, adding more detailed criteria and
American Nurses Association (ANA) later formalized expanding to include long-term care facilities and eventually international
healthcare organizations.
this concept into the "Magnet Recognition Program"
to designate hospitals that consistently demonstrate •Focus on Nursing Practice:
excellence in nursing practice based on these
identified characteristics, allowing them to be •The Magnet model emphasizes a culture that empowers nurses, supports
professional development, and prioritizes patient-centered care, leading to
recognized as "Magnet hospitals.". improved nurse satisfaction and patient outcomes.

Adrylyn G. Canlas, EMT, RN

 Goals of Key aspects of a Magnet Hospital's goals include:
•Transformational Leadership:Strong leadership that empowers nurses,

Management/
encourages innovation, and actively supports their professional growth.

•Structural Empowerment:Providing nurses with autonomy, clinical decision-

making authority, and opportunities for professional development.

Recognition •Exemplary Professional Practice:Promoting high standards of nursing care based

on evidence-based practice and continuous quality improvement.

Program •New Knowledge, Innovations, and Improvements:Encouraging research and

integrating new knowledge into practice to advance the nursing profession.

•Positive Work Environment:Fostering a culture of collaboration, respect, and

open communication among all healthcare team members.
The primary goal of a Magnet Hospital •Patient-Centered Care:Prioritizing patient needs and satisfaction as the primary
Management/Recognition Program is to identify and promote focus of nursing practice.
excellence in nursing practice by creating a positive work
environment that empowers nurses, fosters a collaborative
culture, and ultimately leads to improved patient care and
outcomes, all while attracting and retaining top nursing talent
through professional development and recognition of their
contributions; this is achieved through the American Nurses
Credentialing Center (ANCC) Magnet Recognition Program.

Adrylyn G. Canlas, EMT, RN

 Goals of
Management/
Benefits of Magnet Recognition:

•Improved Nurse Retention: Higher job satisfaction and

Recognition
career development opportunities for nurses, leading to
reduced turnover.

•Enhanced Patient Outcomes: Higher quality care, improved

Program patient satisfaction, and potentially lower mortality rates.

•Reputation Enhancement:Recognized as a leader in nursing

excellence, attracting top nursing talent.

•Professional Development:Opportunities for nurses to

MISSION: The Magnet Recognition Program will continually participate in research, education, and leadership roles.
elevate patient care around the world in an environment
where nurses, in collaboration with the interprofessional team
flourish by setting the standard for excellence through
leadership, scientific discovery and dissemination and
implementation of new knowledge.

Adrylyn G. Canlas, EMT, RN

 • Forces of Magnetism
• In a "Magnet Hospital," the "Forces of Magnetism" refer to a
set of 14 characteristics that define a high-quality nursing
work environment, including aspects like strong leadership,
empowered nurses, professional models of care, autonomy,
interdisciplinary collaboration, and a focus on continuous
learning and improvement, all contributing to better patient
outcomes and high nurse satisfaction; essentially, the key
elements that attract and retain excellent nurses to a hospital.

•Five Core Components:

• The 14 Forces of Magnetism are categorized into five key components:
Transformational Leadership, Structural Empowerment, Exemplary
Professional Practice, New Knowledge, Innovations & Improvements, and
Empirical Outcomes.

Source: The American Nurses Credentialing Center (ANCC) Adrylyn G. Canlas, EMT, RN
• Forces of Magnetism
Key components of the Magnet model:

•Transformational Leadership:
Strong leadership that fosters a positive work environment and empowers nurses.
•Structural Empowerment:
Providing nurses with autonomy and decision-making abilities in their practice
•Exemplary Professional Practice:
High standards of nursing care based on evidence-based practices
•New Knowledge, Innovations, and Improvements:
Continuous quality improvement and research initiatives to advance nursing practice
•Empirical Outcomes:

Measurable data demonstrating positive patient outcomes linked to the Magnet nursing
environment

Source: The American Nurses Credentialing Center (ANCC) Adrylyn G. Canlas, EMT, RN
 Steps in the Magnet appraisal process

1.Application: Organizations must apply for Magnet recognition.

2.Documentation: Organizations must submit written documentation that

demonstrates evidence of patient care and outcomes.

3.Site visit: An on-site visit is conducted to evaluate the organization's

processes and structure.

Magnet Appraisal 4.Appraisal report review: The completed appraisal report is reviewed.

Process 5.Vote: A vote is held to determine if the organization will be granted Magnet
recognition.

The Magnet appraisal process is a Additional considerations

rigorous process that healthcare
•Organizations must collect nurse-sensitive quality indicators at the unit
organizations must go through to level.
achieve Magnet recognition. The
process includes application, •They must benchmark that data against a database at the highest possible
level.
documentation, a site visit, and a
decision. •Organizations must contribute their own data to a national database.

