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J Nurs Adm. 2014 Jan;44(1):10-6. doi: 10.1097/NNA.0000000000000015.

Understanding the role of the professional practice environment on quality of care in Magnet® and non-Magnet hospitals.

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  • 1Author Affiliations: Assistant Professor (Dr Witkoski Stimpfel), College of Nursing, New York University; Graduate Student (Ms Rosen) and The Rosemarie Greco Term Endowed Associate Professorship in Advocacy, Center for Health Outcomes and Policy Research (Dr McHugh), School of Nursing, University of Pennsylvania, Philadelphia.



The aim of this study was to explore the relationship between Magnet Recognition® and nurse-reported quality of care.


Magnet® hospitals are recognized for nursing excellence and quality patient outcomes; however, few studies have explored contributing factors for these superior outcomes.


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.


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.


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.

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