Magnet© Recognition
2017 Magnet Evidence
OOD 3
Included in this section are the Massachusetts General Hospital and Nursing & Patient Care Services annual reports and strategic plans.View OOD 3
OOD 4
The administrative and nursing organizational chart(s). Describe the CNO’s structural and operational relationships to all areas in which nursing is practiced.View OOD 4
OOD 5
The policies and procedures that govern/guide continuing professional development programs, such as tuition reimbursement; access to web-based education; professional nursing certification; and participation in local, regional, national, and international conferences/meetings.View OOD 5
OOD 6
The learner assessment of the continuing education needs for nurses at all levels and settings and the related education implementation plan.View OOD 6
OOD 7
An action plan that includes a target and demonstrates evidence of progress toward 80% of registered nurses obtaining a baccalaureate or graduate degree by 2020. Include an assessment of current status; an evaluation of methods and strategies to increase the educational level of the workforce; and an appraisal of established, realistic targets to meet the organization’s strategy to increase the number of nurses with a degree in nursing (baccalaureate or graduate degree).View OOD 7
OOD 8
A schematic of the professional practice model(s) and a description of the care delivery system(s) in use in the organization.View OOD 8
OOD 10
Evidence of the following documents for nurses at all levels (clinical nurses up to and including the CNO).View OOD 10
OOD 11
A description of the process by which the CNO (or his or her designee) participates in credentialing, privileging, and evaluating advanced practice registered nurses (APRNs). Include the frequency of reprivileging.View OOD 11
OOD 12
The policies and procedures that identify Mass General expectations for our employees and reflect our commitment to patients and their families.View OOD 12
OOD 13
The policies and procedures that address the organization’s workplace advocacy initiatives for staff.View OOD 13
OOD 14
The policies and procedures that permit and encourage nurses to confidentially express their concerns about their professional practice environment, without retribution.View OOD 14
OOD 15
The policies and procedures that address the identification and management of problems related to incompetent, unsafe, or unprofessional practice or conduct.View OOD 15
OOD 17
A description of the infrastructure, organizational committees, and the decision-making bodies specifically designed to oversee the quality of patient care.View OOD 17
OOD 18
The organization’s policies, procedures, charters, or bylaws (including Institutional Review Board) that protects the rights of participants in research.View OOD 18
OOD 19
The organization’s policies, procedures, charters, or bylaws designating that at least one nurse must be a voting member of the governing body responsible for the protection of human research participants, and that at least one nurse votes on nursing-related protocols.View OOD 19
OOD 20
A table of ongoing or completed nursing research studies within the past 48 months.View OOD 20
TL1EO
Provide one example, with supporting evidence, of an initiative identified in the nursing strategic plan that resulted in an improvement in the nurse practice environment.View TL1EO
TL1EOb
Provide one example, with supporting evidence, of an initiative identified in the nursing strategic plan that resulted in an improvement due to a change in clinical practice.View TL1EOb
TL2a
Provide one example, with supporting evidence, of a nurse leader’s advocacy that resulted in the allocation of resources to support an organizational goal.View TL2a
TL2b
Provide one example, with supporting evidence, of a clinical nurse’s (or clinical nurses’) advocacy that resulted in the allocation of resources to support a nursing unit goal.View TL2b
TL3EOa
Provide one example, with supporting evidence, of a CNO-influenced positive change that had organization-wide impact beyond the scope of nursing services.View TL3EOa
TL4a
Provide one example, with supporting evidence, of the CNO’s involvement in the organization’s decision-making (not involving technology).View TL4a
TL4b
Provide one example, with supporting evidence, of the CNO’s involvement in the organization’s technology decision-making.View TL4b
TL5a
Provide one example, with supporting evidence, of the strategies used by nurse leaders to successfully guide nurses through unplanned change.View TL5a
TL5b
Provide one example, with supporting evidence, of the strategies used by nurse leaders to successfully guide nurses through planned change.View TL5b
TL6a
Provide one example, with supporting evidence, of mentoring or succession planning activities for clinical nurses.View TL6a
TL6b
Provide one example, with supporting evidence, of mentoring OR succession planning activities for nurse managers.View TL6b
TL6c
Provide one example, with supporting evidence, of mentoring OR succession planning activities for nurse leaders.View TL6c
TL6a
Provide one example, with supporting evidence, of mentoring or succession planning activities for clinical nurses.View TL6a
TL6b
Provide one example, with supporting evidence, of mentoring OR succession planning activities for nurse managers.View TL6b
TL6c
Provide one example, with supporting evidence, of mentoring OR succession planning activities for nurse leaders.View TL6c
TL6d
Provide one example, with supporting evidence, of mentoring OR succession planning activities for the CNO.View TL6d
TL7
Provide one example, with supporting evidence, where a nurse leader, with clinical nurse input, used trended data to acquire necessary resources to support the care delivery system(s).View TL7
TL8a
Provide one example, with supporting evidence, of communication between the clinical nurse(s) and the CNO that led to a change in the nurse practice environment.View TL8a