•The number of appraisers and the length of the site visit vary by
organization.

Adrylyn G. Canlas, EMT, RN

Magnet Nursing Service Key points about the Pathway to Excellence:
•Focus on nurse work environment:

Recognition Program: Unlike other nursing recognitions like Magnet, Pathway primarily assesses
the organizational structures and practices that support nurse

Pathway to Excellence empowerment, engagement, and professional development, rather than

solely focusing on clinical outcomes.

Recognition Program •Benefits for nurses:

A Pathway to Excellence designation indicates a hospital actively works to

address nurse burnout, promote collaboration, and provide opportunities
for professional growth, leading to better job satisfaction and retention
rates.
The "Pathway to Excellence Recognition Program" is a
designation awarded by the American Nurses Credentialing •Application process:
Center (ANCC) to healthcare organizations that demonstrate a
To achieve Pathway to Excellence recognition, healthcare organizations
commitment to creating a healthy and supportive work must undergo a rigorous evaluation process, including self-assessment,
environment for nurses, signifying high levels of nursing job data collection, and site visits by ANCC experts.
satisfaction and quality patient care within the
organization; essentially, it recognizes hospitals that prioritize
positive nurse working conditions as a key factor in patient
well-being.

Adrylyn G. Canlas, EMT, RN

Pathway to Excellence Recognition Program
General Information
The project must align with the Pathway to Excellence® Practice Standards and enhance the quality of care within the designated organization.
The winning organization is required to send their CEO, CNO, and project lead to the ANCC Pathway to Excellence and ANCC National Magnet
Conference® in Atlanta, Georgia, on October 8, 2025, to accept the award. The award includes a trophy and recognition on the ANCC website,
press releases, and other platforms. The winning organization must complete its project within a year and present the outcomes the following
year.

Eligibility Requirement
•The award is exclusively for Pathway to Excellence-designated organizations.
•The organization must maintain its Pathway designation and good standing through December 2026.
•Only one application per organization is allowed.

Criteria
The project must:
•Demonstrate innovative thinking.
•Advance the Pathway to Excellence Practice Standards.
•Improve the practice environment.
•Have a community or global impact.
•Be replicable by other organizations.
•Include a detailed allocation of the award money.

Application Process
Applications must be submitted online and should not exceed 3,000 words. The application must include:
•A 200-word project abstract.
•A 300-word project description.
•A 2,500-word project proposal addressing the criteria.
Applications will be reviewed by a peer-review panel.
How to achieve Magnet designation:

•Application process:
•Hospitals must submit a comprehensive application detailing
their nursing practices and work environment, which is then
reviewed by the ANCC.
•Site visit:
•If the application is accepted, a team from the ANCC conducts
an on-site evaluation to observe nursing practices and
interview staff.
•Continuous improvement:

•Maintaining Magnet status requires ongoing commitment to

maintaining high standards of nursing practice and regularly
evaluating and improving the work environment.
Impact on nursing:
•Higher nurse retention:
Studies show that Magnet hospitals experience significantly lower nurse turnover
rates due to improved job satisfaction and a positive work environment.
•Enhanced professional image:
Nurses working in Magnet hospitals often report a greater sense of pride in their
profession and increased recognition for their contributions.
•Improved patient outcomes:
Research indicates a correlation between Magnet status and positive patient
outcomes, such as reduced complications and higher patient satisfaction.
•Elevating nursing standards:

The Magnet program sets a high benchmark for nursing practice, encouraging other
healthcare organizations to strive for excellence in nursing care.
The Benefits of Working at a Magnet Hospital
For nurses, the benefits of working at a Magnet hospital extend far beyond
professional satisfaction. Magnet hospitals prioritize the growth and development of
their nursing staff, providing opportunities for career advancement, specialization,
and leadership roles. Nurses at Magnet hospitals have access to a wealth of
educational resources, including tuition reimbursement, certification programs, and
ongoing training opportunities. Exposure to cutting-edge practices, advanced
technology, and interdisciplinary collaboration enables nurses to refine their clinical
skills and expand their scope of practice. Magnet hospitals attract a diverse and
talented workforce, providing opportunities for networking, mentorship, and
collaboration with industry leaders and experts.

Step Forward With Expert Support

Working at a Magnet hospital offers unparalleled opportunities for growth,
fulfillment, and success for nurses seeking to advance their careers, make a
meaningful impact, and be part of a dynamic healthcare community.
 Thank you
©American Nurses Association, ©American Nurses
Credentialing Center, ©American Nurses Foundation.

Sources: American Nurses Association