Magnet© Recognition

2022 Magnet Evidence

Evidence Grid

Mass General Magnet Workbook

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OOD 1

A description of the applicant organization.

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OOD 2

Copies of the most recent reports:Annual Reports, Quality Plans, Patient Safety Plans, Strategic Plans.

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OOD 3

Chief nursing Officer’s (CNO) job description and organizational charts.

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OOD 4

The policies and procedures that govern and guide continuing professional development programs.

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OOD 5

Continuing education assessment.

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OOD 6

Provide a description of the process by which the CNO (or designee) participates in: Credentialing, privileging, and evaluating of all advanced practice registered nurses (APRNs) and Frequency of reprivileging.

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OOD 7

Provide the policies, or equivalent evidence of, the organization’s workplace advocacy initiatives for all staff.

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OOD 8

Provide the policy or equivalent evidence, which permit and encourage nurses confidentially express concerns.

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OOD 9

MGH IRB Attestation.

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OOD 10

MGH Research Table.

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TL1

Provide one example, with supporting evidence, of an initiative in nursing practice that is consistent with the organization’s mission statement.

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TL2EO

Provide one example, with supporting evidence, of an improved patient outcome associated with a goal in the nursing strategic plan.

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TL3a

Provide one example, with supporting evidence, of a nurse leader’s advocacy that resulted in the allocation of resources to support an organizational goal.

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TL3b

Provide one example, with supporting evidence of a nurse manager’s advocacy for resources to support a unit goal.

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TL4

Provide one example, with supporting evidence, of the CNO’s leadership that led to a strategic organizational change.

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TL5EO

Provide one example, with supporting evidence, of an improved patient outcome, associated with an AVP’s/Nurse director’s or nurse manager’s membership in an organization-level, decision-making group.

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TL6a

Provide one example, with supporting evidence, of a mentoring plan or program for clinical nurse(s).

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TL6b

Provide one example, with supporting evidence, of a mentoring plan or program for nurse manager(s).

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TL6d

Provide one example, with supporting evidence, of a mentoring plan or program for Advanced Practice Registered Nurses (APRNs).

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TL7a

Provide one example, with supporting evidence, of succession-planning activities for the nurse manager role.

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TL7b

Provide one example, with supporting evidence, of succession-planning activities for the APRN role.

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TL7c

Provide one example, with supporting evidence, of succession planning activities for the AVP/Nurse Director role.

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TL8a

Provide one example, with supporting evidence, where a clinical nurse(s) utilized data to advocate for the acquisition of a resource, in support of the care delivery system(s).

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TL9EOb

Provide one example, with supporting evidence, of an improvement in patient care OR the nursing practice environment associated with communication between the clinical nurse(s) and the AVP/nurse director.

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TL9EOc

Provide one example, with supporting evidence, of an improvement in patient care OR the nurse practice environment, associated with communication between the clinical nurse(s) and a nurse manager.

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SE1EOa

Provide one example, with supporting evidence, of an improved patient outcome associated with the participation of clinical nurse(s) serving as a member(s) of an organizational level interprofessional decision-making group.

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SE1EOb

Provide one example, with supporting evidence, of an improved patient outcome associated with the participation of clinical nurse(s) serving as a member(s) of an organizational-level interprofessional decision-making group.

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SE2EOa

Provide one example, with supporting evidence, of an improved patient outcome associated with an evidence-based change in nursing practice that occurred due to a clinical nurse’s or clinical nurses’ affiliation with a professional organization.

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SE2EOb

Provide one example, with supporting evidence, of an improved patient outcome associated with the application of nursing standards of practice implemented due to a clinical nurse’s or clinical nurses’ participation in a nursing professional organization.

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SE3

Provide a description and supporting evidence of the organization’s action plan for registered nurses’ progress toward obtaining professional certification.

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SE4EOa

Provide one example, with supporting evidence, demonstrating nursing has met a targeted goal at the organizational level, for improvement in professional nursing certification.