TL8c
Provide one example, with supporting evidence, of communication between the clinical nurse(s) and the CNO that influenced a change in nursing practice.View TL8c
TL9EOa
Provide one example, with supporting evidence, of a change in the nurse practice environment that was influenced by the clinical nurse(s’) communication with a nurse leader.View TL9EOa
TL9EOc
Provide one example, with supporting evidence of a change in nursing practice that was influenced by the clinical nurses’ communication with a nurse leader.View TL9EOc
SE1EOa
SE1EOa: Provide one example, with supporting evidence, of improvements resulting from the contributions of clinical nurses in interprofessional decision-making groups at the organizational level.View SE1EOa
SE1EOb
Provide one example, with supporting evidence, of improvements resulting from the contributions of clinical nurses in interprofessional decision-making groups at the organizational level.View SE1EOc
SE2EOa
Provide one example, with supporting evidence, of improvements resulting from a change in nursing practice that occurred because of clinical nurse involvement in a professional organization.View SE2EOa
SE2EOb
SE2EOb: Provide one example, with supporting evidence, of improvements in nursing practice that occurred because of clinical nurse involvement in a professional organization.View SE2EOb
SE3EOa
Provide one example, with supporting evidence, illustrating that the organization has met a targeted goals for improvement in professional nursing certification.View SE3EOa
SE3EOb
Provide one example, with supporting evidence, illustrating that nursing has met a targeted goal for improvement in professional nursing certification by unit or division.View SE3EOb
SE4EOa
Provide one example, with supporting evidence, of nurses’ participation in a professional development activity that demonstrated an improvement in knowledge, skills, and/or practices for professional registered nurses.View SE4EOa
SE4EOb
Provide one example, with supporting evidence, of nurses’ participation in a professional development activity that was associated with an improvement in a patient care outcome.View SE4EOb
SE5
Provide one example, with supporting evidence, of a career development opportunity provided by the organization for non-nurse employees or members of the community interested in becoming a registered nurse. This example may include community partnership activities.View SE5
SE6
Provide one example, with supporting evidence, of an educational activity provided by the organization focused on improving nurses’ expertise in teaching a patient or family.View SE6
SE7a
Provide one example, with supporting evidence, of how the organization facilitates effective transition of new graduate nurses into the nurse practice environment. Describe how the transition process is evaluated for effectiveness.View SE7a
SE7d
Provide one example, with supporting evidence, of how the organization facilitates effective transition of advanced practice registered nurses into practice within the organization. Describe how the transition process is evaluated for effectiveness.View SE7d
SE8a
Describe the organization’s preceptor education program(s) and how each program is evaluated on an ongoing basis. Provide supporting evidence.Visit SE8a
SE9a
Provide one example, with supporting evidence of organizational support for clinical nurse involvement in community healthcare outreach.View SE9a
SE9b
Provide one example, with supporting evidence of organizational support for nurse leader involvement in community healthcare outreach.View SE9b
SE10EOa
Provide one example, with supporting evidence, of an improvement in an identified healthcare need that was associated with nurses’ partnership with the community.Visit SE10EOa
SE11a
Provide one example, with supporting evidence, of recognition of a clinical nurse for his or her contribution(s) in addressing the strategic priorities of the organization.View SE11a
SE11b
Provide one example, with supporting evidence, of recognition of a group of nurses for their contribution(s) in addressing the strategic priorities of the organization.View SE11b
EP1b
Provide a description, with supporting evidence, of the ongoing evaluation of the nursing professional practice model and how clinical nurses are involved.Visit EP1b
EP2EOa
Provide one example, with supporting evidence, of an improvement resulting from a change in clinical practice that occurred because of clinical nurses’ involvement in the implementation or evaluation of the professional practice model.View EP2EOa
EP4a
Provide a description, with supporting evidence, of nurses partnering with patients and families to develop an individualized plan of care based on the unique needs of the patient.View EP4a
EP4b
Provide a description, with supporting evidence, of nurses partnering with patients and families to improve systems of care at the unit level, service line, or organizational level.Visit EP4b
EP5a
Provide a description, with supporting evidence, of nurses’ involvement in interprofessional collaborative practice that ensures care coordination and continuity of patient care.View EP5a
EP5b
Provide a description, with supporting evidence, of nurses’ involvement in interprofessional collaborative practice that ensures care coordination and continuity of patient care.View EP5b
EP6a
Provide a description, with supporting evidence, of nurses incorporating specialty standards/guidelines into the delivery of care.Visit EP6a
EP7EOa
Provide one example, with supporting evidence, of an improvement resulting from a change in clinical practice due to the application of a professional organization’s standards of nursing practice.View EP7EOa
EP8EOa
Provide one example, with supporting evidence, of an improvement that occurred due to a change in clinical practice setting resulting from the use of internal experts.View EP8EOa
