1. Stimpfel, Amy Witkoski PhD, RN
  2. Rosen, Jennifer E. MPH, MSN
  3. McHugh, Matthew D. PhD, JD, MPH, RN, FAAN


OBJECTIVE: The aim of this study was to explore the relationship between Magnet Recognition(R) and nurse-reported quality of care.


BACKGROUND: Magnet(R) 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.


CONCLUSION: 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.