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SE4EOb

Provide one example, with supporting evidence, demonstrating nursing has met a targeted goal for improvement in professional nursing certification by unit or division.

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SE5

Provide a description and supporting evidence of the organization’s action plan for RNs obtaining a baccalaureate or higher degree in nursing.

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SE6EO

Provide evidence of the organization progressing toward (or maintaining) ≥80% of professional registered nurses who have earned a baccalaureate or higher degree in nursing.

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SE7EO

Provide one example, with supporting evidence, of an improved patient outcome associated with knowledge gained from a nurse’s or nurses’ participation in a professional development activity.

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SE8EOa

Provide one example, with supporting evidence, of an improvement in patient outcome associated with a nursing continuing education assessment and a related implementation plan.

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SE8EOb

Provide one example, with supporting evidence, of an improvement in patient outcome associated with a nursing continuing education assessment and a related implementation plan.

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SE9a

Provide evidence of a nationally accredited transition to practice program.

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SE10a

Provide one example, with supporting evidence, of the organization’s support of a nurse who volunteer(s) in a local or regional community healthcare initiative which aligns with Healthy People 2020, Healthy People 2030 or the United Nations’ Sustainable Development Goals.

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SE10b

Provide one example with supporting evidence, of the organization’s support of a clinical nurse or clinical nurses who volunteer(s) in a population health outreach initiative, either local or global.

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SE11

Provide one example, with supporting evidence, of a nurse or group of nurses delivering culturally and socially sensitive care.

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SE12a

Provide one example, with supporting evidence, of the organization’s recognition of a clinical nurse for their contribution(s) in addressing the strategic priorities of the organization.

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SE12b

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.

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SE13

Provide one examples, with supporting evidence, of the organization’s recognition of an interprofessional group (inclusive of nursing) for their contribution(s) in influencing the clinical care of patients.

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EP1EOa

Provide an example, with supporting evidence of an improved outcome associated with an evidence-based change made by clinical nurses in alignment with the organization’s professional practice model (PPM).

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EP1EOb

Provide an example, with supporting evidence, of an improved outcome associated with an evidence-based change made by clinical nurses in alignment with the organization’s professional practice model (PPM).

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EP2EO

Nurse Satisfaction data.

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EP3

Provide one example, with supporting evidence, of nurse(s) partnering with patient(s), families, or both to influence change in the organization.

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EP4EOa

Provide one example, with supporting evidence, of an improvement in a patient outcome associated with one (internal or external) expert or multiple (internal or external) experts’ recommended change in nursing practice.

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EP5

Provide one example, with supporting evidence, of nurses’ participation in interprofessional collaborative practice to ensure coordination of care across the spectrum of healthcare services.

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EP6EO

Provide one example, with supporting evidence, of an improvement in a defined patient population outcome associated with nurse participation in an interprofessional collaborative plan of care.

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EP7EOa

Provide one example, with supporting evidence, of an improved outcome associated with an interprofessional quality improvement activity, led or co-led by a nurse (exclusive of the CNO).

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EP7EOb

Provide one example with supporting evidence, of an improved outcomes associated with an interprofessional quality improvement activity, led or co-led by a clinical nurse.

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EP8EO

Provide one example, with supporting evidence, of an improved patient outcome associated with an interprofessional education activity led or co-led by a nurse (exclusive of the CNO).

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EP9a

Provide one example, with supporting evidence, of a time when clinical nurses collaborated with an assistant vice president (AVP/nurse director) to evaluate data in order to address an identified unit-level staffing need.

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EP9b

Provide one example, with supporting evidence, of a time when nurses collaborated with an assistant vice president (AVP/Nurse director to evaluate data to meet an operational need (not workforce related).

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EP10EOa

Provide one example, with supporting evidence, of an improvement in the organization’s nurse turnover rate associated with clinical nurses’ participation in nursing retention activities.

