Inside scoop from our experts: Weighing outcomes in the new manual

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, December 23, 2008

This week, a reader asks what the emphasis on outcomes means in the 2008 ANCC Magnet Recognition Program® (MRP) application manual. Read the response from our advisor Katherine Riley, MSN, RN, CNA, BC, MRP coordinator and assistant vice president of nursing at Southwestern Vermont Medical Center in Bennington, VT.

Q: What does the emphasis on outcomes mean in the 2008 MRP application manual?

A: The new application manual places greater emphasis on outcomes (e.g., patient, nursing, and organizational) to demonstrate nursing excellence. Structure and process remain the foundation that fosters excellence in nursing and supports advance nursing practices. Outcomes are the measurable impact of the structure and processes, and they demonstrate the significance, importance, or the “so what” of those structures and processes.

And although organizations applying for redesignation under the 2008 manual will have fewer SOEs to address (60), a greater emphasis is placed on outcomes and practice innovation for redesignation. This shift in emphasis for organizations applying for redesignation is consistent with the expectation that MRP organizations continuously strive to achieve superior performance through innovation, research, and evidence-based practice.

The weighing for redesignation is higher in the following two of the five Model Components:

  • Component IV: New knowledge, innovations, and improvements
  • Component V: Empirical outcomes

Editor’s note: Do you have a question for our experts? If you'd like us to consider your query for publication, please send it to associate editor Cameran Erny at


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