Implementation of a magnet hospital model: attracting and retaining healthcare staff in a Swedish hospital.


Journal

Journal of health organization and management
ISSN: 1758-7247
Titre abrégé: J Health Organ Manag
Pays: England
ID NLM: 101179473

Informations de publication

Date de publication:
03 Sep 2024
Historique:
medline: 23 9 2024
pubmed: 23 9 2024
entrez: 23 9 2024
Statut: epublish

Résumé

Staff shortages in the healthcare sector increase the competition for qualified staff. A magnet hospital is intended to attract, and retain healthcare professionals. This article aims to investigate the challenges related to implementation of a magnet hospital model, and given these challenges, to analyse the interplay between different organisational levels in a Swedish hospital. The data collection followed the implementation of a magnet hospital model and consisted of 14 meeting observations, 31 interviews and 13 document analyses. The model implementation was driven by a top-down approach, with accompanying bottom-up activities, involving healthcare professionals, to ensure adaption to the hospital's conditions at different organisational levels. The findings revealed that the model was more appealing to top management, seeking a standardised solution to attract and retain nurses. Clinic managers preferred tailor-made solutions for managing their employee resourcing challenges. Difficulties in translating and contextualising the model to the hospital's conditions created challenges at every organisational level. Some were contained within a level while others spread to the organisational level below and turned into something else. Apart from unique empirical material depicting the implementation of a magnet hospital model as an effort to attract and retain healthcare professionals, the value of this study lies in the attention given to the challenges that arise when responsibility for implementing a management model is shifted from top management to change agents tasked with facilitating and executing the organisational change.

Identifiants

pubmed: 39308092
doi: 10.1108/JHOM-04-2024-0159
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

329-343

Informations de copyright

© Peter Nilsson and Maria Gustavsson.

