Date of Conferral

6-17-2024

Date of Award

6-17-2024

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Human Services

Advisor

Donna Clews

Abstract

For the past 25 years U.S. health care providers have reported higher than expected severe maternal morbidity (SMM). Magnet status is a designation through the American Nurses Credentialing Center (ANCC). Studies indicate that hospitals with Magnet recognition provide better patient care resulting in better quality outcomes. The recent COVID-19 pandemic (COVID-19) created a global-wide disruption, presenting new systemic challenges for U.S. health care providers in providing accessible, timely patient health services. The purpose of this study was to determine if there is a statistically significant difference between Magnet and non-Magnet hospitals in New Jersey (NJ) for SMM rates during COVID-19 in 2021. Donabedian’s conceptual model was the framework used to guide the study. The structure included the hospital, the process was Magnet status, and the outcome was SMM rates. The research question assessed the relationship between Magnet and non-Magnet designated hospitals for addressing severe SMM rates in NJ hospitals during COVID-19. Data were collected from the ANCC database for the Magnet status and by the Healthcare Cost and Utilization Project (HCUP) for SMM rates. A quantitative, quasi-experimental, retrospective design was conducted. Data were analyzed using the parametric, independent two-tailed t test. The results yielded a statistically significant difference between Magnet and non-Magnet designated hospitals, during COVID-19 in 2021 for SMM rates (p = .013). Magnet hospitals statistically have significantly fewer SMM rates. This study will contribute to positive social change by adding to the growing body of knowledge on the impact Magnet status makes to improving patient outcomes.

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