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  1. Kramer, Marlene PhD, RN, FAAN
  2. Brewer, Barbara B. PhD, RN, FAAN
  3. Halfer, Diana MSN, RN, NEA-BC
  4. Hnatiuk, Cynthia Nowicki EdD, RN, CAE, FAAN
  5. MacPhee, Maura PhD, RN
  6. Schmalenberg, Claudia MSN, RN


Nursing continues to evolve from a task-oriented occupation to a holistic professional practice. Increased professionalism requires accurate measurement of care processes and practice. Nursing studies often omit measurement of the relationship between structures in the work environment and processes of care or between processes of care and patient outcomes. Process measurement is integral to understanding and improving nursing practice. This article describes the development of an updated Essentials of Magnetism process measurement instrument for clinical nurses (CNs) practicing on inpatient units in hospitals. It has been renamed Essential Professional Nursing Practices: CN.