EP9a
Provide a description, with supporting evidence, when input from clinical nurses was used to modify RN staffing assignments and/or adjust the schedule to compensate for a change in patient acuity, patient population, resource or redesign of care.Visit EP9a
EP9b
Provide a description, with supporting evidence, when input from clinical nurses was used to modify RN staffing assignments and/or adjust the schedule to compensate for a change in patient acuity, patient population, resource or redesign of care.View EP9b
EP10a
Provide an example, with supporting evidence, where trended data was used during the budget process, with clinical nurse input, to assess actual-to-budget performance to redistribute existing nursing resources or to acquire additional nursing resources. Trended data must be presented.View EP10a
EP10b
Provide an example, with supporting evidence, where trended data was used during the budget process, with clinical nurse input, to assess actual-to-budget performance to redistribute existing nursing resources or to acquire additional nursing resources. Trended data must be presented.Visit EP10b
EP11EOa
Provide one example, with supporting evidence, of clinical nurses’ participation in nursing recruitment activities and the impact on vacancy rates.View EP11EOa
EP12a
Provide an example, with supporting evidence, of a nurse-led (or nurse co-led) collaborative interprofessional quality improvement activity.View EP12a
EP13EO
Provide one example, with supporting evidence, of an interprofessional patient education activity that was associated with an improved patient outcome. Supporting evidence must be submitted in the form of a graph with a data table that clearly displays the data.Visit EP13EO
EP14a
Provide two examples, with supporting evidence, of how resources are used to support evidence-based clinical decision-making in autonomous nursing practice.View EP14a
EP15a
Provide an example, with supporting evidence, of clinical nurses using periodic formal performance review that includes a self-appraisal and peer feedback process to enhance competence or professional development.View EP15a
EP15b
Provide an example, with supporting evidence, of nurse leaders using periodic formal performance review that includes a self-appraisal and peer feedback process to enhance competence or professional development.Visit EP15b
EP16a
Provide an example, with supporting evidence, clinical autonomy that demonstrates the authority and freedom of nurses to make nursing care decisions (within the full scope of their practice) in the clinical care of patients.View EP16a:
EP16b
Provide an example, with supporting evidence, of organizational autonomy that demonstrates the authority and freedom of nurses to be involved in broader unit, service line, organization, or system decision-making processes pertaining to patient care, policies and procedures, or work environment.View EP16b
EP17a
Provide one example, with supporting evidence, of nurses using available resources to address ethical issues related to clinical practice.Visit EP17a
EP18EOa
Provide one example, with supporting evidence, of improved workplace safety for nurses resulting from the safety strategy of the organization.View EP18EOa
EP18EOb
Provide one example, with supporting evidence, of improved workplace safety for nurses resulting from the safety strategy of the organization.View EP18EOb
EP19EO
Provide one example, with supporting evidence, of an improvement in patient safety that resulted from nurses’ involvement in facility- or system-wide proactive risk assessment or error management.Visit EP19EO
EP20EOa
Provide one example, with supporting evidence, of an improvement in patient safety that resulted from clinical nurses’ involvement in the evaluation of patient safety data at the unit level.View EP20EOa
EP20EOb
Provide one example, with supporting evidence, of an improvement in patient safety that resulted from clinical nurses’ involvement in the evaluation of patient safety data at the unit level.View EP20EOb
EP21EOa
Provide one example, with supporting evidence, of nurses’ involvement in activities that address national or international patient safety goals that led to an improvement in patient safety outcomes.Visit EP21EOa
NK2a
Provide one example, with supporting evidence, of how clinical nurses disseminated to internal audiences knowledge obtained through the organization’s nursing research.View NK2a
NK2b
Provide one example, with supporting evidence, of how clinical nurses disseminated to external audiences knowledge obtained through the organization’s nursing research.View Attachment NK2b
NK3a
Provide one example, with supporting evidence, of how clinical nurses used evidence-based findings to implement a practice new to the organization.Visit NK3a
NK3b
Provide one example, with supporting evidence, of how clinical nurses used evidence-based findings to revise an existing practice to improve care.View NK3b
NK4EOa
Provide one example, with supporting evidence, of an improvement that resulted from an innovation in nursing.View Attachment NK4EOa
NK4EOb
Provide one example, with supporting evidence, of an improvement that resulted from an innovation in nursing.Visit NK4EOb
NK5EOa
Provide one example, with supporting evidence, of an improvement that occurred due to a change in nursing practice resulting from clinical nurses’ involvement with design and implementation of technology.View NK5EOa
NK5EOb
Provide one example, with supporting evidence, of an improvement in the patient experience that resulted from clinical nurses’ involvement with design and implementation of technology.View Attachment NK5EOb
NK6EOa
Provide one example, with supporting evidence, of nurse involvement in the design and implementation of work flow that resulted in operational improvement, waste reduction, or clinical efficiency.Visit NK6EOa