Identification of potential barriers to nurse-sensitive outcome demonstration.
OBJECTIVE
The objective of this study was to determine differences in chief nursing officer, Magnet(®) program director, nurse leader, and direct care RN perspectives of potential barriers to demonstration of nurse-sensitive outcomes.


BACKGROUND
The Magnet Recognition Program(®) and other designations are focusing on patient outcomes. No evidence is available addressing barriers to demonstration of nursing outcomes at multiple levels of practice.


METHODS
A Likert scale tool was developed and administered to 526 attendees at the 2012 national Magnet conference. Questions related to available resources, benchmarks, outcome demonstration process understanding, perception of value, and competing priorities.


RESULTS
Significant perception differences by role were demonstrated related to available resources, competing priorities, and process understanding supporting demonstration of nurse-sensitive outcomes. No significant differences were identified related to benchmarks or perception of process value to the organization.


CONCLUSIONS
This study provides new information demonstrating potential barriers to demonstration of nurse-sensitive outcomes differing by role. Opportunity exists to develop systems and processes to reduce perceived barriers among the nursing workforce.
Author Affiliations: Magnet Program Director and Performance Improvement Analyst (Dr Beckel), St Cloud Hospital, Minnesota; Professor and Coordinator of Nursing Administration (Dr Wolf), School of Nursing, University of Pittsburgh, Pennsylvania; Survivorship Director (Dr Wilson), St Cloud Hospital Coborn Cancer Center, Minnesota; Chief Nursing Officer and Vice President Patient Care Services (Ms Hoolahan), University of Pittsburgh, Passavant, Pennsylvania.
Jean
J
Beckel
Gail
G
Wolf
Roxanne
R
Wilson
Susan
S
Hoolahan
D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004650:Employee Performance Appraisal; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators / Q000523:psychology*; D009720:Nurse Clinicians / Q000523:psychology*; D024802:Nurse's Role / Q000523:psychology*; D009732:Nursing Care / Q000458:organization & administration*; D014481:United States