Barbara  L. Summers, PhD, RN, NEA‐BCVice President and Chief Nursing Officer

Head, Division of NursingM. D. Anderson Cancer Center

Houston, Texas

DISCLAIMER:“M.D. Anderson Cancer Center is not a part of nor endorsed by 

the Magnet Recognition Program® of the American Nurses Credentialing Center." 

Jeg skal hilse fra Houston, Texas!

MAGNET MODEL

EMPIRICALOUTCOMES

EXEMPLARY PROFESSIONAL 

PRACTICE

STRUCTURAL EMPOWERMENT

TRANSFORMATIONALLEADERSHIP

NEW KNOWLEDGE, INNOVATIONS, IMPROVEMENT

•Strategic Planning•Advocacy & Influence

•Visibility, Accessibility, & Communication

Leadership that creates valuable and positive change in the followers.A transformational leader focuses on "transforming" others to:

help each other, to look out for each other, to be encouraging and harmonious, and to look out for the organization as a whole. 

In this leadership, the leader enhances the motivation, morale and performance of her/his  follower group

Wikipedia http://en.wikipedia.org/wiki/Transformational_leadership 

Engage the hearts and minds of others in pursuit of a shared vision

Perfectly Acceptable

TOSimply  

Extraordinary

Our vision serves as a unifying framework for nursing

• Leading people to where they need to be in order to meet the demands of the future. • Requires vision, influence, clinical knowledge, and a strong expertise relating to professional nursing practice.• Senior nursing leadership team creates the vision for the future, and the systems and environment necessary to achieve that vision.

• Focus shifts away from problem solving, fixing broken systems, and empowering staff, to actually transform the organization to meet the future.• Leaders teach the organization to ride the wave of transformation.

• Use advocacy and influence to achieve organization-wide change• Value, encourage, recognize,/reward and implement innovation• Create structures/processes to obtain and use input from direct-care nurses to improve the work environment and patient care• Nurses throughout the organization believe their voices are heard, their input valued and their practice supported

Professional EngagementCommitment to Professional Development

Commitment to Community InvolvementRecognition of Nursing

• Strategic plan, structure, systems, policies, and programs strengthen practice ; professional engagement

• Structures and processes developed by leaders provide an environment  for strong practice to achieve the outcomes important for the organization. 

• Strong relationships and partnerships among all types of community organizations improve patient outcomes and the health of the communities they serve. 

• Development, direction, and empowerment of staff to find the best way to accomplish goals and achieve outcomes. 

• A variety of structures and programs should be used; one size does not fit all. 

Role diversity with similar focus

Role specific

Practice Setting Specific

Shared professional body of knowledge

InpatientClinical nurseAssistant nurse mangerAssociate director Director of Clinical NursingAdvanced practice nurse leaderDischarge nurseClinical coach

OutpatientClinical nurseNurse manager

Administrative directorAdvanced practice 

nursePatient Access Center 

(Business Center)

Perioperative NursingNursing EducationPatient EducationNursing InformaticsResearch Nurse / Clinical Study NurseNurse ScientistEmergency Center NurseSurvivorshipPrevention

Traditional Promotional Opportunities• Clinical

• Education

• Research

• Management

“Every Nurse a Leader”

• Succession planning

Horizontal Progression• EB‐RUN• Discharge nurse• Clinical coach• Quality and safety• Rising Stars• Student mentor

Career Progression Opportunities

•Professional Practice Model•Care Delivery System

•Staffing & Scheduling Processes•Interdisciplinary Care

•Quality Care: Monitoring & Improvement

• The source/essence of a Magnet organization

• A comprehensive understanding of the role of nursing; the application of that role with patients, families, communities, and the interdisciplinary team; and the application of new knowledge and evidence. 

• The goal of this component is more than the establishment of strong professional practice; it is focused on the potential which professional practice can achieve. 

2,800 registered nurses on staffIn 67 discrete job titlesIncluding over 250 Advanced Practice Nurses  (Nurse Practitioners)And over 300 Research NursesAnd 10 nurses with PhD –who are not university facultyAnd 5 additional nurses enrolled in doctoral programs

ResearchKnowledge Based Practice

Innovation

This Component includes • new models of care, • application of existing evidence, • new evidence, and • visible contributions to the science of nursing. 

Empirical Outcomes

Transformational Leadership

Structural Empowerment

New KnowledgeInnovations &Improvement

Exemplary ProfessionalPractice

Good

BetterBest

Continuously Improving Outcomes

• Having a strong structure and processes are the first steps. The question for the future is not "What do you do?" or "How do you do it?" but rather, "What difference have you made?" • Magnet‐recognized organizations are in a unique position to become pioneers of the future and to demonstrate solutions to numerous problems inherent in our healthcare systems today. 

•Outcomes need to be categorized in terms of:clinical outcomes related to nursing care and 

practice; workforce outcomes; patient and consumer outcomes; organizational outcomes. 

• Quantitative benchmarks should be established. These outcomes will represent the "report card" of a Magnet‐recognized organization, and a simple way of demonstrating excellence. 

Magnet Model

Transformation Leadership Transformation leadership will challenge many nursing leaders and managers. What is the most challenging factor and what advice can you give us? How do you get a whole group of nurses to agree upon transformation leadership, and then get it implemented?What is the biggest challenge when implementing shared governance?

Exemplary Professional PracticeIntegrating knowledge based nursing into clinical practice is difficult. If you were going to give one piece of advice about this, what would that be?