The Magnet Model
The Magnet Model provides a framework to achieve excellence in nursing
practice and serves as a road map for organizations seeking Magnet®
ANCC Magnet-recognized organizations serve as the source of knowledge and
expertise for the delivery of nursing care globally. Grounded in core
Magnet principles, they will be flexible and constantly strive for discovery
and innovation. They will lead the reformation of health care, the discipline
of nursing, and care of the patient, family, and community.
I. Transformational Leadership
Nursing leaders at all levels of a Magnet-recognized organization must
demonstrate advocacy and support on behalf of staff and patients to transform
values, beliefs, and behaviors. The CNO must be strategically positioned
within the organization to effectively influence other executive stakeholders,
including the board of directors/trustees.
Nursing’s mission, vision, values, and strategic plan must align
with the organization’s priorities to improve performance, wherever
nursing is practiced.Mechanisms must be implemented for evidence-based
practice to evolve and for innovation to flourish. As a result, nurses
throughout the organization should perceive their voices are heard, their
input is valued, and their practice is supported.
II. Structural Empowerment
Nurses throughout Magnet-recognized organizations are involved in shared
governance and decision making structures and processes to establish standards
of practice and address opportunities for improvement. Nurse leaders serve
on decision making bodies that address excellence in patient care and
the safe, efficient, and effective operation of the organization.
The flow of information and decision-making is multidirectional among professional
nurses at the bedside, leadership, interprofessional teams, and the chief
Nurses and nurse leaders develop strong partnerships with community organizations
to improve patient outcomes and advance the health of the communities
they serve. This is accomplished through the organization’s strategic
plan, structure, systems, policies, and programs.
III. Exemplary Professional Practice
Exemplary professional practice in Magnet-recognized organizations is evidenced
by effective and efficient care services, interprofessional collaboration,
and high-quality patient outcomes. Magnet nurses partner with patients,
families, support systems, and interprofessional teams to positively impact
patient care and outcomes. Interprofessional team members include but
are not limited to personnel from medicine, pharmacy, nutrition, rehabilitation,
social work, psychology, and other professions that collaborate to ensure
a comprehensive plan of care. Collegial working relationships within and
among the disciplines are valued and promoted by the organization’s
leadership and its employees.
The achievement of exemplary professional practice is grounded in a culture
of safety, quality monitoring, and quality improvement. Nurses collaborate
with other disciplines to ensure that care is comprehensive, coordinated,
and monitored for effectiveness through the quality improvement model.
Nurses at all levels analyze data and use national benchmarks to gain a
comparative perspective about their performance and the care patients
receive. Magnet organization data demonstrate outcome measures that generally
outperform the benchmark statistic of the national database used in patient
and nurse-sensitive indicators.
IV. New Knowledge, Innovations & Improvements
Magnet-recognized organizations integrate evidence-based practice and research
into clinical and operational processes. Nurses are educated about evidence-based
practice and research, enabling them to appropriately explore the safest
and best practices for their patients and practice environment and to
generate new knowledge.
Innovations in patient care, nursing, and the practice environment are
the hallmark of organizations receiving Magnet recognition. Establishing
new ways of achieving high-quality, effective, and efficient care is the
outcome of transformational leadership, empowering structures and processes,
and exemplary professional practice in nursing.
V. Empirical Outcomes
The empirical measurement of quality outcomes related to nursing leadership
and clinical practice in Magnet-recognized organizations is imperative.
Outcomes are categorized in terms of clinical outcomes related to nursing,
workforce outcomes, patient and consumer outcomes, and organizational
outcomes. These outcomes will represent the “report card”
of a Magnet-recognized organization, and a simple way of demonstrating