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What are the Magnet core principles?


There are 14 core characteristics that must be met for a hospital to achieve Magnet status: 

  1. Quality of nursing leadership: Knowledgeable, strong nurse leaders are tireless advocates for nursing as well as for patients. Nurse leaders seek input from nurses at every level in the organization, and are committed to providing the highest level of support to nurses. 
  2. Organizational structure: Nursing departments are decentralized with a unit-based “managing up” approach to decision-making. There is strong nurse representation in key committees throughout the organization. A Chief Nursing Officer reports directly to the Chief Executive Officer, and is an integral part of the upper management team.
  3. Management Style: Management involves nurses at all levels of the organization in decision-making. Nurse leaders encourage feedback, and effectively communicate with staff.
  4. Personnel policies and programs: Nurses at every level take part in creating personnel policies and programs. Salary and benefit packages are competitive, and creative and flexible staffing, work/life balance, and career development are emphasized.
  5. Professional models of care: Nurses take on the responsibility, authority, and accountability for patient clinical care and outcomes.
  6. Quality of care: Nurses believe they are providing the highest quality patient care, and that nurse leaders and the organization will settle for nothing less than the very best patient outcomes.
  7. Quality improvement: Nurses at every level in the organization take an active role in quality improvement and hardwiring excellene. Outcomes are measured against external benchmarks appropriate to the individual clinical setting(s). Nurse leaders receive ongoing education on new research and industry best practices, and they integrate that information into the hospital’s clinical and operational processes.
  8. Consultation and resources: Knowledgeable experts--particularly advanced practice nurses--are made available on a regular basis. Nurses are encouraged to become involved in professional organizations and to network with other nurses in the community.
  9. Autonomy: Nurses are allowed, encouraged, and expected to work autonomously as members of the interdisciplinary team.
  10. Community and the hospital: The hospital establishes relationships and partnerships with other health care organizations in the community. The goal of these relationships is to improve patient outcomes and the overall health of the community.
  11. Nurses as teachers: Nurses take part in hospital-and-community-sponsored educational activities. Nurses include teaching in all aspects of their practices, and in their interactions with other nurses, interns, students, patients and patient families.
  12. Image of nursing: Other members of the healthcare team view nurses as an essential and integral part to the organization’s ability to provide care. As such, nurses influence system-wide processes.
  13. Interdisciplinary relationships: All members of the interdisciplinary team treat each other with mutual respect and have positive relationships. It is accepted that all members of the healthcare team make essential and meaningful contributions in achieving positive clinical outcomes.
  14. Professional development: The healthcare organization values lifelong learning of employees. On boarding training, orientation, in-service education, continuing education, formal education, and career development are especially emphasized. Adequate human and fiscal resources for all professional development programs are provided.