Références

Aiken, L.H. (2002), “Superior outcomes for magnet hospitals: the evidence base”, in McClure, M.L. and Hinshaw, A.S. (Eds), Magnet Hospitals Revisited. Attraction and Retention of Professional Nurses, American Nurses Publishing, Washington, DC, pp. 61-82.
Aiken, L.H., Buchan, J., Ball, J. and Rafferty, A.M. (2008), “Transformative impact of magnet designation: england case study”, Journal of Clinical Nursing, Vol. 17 No. 24, pp. 3330-3337, doi: 10.1111/j.1365-2702.2008.02640.x.
Anderson, V.L., Johnston, A.N., Massey, D. and Bamford-Wade, A. (2018), “Impact of magnet hospital designation on nursing culture: an integrative review”, Contemporary Nurse, Vol. 54 Nos 4-5, pp. 483-510, doi: 10.1080/10376178.2018.1507677.
Beechler, S. and Woodward, I.C. (2009), “The global ‘war for talent”’, Journal of International Management, Vol. 15 No. 3, pp. 273-285, doi: 10.1016/j.intman.2009.01.002.
Braun, V. and Clarke, V. (2006), “Using thematic analysis in psychology”, Qualitative Research in Psychology, Vol. 3 No. 2, pp. 77-101, doi: 10.1191/1478088706qp063oa.
Buchan, J. (1994), “Lessons from America? US magnet hospitals and their implications for UK nursing”, Journal of Advanced Nursing, Vol. 19 No. 2, pp. 373-384, doi: 10.1111/j.1365-2648.1994.tb01095.x.
Clark, P.F., Stewart, J.B. and Clark, D.A. (2006), “The globalization of the labour market for health-care professionals”, International Labour Review, Vol. 145 Nos 1-2, pp. 37-64, doi: 10.1111/j.1564-913X.2006.tb00009.x.
Clarke, S.P., Rockett, J.L., Sloane, D.M. and Aiken, L.H. (2002), “Organizational climate, staffing, and safety equipment as predictors of needlestick injuries and near-misses in hospital nurses”, American Journal of Infection Control, Vol. 30 No. 4, pp. 207-216, doi: 10.1067/mic.2002.123392.
dit Dariel, O.P. and Regnaux, J.P. (2015), “Do magnet®-accredited hospitals show improvements in nurse and patient outcomes compared to non-magnet hospitals: a systematic review”, JBI Evidence Synthesis, Vol. 13 No. 6, pp. 168-219, doi: 10.11124/jbisrir-2015-2262.
Ellström, P.E., Elg, M., Wallo, A., Berglund, M. and Kock, H. (2020), “Interactive research: concepts, contributions and challenges”, Journal of Manufacturing Technology Management, Vol. 31 No. 8, pp. 1517-1537, doi: 10.1108/JMTM-09-2018-0304.
Goode, C.J., Blegen, M.A., Park, S.H., Vaughn, T. and Spetz, J. (2011), “Comparison of patient outcomes in magnet® and non-magnet hospitals”, The Journal of Nursing Administration, Vol. 41 No. 12, pp. 517-523, doi: 10.1097/NNA.0b013e3182378b7c.
Havens, D.S. (2001), “Comparing nursing infrastructure and outcomes: ANCC magnet and nonmagnet CNEs report”, Nursing Economics, Vol. 19 No. 6, pp. 258-266.
Havens, D.S. and Aiken, L.H. (1999), “Shaping systems to promote desired outcomes: the magnet hospital model”, The Journal of Nursing Administration, Vol. 29 No. 2, pp. 14-20, doi: 10.1097/00005110-199902000-00006.
Heyden, M.L., Fourné, S.P., Koene, B.A., Werkman, R. and Ansari, S. (2017), “Rethinking ‘top‐down’and ‘bottom‐up’ roles of top and middle managers in organizational change: implications for employee support”, Journal of Management Studies, Vol. 54 No. 7, pp. 961-985, doi: 10.1111/joms.12258.
Kelly, L.A., McHugh, M.D. and Aiken, L.H. (2011), “Nurse outcomes in Magnet® and non-Magnet hospitals”, The Journal of Nursing Administration, Vol. 41 No. 10, pp. 428-433, doi: 10.1097/NNA.0b013e31822eddbc.
Kotter, J.P. (2008), “Leading change. Why transformation efforts fail”, in HBR (Ed.), HBR’s 10 Must Reads on Change, Harvard Business School Publishing Corp, Boston, MA.
Kramer, M. and Schmalenberg, C. (2005a), “Revising the essentials of magnetism tool: there is more to adequate staffing than numbers”, The Journal of Nursing Administration, Vol. 35 No. 4, pp. 188-198, doi: 10.1097/00005110-200504000-00008.
Kramer, M. and Schmalenberg, C. (2005b), “Best quality patient care: a historical perspective on Magnet hospitals”, Nursing Administration Quarterly, Vol. 29 No. 3, pp. 275-287, doi: 10.1097/00006216-200507000-00013.
Kramer, M. and Schmalenberg, C. (2008), “Confirmation of a healthy work environment”, Critical Care Nurse, Vol. 28 No. 2, pp. 56-63, doi: 10.4037/ccn2008.28.2.56.
Lacey, S.R., Cox, K.S., Lorfing, K.C., Teasley, S.L., Carroll, C.A. and Sexton, K. (2007), “Nursing support, workload, and intent to stay in magnet, magnet-aspiring, and non-magnet hospitals”, The Journal of Nursing Administration, Vol. 37 No. 4, pp. 199-205, doi: 10.1097/01.NNA.0000266839.61931.b6.
