Table 4.

Regression Coefficients for Changes in Patient and Nurse Outcomes Associated with Magnet Recognition (n=136 hospitals)

	Emerging Magnet vs. Non-Magnet
	Unadjusted			Adjusted
Patient Outcomes	Estimate (Difference of Changes)	Standard Error	P Value	Estimate (Difference of Changes)	Standard Error	P Value
30-Day Surgical Mortality (per 1,000 patients)	−1.97	0.83	0.02	−2.36	0.89	<0.01
Failure-to-Rescue (per 1,000 patients)	−5.64	2.45	0.02	−6.07	2.64	0.02
Nurse-Reported Quality Outcomes
Excellent Quality of Care on Unit	8.80	2.12	<0.001	9.29	2.28	<0.001
Confident in Patients’ Ability to Manage Care When Discharged	7.55	2.18	<0.001	8.70	2.29	<0.001
Confident that Management Will Act To Resolve Reported Problems in Patient Care	12.87	2.24	<0.001	11.97	2.43	<0.001
Nurse Job Outcomes
Burnout	−6.82	2.20	<0.01	−7.30	2.39	0.003
Job Dissatisfaction	−8.72	2.11	<0.001	−8.76	2.29	<0.001
Intent to Leave	−6.79	1.41	<0.001	−6.06	1.50	<0.001

Notes: Unadjusted nurse and patient outcome models accounted for baseline outcome rate. Adjusted nurse job and nurse-reported quality outcome rates accounted for nurse age, sex, full-time status, and unit type in 1999 and 2006. Outcomes reflect rate per 100 nurses and were weighted for total number of nurses in the hospital across both study years. Patient outcome rates accounted for patient age, sex, emergency admission, transfer status, comorbidities and surgical DRG type. Difference models controlled for baseline outcome rate, concurrent changes in nurse staffing and percent of nurses holding a BSN, and hospital characteristics (bed size, technology status, and teaching status). Patient outcome models were weighted for total number of surgical patients in the hospital across both study years.