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EP10EOb

Provide one example, with supporting evidence, of an improvement of a clinical unit’s nurse turnover rate associated with clinical nurses’ participation in nursing retention activities.

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EP11b

Provide one example, with supporting evidence, of the use of periodic formal performance review for the AVP/Nurse Director that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.

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EP11c

Provide one example, with supporting evidence, of the use of periodic formal performance review for the nurse manager that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.

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EP11e

Provide one example, with supporting evidence, of the use of periodic formal performance review for the clinical nurse that includes a self-appraisal and peer feedback process, demonstrating a plan for professional development.

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EP12

Provide one example, with supporting evidence, of clinical nurses having the authority and freedom to make nursing care decisions within the full scope of their nursing practice.

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EP13

Provide one example, with supporting evidence, of nurses applying available resources to address ethical issues related to clinical practice.

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EP14

Provide one example, with supporting evidence, of a security issue resolved with a clinical nurse’s or clinical nurses’ contributions to an interprofessional group

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EP15EO

Provide one example, with supporting evidence, of an improved workplace safety outcome for nurses, specific to violence (e.g., physical or psychological violence, threats of incivility) toward nurses in the workplace.

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EP16EO

Provide one example, with supporting evidence, of an improved patient safety outcome associated with clinical nurse involvement in the evaluation of patient safety data at the unit level.

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EP17

Provide one example, with supporting evidence, of a nurse-driven initiative based on patient feedback that was received as a result of a service recovery effort.

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EP18EOa

Inpatient Falls with Injury.

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EP18EOb

Inpatient Hospital-Acquired Pressure Ulcers (HAPU) Stages 2 and Above.

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EP18EOc

Central Line-Associated Bloodstream Infection (CLABSI).

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EP18EOd

Catheter-Associated Urinary Tract Infection (CAUTI).

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EP19EOa

Ambulatory Falls with Injury.

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EP19EOb

Ambulatory Patient Burns per 1,000 Patient Visits/Cases.

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EP20EOb

Inpatient Patient Education.

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EP20EOe

Inpatient Service Recovery.

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EP20EOf

Inpatient Courtesy & Respect.

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EP20EOi

Inpatient Careful Listening.

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EP21EOa

Ambulatory: Patient Engagement/Patient-Centered Care.

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EP21EOb

Ambulatory: Patient Education.

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EP21EOc

Ambulatory: Care Coordination.

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EP21EOi

Ambulatory: Courtesy and Respect.

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NK1

Provide a synopsis of one completed institutional review board-approved (IRB-approved nursing research study.

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NK2a

Provide one example, with supporting evidence, of how clinical nurses disseminated the organization’s completed nursing research study to internal audiences.

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NK2b

Provide one example, with supporting evidence, of how clinical nurses disseminated the organization’s completed nursing research study to external audiences.

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NK3a

Provide one example, with supporting evidence, of clinical nurses’ implementation of an evidence-based practice that is new to the organization.

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NK3b

Provide one example, with supporting evidence, of clinical nurses’ use of evidence-based practice to revise an existing practice within the organization.

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NK4

Provide one example, with supporting evidence, of how clinical nurses incorporate professional specialty standards or guidelines to implement a practice new to the organization.

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NK5

Provide one example, with supporting evidence, of an innovation within the organization involving nursing.

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NK6EOa

Provide one example, with supporting evidence, of an improved outcome in a care setting associated with a clinical nurses(s) involvement in the adoption of technology.

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NK6EOb

Provide one example, with supporting evidence, of an improved outcomes in a care setting associated with a clinical nurse(s) involvement in the adoption of technology.

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NK7EOa

Provide one example, with supporting evidence, of an improved outcome associated with nurse involvement with the design or redesign of work environment.

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NK7EOb

Provide one example, with supporting evidence, of an improved outcome associated with, clinical nurse involvement with the design or redesign of workflow in an ambulatory setting.

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