Dissertation
Magnet Recognition Program® status: impact on HCAHPS patient satisfaction
Doctor of Nursing Practice (D.N.P.), Drexel University
2015
DOI:
https://doi.org/10.17918/etd-6569
Abstract
Excellence in healthcare is a key outcome for providers and consumers of healthcare services alike. Patient satisfaction is a firmly recognized indicator of quality and patient-centeredness of a healthcare system. Beginning in 2013, healthcare organizations have been reimbursed based on their Centers for Medicare and Medicaid Services (CMS) Value-based Purchasing score, 70% of which is based on clinical outcomes of care and 30% on patient satisfaction. Higher satisfaction scores also drive a number of increased patient quality indicators and decreased malpractice litigation. The purpose of this research was to quantitatively measure the relationship between a positive professional practice environment, in this case Magnet Recognition Program® designation, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction, top-box score for the question "Would you recommend this hospital to your friends and family?" and also to triangulate nurses' perceptions within a Magnet® status organization on actions that drive higher "willingness to recommend" scores. This study was designed to determine whether significant correlations exists between Magnet Recognition Program® designated healthcare organizations and non-Magnet® healthcare organizations in terms of the "willingness to recommend" question on the HCAHPS survey. This study is a quantitative secondary analysis of data collected and compiled from the American Nurses Credentialing Center, and the CSM HCAHPS database. A qualitative study was performed using naturalistic inquiry to gather more in-depth information to clarify the quantitative data. Analysis of the data revealed that Magnet® designated organizations have significantly (p < .05) higher scores than non-Magnet designated organizations. Qualitative results revealed nursing units that scored well on the "willingness to recommend" question demonstrated a patient-centered model of care with concrete advocacy actions on behalf of patients and families, and that positive interprofessional team relationships were the most successful in driving a higher "willingness to recommend" score within a Magnet® organization. The implications of these results for nursing organizations and overall outcomes analysis are presented.
Metrics
79 File views/ downloads
80 Record Views
Details
- Title
- Magnet Recognition Program® status
- Creators
- Donald Thomas Wenzler - DU
- Contributors
- Al Rundio (Advisor) - Drexel University (1970-)Ellen Giarelli (Advisor) - Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 90 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 6569; 991014632263104721