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Forces of Magnetism

Quality of Nursing Leadership

Nursing leaders are perceived as knowledgeable, strong risk-takers who follow an articulated philosophy in the day-to-day operations of nursing. Nursing leaders also convey a strong sense of advocacy and support on behalf of the staff.

Organizational Structure

The organization is characterized as flat structures in which unit-based decision-making prevails. Nursing is decentralized, with strong nursing representation evident in the organizational committee structure. The nursing leader serves at the executive level and the Chief Nursing Officer reports to the executive level.

Management Style

Organization nursing administrators use a participative management style, incorporating feedback from staff at all levels of the organization. Feedback is encouraged and valued. Nurses serving in leadership positions are visible, accessible committed to communicating effectively with staff.

Personnel Policies and Programs

Salaries and benefits are characterized as competitive. Rotating shifts are minimized, and creative and flexible staffing models are used. Personnel policies are created with staff involvement, and significant administrative and clinical promotional opportunities exist.

Professional Models of Care

Models of care are used that give nurses the responsibility and authority for the provision of patient care. Nurses are accountable for their own practice and are the coordinators of care.

Quality of Care

Nurses perceive that they are providing high-quality care to their patients. Providing quality care is seen as an organizational priority as well, and nurses serving in leadership positions are viewed as responsible for developing the environment in which high-quality care be provided.

Quality Improvement

Quality improvement activities are viewed as educational. Staff nurses participate in the quality improvement process and perceive that process as one that improves the quality of care delivered within the organization.

Consultation and Resources

Adequate consultation and other human resources are available. Knowledgeable experts, particularly advanced practice nurses are available and used. In addition, peer support is given within and outside the nursing division.

Autonomy

Nurses are permitted and expected to practice autonomously, consistent with professional standards. Independent judgment is exercised.

Community and the Healthcare Organization

Organizations that are best able to recruit and retain nurses also maintain a strong community presence. A community presence is seen in a variety of ongoing, long-term outreach programs. These outreach programs result in the organization being perceived as a strong, positive and productive corporate citizen.

Nurses as Teachers

Nurses are permitted and expected to incorporate teaching in all aspects of their practice. Teaching is one activity that reportedly gives nurses a great deal of professional satisfaction.

Image of Nursing

Nurses are viewed as integral to the organization’s ability to provide patient care services. Other members of the healthcare team characterize these services as essential.

Interdisciplinary Relationships

Interdisciplinary relationships are characterized as positive. A sense of mutual responsibility is exhibited among all disciplines.

Professional Development

Significant emphasis is placed on orientation, in-service education, continuing education, formal education and career development. Personal and professional growth and development are valued. In addition, opportunities for competency-based clinical advancement exist, along with the resources to maintain competency.


© 2014 The University of Texas MD Anderson Cancer Center