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DIVISION OF NURSING SERVICES

MAGNET CENTER


Welcome to the IHS Magnet Center Webpage!

Indian Health Service (IHS) nursing leadership is increasingly aware of the benefits of the Magnet process; the ability to attract and retain a stellar nursing workforce through improved nursing satisfaction, an improved work environment, and ultimately, improved patient outcomes. This webpage was established for the purpose of easing the ability of nurses to access information about the American Nurses Credentialing Center (ANCC) Magnet Recognition Program and the IHS Magnet Workgroup activities. It will serve as a medium for nurses from all across the U.S. in IHS, tribal, or urban facilities to learn and participate in the activities of the Magnet Workgroup and to readily find resources to help them embark and succeed in their own Magnet Journey.

I firmly believe that by adopting and adapting the Forces of Magnetism, which are listed below, nursing will become the leading player in IHS' ability to achieve its Mission; to raise the physical, mental, social, and spiritual health of our people and our communities. IHS currently has one facility that has achieved ANCC Magnet designation; Alaska Native Medical Center (ANMC), a tribally operated program in Anchorage, Alaska. ANMC nursing leaders are facilitating the discussions and assisting us in this endeavor. Other facilities that have actively begun their Magnet journey are WW Hastings Indian Medical Center in Oklahoma Area; Acoma-Canoncito Laguna Hospital in Albuquerque Area; Quinton Burdick Hospital in Aberdeen Area; and Northern Navajo Medical Center in Navajo Area.

Forces of Magnetism

    Force 1: Quality of Nursing Leadership
    Force 2: Organizational Structure
    Force 3: Management Style
    Force 4: Personnel Policies and Programs
    Force 5: Professional Models of Care
    Force 6: Quality of Care
    Force 7: Quality Improvement
    Force 8: Consultation and Resources
    Force 9: Autonomy
    Force 10: Community and Healthcare Organizations
    Force 11: Nurses as Teachers
    Force 12: Image of Nursing
    Force 13: Interdisciplinary Relationships
    Force 14: Professional Development

The Magnet Workgroup currently conducts conference calls the 1st Friday of every other month at 4:00 PM Eastern Time. If you are interested in participating on the call or would like to be included on the workgroup's email list, please contact Ms. Teddra Penland. (make my name an email link)

Please join us as we embark on this very important journey as we help each other achieve the forces of magnetism.

Sandra L. Haldane, Chief Nurse, IHS

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ANCC Links for Magnet Recognition

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Magnet Websites

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Theorists

Nursing Theories Supportive of the IHS Mission

IHS Mission and Goal

The mission of the Indian Health Service (IHS), in partnership with American Indian and Alaska Native (AI/AN) people, is to raise their physical, mental, social, and spiritual health to the highest level. The IHS goal is to ensure that comprehensive, culturally acceptable, personal and public health services are available and accessible to all AI/AN people. The IHS mission and goal are based on its foundation to uphold the Federal Government's obligation to promote healthy AI/AN people, communities, and cultures, and to honor and protect the inherent sovereign rights of Tribes.

Nurse Theorists

Madeleine Leininger
Leininger's transcultural nursing theory holds that the main goal of transcultural nursing is to provide culturally specific care with respect to human care, health, and illness based upon people's cultural values, beliefs, and practices.

Patricia Benner
The knowledge embodied in the practical world is important for the development of the nurse's skills and ability to care.

Margaret Newman
The nurse's role is to recognize the person's unique pattern of life and to work within that pattern with the person to achieve the person's goals.

Dorothea E. Orem
Person (client/patient) self-care deficits are the result of environmental situations.

Jean Watson
Theory of Human Caring

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Forces of Magnetism

Fourteen forces of magnetism were established to emphasize the building blocks of quality care and distinction in nursing. The four forces that HIS Magnet Workgroup will emphasize are as follows (American Nurses Credentialing Center, n.d, p. 3):

  1. Management Style
    1. This element focuses on the importance of communication between hospital administrators and nursing staff. It emphasizes a participatory style that encourages feedback from either group and values nurses as leader.

  2. Professional Models of Care
    1. This is the domain that accentuates the importance developing models of care that give nurses the responsibility and influence over distribution of patient care. It also states that nurses are responsible for their own practice.
    2. Several models of care exist. Below are a few of the most commonly used types (Walrath, 2006, p.12):

      1. Total or Case Method- The nurse provides all care for the patient (student approach)
      2. Functional- Crisis functioning type of care, where the team breaks up to do specific jobs (task oriented)
      3. Team- A group of individuals work together performing various tasks (ex. RN, LN, UAP)
      4. Care Management- Governed by critical pathways and specified protocol

  3. Quality of Care
    1. The quality of care that a nurse provides to their patient is of utmost importance. Most nurses strive and perceive themselves to provide a high quality of care to their patients. The groundwork for this standard of care is provided by nursing leaders that influence their environment to make such care possible.
    2. A critical component to providing quality care is incorporating Evidenced-based Practice (EBP) into nursing practice. EBP involves seeking out research to prove that the interventions used with patients are the most effective and beneficial to the client.

  4. Autonomy
    1. Nurses have an expectation and the authorization to practice autonomously, as long as it is consistent with nursing scope of practice. Nurses are expected to use critical thinking skills that develop independent judgment to be rendered in a multidisciplinary team framework.

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References

American Nurses Credentialing Center. (n.d.). Introduction to the Magnet Recognition Program for Students of Nursing (1-7). Retrieved June 23, 2006 from http://www.nursingworld.org/ancc/magnet/forms/StudentManual.pdf [PDF]

Health as Expanding Consciousness. (n.d.). Health as expanding consciousness. Retrieved June 19, 2006 from http://www.healthasexpandingconsciousness.org/

Madeleine Leininger. (2006). Madeleine Leininger website. Retrieved June 27, 2006 from http://www.madeleine-leininger.com/

Portfolio Professional Nursing Website. (n.d.). Orem's self-care model. Retrieved June 19, 2006 from http://members.aol.com/annmrn/nursing_portfolio_I_index.html

University of California San Francisco School of Nursing. (n.d.). Faculty profile: Patricia E. Benner. Retrieved June 19, 2006 from http://nurseweb.ucsf.edu/www/ffbennp.htm

U.S. Department of Health and Human Services Indian Health Service. (2006). Indian health service fact sheet. Retrieved June 19, 2006 from http://www.ihs.gov/PublicInfo/PublicAffairs/Welcome_Info/ThisFacts.asp

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Contact Website Manager:

Teddra R. Penland
IHS/OCPS/Division of Nursing Services
801 Thompson Ave., Suite 300
Rockville, MD 20852
Office: 301-443-1840
Fax: 301-594-6135
Emails:

IHS Nursing Home Page

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