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Hospital magnet designation attributes for nursing excellence that promotes patient safety culture: certified versus noncertified hospitals

Background Magnet designation gives a valuable mechanism for evaluating and transforming nursing practice environments that can be attributed to nursing excellence and patient safety culture. Aim The aim of this study was to compare between ISO 9001-certified and noncertified hospitals regarding hospital magnet designation attributes for nursing excellence and patient safety culture. Design A descriptive, comparative, correlational study design was used. Setting This study was conducted at nine critical care units in an ISO 9001-2008-certified hospital and six critical care units in a non-ISO 9001-2008-certified hospital in Cairo, Egypt. Sample A total of 180 critical care nurses who were working in an ISO 9001-2008-certified hospital and 90 critical care nurses working in a noncertified hospital were included in the study. Tools Data were collected by the modified Essentials of Magnetism and patient safety culture questionnaires. Results A significant correlation existed between the overall patient safety culture and hospital magnet designation dimensions in the ISO 9001-certified hospital. In the meantime, insignificant correlations were found between total patient hospital magnet designation and safety culture dimensions in the ISO 9001-noncertified hospital. Conclusion The results concluded that hospital magnet designation attributes in the ISO 9001-certified hospital and the non-ISO 9001-certified hospital are necessary to encourage the critical care nurses to promote patient safety culture. Recommendations Hospital management should conduct educational training programs regarding multidisciplinary teamwork building, communication behaviors during hospital handoffs, and risk management for critical care nurses working in both ISO 9001-certified and noncertified hospitals.