How Magnet Hospitals are destroying Nursing - page 3

1. 80 to 20 ratio of BSN to ADN a. Approximately 40% of RN's are BSN, therefore, not enough domestic BSN's available. b. BSN's are being imported from foreign nursing mills. c. Foreign... Read More

  1. by   dzadzey
    Just from my own experience, I have yet to see any tangible benefit to nurses derived from our Magnet certification. Shared governance is viewed as little more tha sop thrown to employees by the administraiton to secure Magnet status while administration continues peremptorily hand down decrees on staffing ratios, sick-days, floats, pay, and benefits with no input from staff. Critical care beds get filled with "overflow" from telemetry and gen med...we are forced to flex up, sometimes with disastrous consequences. But hey...gotta pay the CEO's 7 figure salary...and we're a non-profit. Until ANCC, The Joint Commission and other regulatory bodies who claim to be advancing the profession of nursimg, actually do so nothing's going ot change.
  2. by   Gafortin
    Magnet hospitals are based on data that on the surface seems to validate the patient mortality rate is improved when a hospital increase the ration of BSNto at least 80 percent of the nursing workforce (Aiken, L et. al.). The effects of this data is less convincing when you look at the market this is applied too, as (Aiken, L, et. al) further writes“While the positive effect of increasing percentages of BSN nurses is consistent across all hospitals, lowering the patient-to-nurse ratios markedly improves patient outcomes in hospitals with good work environments, slightly improves them in hospitals with average environments, and has no effect in hospitals with poor environments.”

    What this tells us basically, is experiences may vary, and that the theory of Magnet hospitals could easily produce the same results by improving the patient to RN ratio and improving working conditions.
    The seperation from what we see is BSNs typically move into superviosry roles as they gain experience and the Assoiciate RNs remain on the floor. (where I am ) (40 credits until my BSN). Some of us do not care to be in supervisory roles and prefer to remain on the floor with patients. If we all suddenly have to hold BSNs then the delineating factor is anyone who wants to hold a supervisory role will require a Masters! Seriously!
    It is this old chesnut again, since the 1965 they have been pushing for this BSN minimum requirement, all for the Professional Status!
    Nurse accreditation authorizes need to realize that even as an associate degreed RN we are professionals. Nurses have specialized educationand training validated by "professional licensure" in each state. We have a code of ethics and established practice standards we are bound to adhereto, a violation of which can result in our license being revoked or sanctioned.We have our own body of ongoing research that shapes and governs our practice. Nurses work autonomously within our scope of practice. We formulate and carry out our own plan of care for clients (when applicable); we apply judgment, use critical thinking skills, and make nursing diagnoses ergo we are professionals.Seemingly the motivations of accreditation authorities are to elevate nurses as a whole to the level of physicians. There are so many reasons that this is a bad idea, let me recap a few, student cost, faculty shortage, and cost to the consumer. I will ask another rhetorical question, if all RNs hold BSNs do you believe that they would then require more pay? Yes!
    Who is going to pay forthese higher wages? The consumer, this can mean higher insurance rates for everyone to cover this bill. The adverous never ends~

    Aiken, L., & cimiotti, J. (2011). effects of nurse staffing and nurse education on patient deaths inhospitals with different nurse work environments. . (2 ed., Vol. 43, pp.1047-1053). Nation Institute or Nursing. Retrieved from;jsessionid=t7t9AQPQ8EwpbbMMWOij.6
    original study done in 2003
    Last edit by Gafortin on May 20, '13
  3. by   trinitymaster
    The Hospitals in my area that aspired to Magnet Status were not successful. Now the push is toward "Team Nursing". Basically, RNs are replaced by LPNS so that you have an RN, LPN, and CNA for a certain number of patients. The RNs do all assessments and wound care, LPNs pass the meds, and CNAs assist with the menial tasks.

    RN jobs have been lost and replaced by LPNs, many of whom are new graduates from non-competitive programs. The ADN to BSN ratio could not be realized, therefore the hospitals switched their focus to saving as much money as possible. The evil of "Magnet" has been replaced by the evil of "Team-Nursing".
  4. by   Esme12
    and the cycle begins again.
  5. by   toomuchbaloney
    It is a bit like an episode of the Twilight Zone, isn't it?
  6. by   Cathy4836
    Well hear we go again!
    Back to team work!
  7. by   BeentheredonethatRN
    " Movements become business -that turn into rackets " and that is what I see with Magnet. Yes, I'm in a wealthy Magnet hospital and things are good , but they were good anyway with so much cash on hand . However, in the end , the CEO's bonus is through the roof and laying off the seasoned nurses. Plus, lower orientation for new hires/new grads that has resulted in many bad situations. Also, the more that I have read up on Magnet -the more I realize -if you pay for Magnet -it's in the bag. Go figure I'm a Magnet Champion .
  8. by   ®Nurse
    I don’t think Magnet hospitals are destroying nursing.

    I enjoy working at my Magnet hospital; nothing is perfect, however, there is much more going on that is right, than wrong.

    Only 6.7% of hospitals worldwide are Magnet-worthy. I’m certainly no expert, but I think our hospital might be one of the more successful Magnet hospitals. I don’t know how that equates in comparison to other hospitals across the country, though. It may very well be the ‘culture’ of the hospital. In my hospital, there is more of a willingness of management and HR to work through issues, and people get second chances, versus getting fired for no reason, or for actually being a patient advocate and bucking the system. That’s huge stuff to a plain old critical care unit floor nurse like myself. I normally don’t overhear management say things that would make my stomach turn. There is a shared governance structure, and issues are taken to the shared governance to be dealt with, versus in an office somewhere with management telling you what is going to be done to fix it.

    I think that there may be some Magnet hospitals with a shared governance structure that is in name only, which makes it look good on the outside, but on the inside, a very crippled system spurts out stupid decisions without any input from the staff it affects. To a Magnet surveyor, you’d have to let a lot of water out of the bathtub in order to see all the scum that has developed.

    It took me a couple of years to get over the crappy attitude I developed from the abuse at all the other hospitals I worked for prior to the one I work for now; I have worked for more than my fair share of them over my career. I approach issues with a whole different attitude now.

    My facility put their money where their mouth was when they announced the goal of all BSN staff (with a few grandfathered exceptions) by 2020. As a previous ADN RN, I was upset at first, but I will be done with my Masters in a few short months, and my facility is footing the bill (for myself and a whole bunch of other nurses as well).

    This Magnet hospital is building up nursing.

Must Read Topics