title: Understanding the Role of the Professional Practice Environment on Quality of Care in Magnet® and Non-Magnet Hospitals.
abstract: OBJECTIVE
  The aim of this study was to explore the relationship between Magnet RecognitionA and nurse-reported quality of care.
  
  
  BACKGROUND
  MagnetA hospitals are recognized for nursing excellence and quality patient outcomes; however, few studies have explored contributing factors for these superior outcomes.
  
  
  METHODS
  This was a secondary analysis of linked nurse survey data, hospital administrative data, and a listing of American Nurses Credentialing Center Magnet hospitals. Multivariate regressions were modeled before and after propensity score matching to assess the relationship between Magnet status and quality of care. A mediation model assessed the indirect effect of the professional practice environment on quality of care.
  
  
  RESULTS
  Nurse-reported quality of care was significantly associated with Magnet Recognition after matching. The professional practice environment mediates the relationship between Magnet status and quality of care.
  
  
  CONCLUSIONS
  A prominent feature of Magnet hospitals, a professional practice environment that is supportive of nursing, plays a role in explaining why Magnet hospitals have better nurse-reported quality of care.
authors.forename: Amy Witkoski
authors.initials: AW
authors.lastname: Stimpfel
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Rosen
authors.forename: Matthew D
authors.initials: MD
authors.lastname: McHugh
mesh_terms: D000573:American Hospital Association; D001291:Attitude of Health Personnel; D003627:Data Interpretation, Statistical; D019538:Health Care Surveys; D006742:Hospital Bed Capacity; D006761:Hospitals / Q000145:classification / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D007857:Leadership; D015999:Multivariate Analysis; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology / Q000592:standards*; D015279:Organizational Culture; D010557:Personnel Administration, Hospital / Q000379:methods / Q000592:standards*; D011209:Power, Psychological; D011364:Professional Practice; D011787:Quality of Health Care / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012931:Social Environment; D014481:United States