McClure, M.L. (2005), “Magnet hospitals: insights and issues”, Nursing Administration Quarterly, Vol. 29 No. 3, pp. 198-201, doi: 10.1097/00006216-200507000-00003.
McClure, M.L. and Hinshaw, A.S. (2002), Magnet Hospitals Revisited: Attraction and Retention of Professional Nurses, American Nurses Publishing, Washington, DC.
McClure, M.L., Poulin, M.A., Sovie, M.D. and Wandelt, M.A. (1983), Magnet Hospital: Attraction and Retention of Professional Nurses. Task Force on Nursing Practice in Hospitals. American Academy of Nursing, American Nurses Association, Kansas City.
Nilsen, P., Seing, I., Ericsson, C., Birken, S.A. and Schildmeijer, K. (2020), “Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses and assistant nurses”, BMC Health Services Research, Vol. 20 No. 147, pp. 1-8, doi: 10.1186/s12913-020-4999-8.
Rodríguez-García, M.C., Márquez-Hernández, V.V., Belmonte-García, T., Gutiérrez-Puertas, L. and Granados-Gámez, G. (2020), “How magnet hospital status affect nurses, patients, and organizations: a systematic review”, AJN The American Journal of Nursing, Vol. 120 No. 7, pp. 28-38, doi: 10.1097/01.NAJ.0000681648.48249.16.
Sandler, J. and Thedvall, R. (2017), Meeting Ethnography. Meetings as Key Technologies of Contemporary Governance, Development, and Resistance, Routledge, New York, NY.
Scott, J.G., Sochalski, J. and Aiken, L. (1999), “Review of magnet hospital research: findings and implications for professional nursing practice”, The Journal of Nursing Administration, Vol. 29 No. 1, pp. 9-19, doi: 10.1097/00005110-199901000-00003.
Staggs, V.S. and Dunton, N. (2012), “Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: an observational cross-sectional study”, International Journal of Nursing Studies, Vol. 49 No. 9, pp. 1138-1145, doi: 10.1016/j.ijnurstu.2012.03.009.
Steijn, B. and Knies, E. (2021), Research Handbook on HRM in the Public Sector, Edward Elgar Publishing, Cheltenham.
Stouten, J., Rousseau, D.M. and De Cremer, D. (2018), “Successful organizational change: integrating the management practice and scholarly literature”, The Academy of Management Annals, Vol. 12 No. 2, pp. 752-788, doi: 10.5465/annals.2016.0095.
Svensson, I., Bridges, J., Ellis, J., Brady, N., Dello, S., Hooft, J., Kleine, J., Kohnen, D., Lehane, E., Lindqvist, R., Maier, C.B., McCarthy, V.J.C., Sjetne, I.S., Eriksson, L.E. and Alenius, L.S. and Magnet4Europe Consortium (2024), “Laying the foundations for implementing magnet principles in hospitals in Europe: a qualitative analysis”, International Journal of Nursing Studies, Vol. 154, pp. 1-9, doi: 10.1016/j.ijnurstu.2024.104754.
Trinkoff, A.M., Johantgen, M., Storr, C.L., Han, K., Liang, Y., Gurses, A.P. and Hopkinson, S. (2010), “A comparison of working conditions among nurses in magnet® and non-magnet® hospitals”, The Journal of Nursing Administration, Vol. 40 Nos 7/8, pp. 309-315, doi: 10.1097/NNA.0b013e3181e93719.
Urden, L.D. and Monarch, K. (2002), “The ANCC magnet recognition program: converting research findings into action”, in McClure, M.L. and Hinshaw, A.S. (Eds), Magnet Hospitals Revisited: Attraction and Retention of Professional Nurses, American Nurses Publishing, Washington, DC.
Wallo, A., Kock, H. and Nilsson, P. (2016), “Setting the stage for innovation: towards a conceptual model of the HR-innovation link”, International Journal of Human Resources Development and Management, Vol. 16 Nos 1/2, pp. 100-120, doi: 10.1504/IJHRDM.2016.075375.
WHO (2016), Global Strategies on Human Resources for Health: Workforce 2030, WHO Press, Geneva.
Wolf, G., Triolo, P. and Ponte, P.R. (2008), “Magnet recognition program: the next generation”, The Journal of Nursing Administration, Vol. 38 No. 4, pp. 200-204, doi: 10.1097/01.NNA.0000312759.14536.a9.
Wylie, N. and Sturdy, A. (2018), “Structuring collective change agency internally: transformers, enforcers, specialists and independents”, Employee Relations, Vol. 40 No. 2, pp. 313-328, doi: 10.1108/ER-10-2016-0194.
Yin, R.K. (2018), Case Study Research and Application, Sage, London.

Auteurs

Peter Nilsson (P)

Department of Behavioural Sciences and Learning, Linkoping University, Linkoping, Sweden.

Maria Gustavsson (M)

Department of Behavioural Sciences and Learning, Linkoping University, Linkoping, Sweden.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH