2.50
Hdl Handle:
http://hdl.handle.net/10755/347069
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Literature Review
Research Approach:
Translational Research/Evidence-based Practice
Title:
Lifting Off With Magnetism: Advancing Air Force Nursing Excellence
Author(s):
Zabokrtsky, Deedra L.
Advisors:
Forsythe, Lydia L.; Suttle, Catherine M.; Eaves, Richard A.
Degree:
DNP
Degree Year:
2015
Grantor:
Capella University
Abstract:

The aims of this evidence based project were to transform a global organization’s practice culture and advance nursing excellence by infusing Magnet characteristics into healthcare settings.   A call to action by the Air Force Medical Service senior nursing officer signaled a new strategic focus and triggered a review of evidence specific to Magnet culture, nursing excellence, and patient outcomes.  The American Nurses Credentialing Center (ANCC) Magnet credential is synonymous with nursing excellence and quality patient care.  Magnet-designated facilities embody a culture that supports nurses.  A robust body of literature links Magnet hospitals to increased patient and staff satisfaction, positive clinical outcomes for patients, and higher ratings on nurse-sensitive indicators than non-Magnet hospitals.   An appreciative inquiry-infused organizational change strategy was selected for this project.  At the heart of transformational change is an individual’s reaction to change; thus, stakeholder engagement and consensus building factored into the selection of interventions.  The merits of Magnetism and a proposed practice model for Air Force nurses were presented to stakeholder focus groups during interactive sessions.  Targeted stakeholder groups were defined as direct care nurses (n = 11), service-line consultants (n = 11), and senior nurse executives (n = 21).   Data were collected using a scholar-developed questionnaire that included scaled response and free-text fields.  This project was deemed research exempt and non human research by an academic IRB.  The intervention was designed to elicit consensus for change rather than to perform statistical analysis.  Direct care and service-line consultant stakeholders supported Magnetism as the desired paradigm for nursing excellence.  However, the proposed practice model did not garner consensus.  Service-line consultants rejected the model prototype, but endorsed the project for executive level consideration and continued study.  Consistent with elements of Magnetism and appreciation, a collaborative effort involving Air Force nurses at all levels of the organization produced benchmarks for transformation.  Most significant was the insertion of Magnet principles into the Air Force Total Nursing Force strategic plan. 

Citation:
Zabokrtsky, D.L. (2015, March). Lifting off with magnetism: Advancing Air Force nursing excellence (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/347069
Keywords:
military nursing; military nursing organization and administration; Magnet; practice model
MeSH:
Military Nursing; Nurse's Practice Patterns
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2015-03-24T17:31:50Z
Date of Publication:
2015-03-24

Full metadata record

DC FieldValue Language
dc.contributor.advisorForsythe, Lydia L.-
dc.contributor.advisorSuttle, Catherine M.-
dc.contributor.advisorEaves, Richard A.-
dc.contributor.authorZabokrtsky, Deedra L.-
dc.date.accessioned2015-03-24T17:31:50Z-
dc.date.available2015-03-24T17:31:50Z-
dc.date.issued2015-03-24-
dc.identifier.citationZabokrtsky, D.L. (2015, March). Lifting off with magnetism: Advancing Air Force nursing excellence (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/347069en_US
dc.identifier.urihttp://hdl.handle.net/10755/347069-
dc.description.abstract<p>The aims of this evidence based project were to transform a global organization’s practice culture and advance nursing excellence by infusing Magnet characteristics into healthcare settings.   A call to action by the Air Force Medical Service senior nursing officer signaled a new strategic focus and triggered a review of evidence specific to Magnet culture, nursing excellence, and patient outcomes.  The American Nurses Credentialing Center (ANCC) Magnet credential is synonymous with nursing excellence and quality patient care.  Magnet-designated facilities embody a culture that supports nurses.  A robust body of literature links Magnet hospitals to increased patient and staff satisfaction, positive clinical outcomes for patients, and higher ratings on nurse-sensitive indicators than non-Magnet hospitals.   An appreciative inquiry-infused organizational change strategy was selected for this project.  At the heart of transformational change is an individual’s reaction to change; thus, stakeholder engagement and consensus building factored into the selection of interventions.  The merits of Magnetism and a proposed practice model for Air Force nurses were presented to stakeholder focus groups during interactive sessions.  Targeted stakeholder groups were defined as direct care nurses (<em>n</em> = 11), service-line consultants (<em>n</em> = 11), and senior nurse executives (<em>n</em> = 21).   Data were collected using a scholar-developed questionnaire that included scaled response and free-text fields.  This project was deemed research exempt and non human research by an academic IRB.  The intervention was designed to elicit consensus for change rather than to perform statistical analysis.  Direct care and service-line consultant stakeholders supported Magnetism as the desired paradigm for nursing excellence.  However, the proposed practice model did not garner consensus.  Service-line consultants rejected the model prototype, but endorsed the project for executive level consideration and continued study.  Consistent with elements of Magnetism and appreciation, a collaborative effort involving Air Force nurses at all levels of the organization produced benchmarks for transformation.  Most significant was the insertion of Magnet principles into the Air Force Total Nursing Force strategic plan. </p>en_GB
dc.language.isoen_USen
dc.subjectmilitary nursingen_GB
dc.subjectmilitary nursing organization and administrationen_GB
dc.subjectMagneten_GB
dc.subjectpractice modelen_GB
dc.subject.meshMilitary Nursingen_US
dc.subject.meshNurse's Practice Patternsen_US
dc.titleLifting Off With Magnetism: Advancing Air Force Nursing Excellenceen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen_GB
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.year2015en
dc.type.categoryFull-texten_GB
dc.evidence.levelLiterature Reviewen
dc.research.approachTranslational Research/Evidence-based Practiceen
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