Chapter 46. Magnet Environments for Professional Nursing Practice

18
Evidence Table 3. Studies of Magnet Characteristics
Source
Laschinger,
Shamian, and
Thomson
2001 40
Thomas-
Hawkins,
Denno, Currier
2003 37
Environment
Issue/Attribute Related
to Clinical Practice
Magnet characteristics—
NWI-R subscales:
• nurse autonomy
• nurse control over practice
setting
• nurses’ relations with
physicians
Other measures:
• trust and confidence in
management —
Interpersonal Trust at Work
Scale
• burnout—The Human
Services Survey, 3
components (emotional
exhaustion,
depersonalization,
decreased personal
accomplishments)
Magnet characteristics –
PES/NWI subscales (some
items adapted to reflect setting):
• nurse participation in
hospital affairs
• nursing foundations for
quality of care
• nurse manager ability,
leadership, and support of
nurses
• staffing and resource
adequacy
• collegial nurse-physician
relations
Design
Type
Crosssectional
studies
Crosssectional
studies
Study Design
& Study Outcome
Measure(s)
Cross-sectional survey
Outcomes:
• job satisfaction
• perceived quality of
care
• perceived quality of
unit
Cross-sectional survey
Outcome:
intentions to leave job
in next year (1 item)
Study Setting
& Study Population
Ontario, Canada
Survey n = 3,016 staff
nurses from medical-surgical
settings (subsample from a
stratified random sample) in
135 hospitals
United States
1,000 staff nurses working in
freestanding hemodialysis
facilities (random sample
from American Nephrology
Nurses’ Association
members)
Key Finding(s)
Model testing with these
variables explained 39–40% of
the variance with either job
satisfaction or nurse-assessed
quality as the outcome.
Magnet characteristics
influenced job satisfaction and
perceptions of care quality with
trust in management and
emotional exhaustion as
important mediators.
Higher levels of magnet
characteristics were associated
with higher levels of trust in
management and lower levels of
burnout.
Nurses who intended to leave
their jobs reported significantly
lower levels of magnet
characteristics represented by all
of the PES/NWI subscales
except for collegial relations
between nurses and physicians.
Patient Safety and Quality: An Evidence-Based Handbook for Nurses