Gap analysis: Three big issues

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, June 12, 2007

When conducting a gap analysis and assessing your readiness to pursue ANCC Magnet Recognition Program® designation, there are three important issues to review before taking the initial step. These "gaps" are shared governance, evidence-based practice (EBP), and nursing image. The following are some things to remember when filling in these gaps.

Shared governance:

  • Must be enculturated and staff nurses need to believe they have a voice
  • Must establish nursing council/committees in which representatives from all component entities participate in shared decision making and in developing a strategy for systemwide nursing initiatives
  • Must empower committees/councils

    Evidence-based practice:
  • Needs to be woven throughout all departments of nursing
  • Needs to be supported by adequate resources
  • Needs to be reflective of the mission, vision, and philosophy of the department of nursing

    Image of nursing:
  • Nurses feel they are the best nurses on the planet
  • Nurses have high visibility in the hospital, community, and region/state
  • Nurses produce excellent patient care and have pride in what they do

    Source: Advisor Barbara Hannon, RN, MSN, ANCC Magnet Recognition Program® project coordinator, University of Iowa Hospitals and Clinics, Iowa City, IA.

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