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19 NURSING SPOTLIGHT The only 17 hospitals to earn Magnet's top honor By Erica Carbajal I n 2022, the American Nurses Credentialing Center unveiled the Magnet with Distinction program to recognize the world's highest performing Magnet organizations. Since then, only 17 hospitals in the U.S. have achieved the designation. e ANCC, a subsidiary of the American Nurses Association, awards hospitals Magnet designations based on quality patient care and nursing excellence. To earn the recognition, hospitals must undergo a comprehensive application and review process. Hospitals with the award typically have high nurse job satisfaction, low levels of RN turnover and lower 30-day mortality rates. Fewer than 10% of the hospitals in the U.S. have earned Magnet status, and only a select few hospitals will earn the new "with Distinction" honor to recognize an "elite level" of performance, according to the ANCC. e Magnet with Distinction program was created as a special designation to celebrate hospitals and healthcare organizations that exceed scoring thresholds required to earn Magnet recognition. "It raises the bar to recognize top-tier organizations that have achieved the highest level of nursing excellence while addressing emerging challenges and changes in healthcare moving forward," according to the ANCC. ere are two paths to achieve the special designation: demonstrate no deficiencies in any component and have an exemplar in registered nurse engagement; or have no deficiencies in any component and have two or more exemplars in patient experience, and at least two exemplars in nursing-sensitive indicators. Here are the 17 hospitals that have earned the Magnet with Distinction recognition since 2023, per the ANCC: Emory St. Joseph's Hospital (Atlanta) Kaiser Foundation Hospital South Sacramento (Calif.) Indiana University Health West Hospital (Avon) Brigham and Women's Faulkner Hospital (Boston) Sentara Northern Virginia Medical Center (Woodbridge) Loyola Medicine MacNeal Hospital (Berwyn, Ill.) Goshen Hospital (Ind.) CHI Health St. Elizabeth (Lincoln, Neb.) Carle Foundation Hospital and Carle Physician Group (Urbana, Ill.) Monmouth Medical Center (Long Branch, N.J.) Memorial Hermann Cypress Hospital (Texas) Rush Copley Medical Center (Aurora, Ill.) NorthBay Health (Fairfield, Calif.) Baylor Scott & White Medical Center Waxahchie (Texas) Memorial Hospital and Health Care Center (Jasper, Ind.) Bon Secours St. Francis Hospital (Charleston, S.C.) Lexintgon Medical Center (West Columbia,S.C.) n A Minnesota hospital tested VR in its nurse residency program. Here's how it went By Mariah Taylor M inneapolis-based M Health Fairview completed a pilot program for a newly developed immersive virtual reality capability in its nurse residency program. Here are four things to know: 1. The program was a collaboration between the Minneapolis-based University of Minnesota School of Nursing and Oxford Medical Simulation, according to an Oct. 15 American Association of Critical-Care Nurses news release. It was created as a way to close the gap between theoretical knowledge and clinical practice. The program supplemented onboarding for 27 registered nurses hired between August and October 2023 in multiple departments. 2. IVR uses Meta Oculus Quest 2 devices and two simulations from OMS. The simulations include framework from the Creighton Competency Evaluation Instrument and the American Association of Colleges of Nurses Essentials. "A smooth transition to clinical practice for new nurses is key for both patient safety and staff retention, and immersive virtual reality can provide a safe space for new nurses to refine their skills," study co-author Cynthia Sherraden Bradley, PhD, RN, assistant professor and director of simulation at the nursing school, said in the release. "In addition, the AI-driven system has the potential to help nurse educators assess nursing competencies and provide objective feedback to new nurses." 3. IVR sessions included an orientation to the equipment and controls, followed by a scenario focused on caring for a patient admitted to the adult medical-surgical inpatient unit with pyelonephritis. Upon completion, participants then worked through a second scenario of a now-stable patient from the initial scenario and added a second patient who was admitted with high blood glucose levels. After each session, participants divided into two groups and engaged in a guided reflection debrief led by instructors. 4. The simulation provided analytics that assessed the individual's actions and decisions and helped instructors assess nurse competencies. The study was published in AACN Advanced Critical Care. n