Skip to content
Skip to content
Open navigation

Organizational Overview

Organizational Overview - Updated May 2019

OO-1 | OO-5 | OO-6 | Download PDF


Q-What is the definition of demographics?

For Magnet purposes, the population and RN statistical characteristics that are pertinent to the organization. These may include, but are not limited to, age, gender, and education of the population served and nursing (RN) staff.


Q-Does the continuing education assessment provided need to be completed?

Yes, the assessment must be the summary (completed, with results) of the information gathered in the most recent needs assessment.


Q-What levels of nursing need to be included in the education assessment?

Nurses who influence or provide care must be represented in the education assessment.  Use the following table as a tool to guide inclusion of all nurses.

This sample table is provided to demonstrate how an applicant may choose to organize their documentation for OO5 to ensure that an assessment of continuing education is being completed for “all RNs” in “all settings”  

 “All RNs who influence or provide care”

(Note: It must be clear that the organization completes a continuing education assessment at all levels of nursing)

 “All Settings where RNs practice”

(Note: It must be clear that the organization completes a continuing education assessment for RNs in all settings, such as Inpatient, Ambulatory, and medical practice settings.)


Executive setting

AVP/Directors/Nurse Managers

Leadership, Management setting

Clinical Nurses

ICU, Medical, Surgical, Ortho, Neuro, Ambulatory Medical Clinics, Interventional Radiology, setting etc.


Inpatient and Ambulatory Care setting

Others, e.g., Centralized Function

Case Managers, Infection Control, and other setting that may have unique educational needs, etc.

Each organization will identify the level of nurse and the settings according to their own organizational processes; therefore, this is only a sample of how it could be presented.  Evidence must support that the organization has completed a continuing education assessment on all RNs in all settings.



Q-If the CNO chooses to delegate the credentialing, privileging and evaluating of advance practiced registered nurses (APRNs), does the designee need to be a registered nurse?

Yes, the designee must be a Registered Nurse.

Transformational Leadership

Transformational Leadership - Updated January 2019

TL3 | TL6 | TL7 | Download PDF


Q - My organization does not have all the levels that are requested in the source of evidence for TL3. How do I respond to the required source of evidence request statement?

Two examples must be provided for TL3. In the case of a flat organizational nursing leadership structure (i.e. either only Nurse Managers or only AVP/Nurse Directors) two examples are required using the nurse levels that exist in the organization. For example, if there are no Nurse Managers then the organization will need to supply two AVP/director examples.


Q - What is the definition of mentoring?

Mentoring is providing information, advice, support and ideas to a person in their current role. Note: The term mentor and preceptor are not used interchangeably. See glossary definition of mentor pg. 152.


Q - What is the definition of succession planning?

Succession planning is preparing a nurse to move into a new role. For Magnet purposes, the succession planning activities of the individual does not have to result in entrance into the new role. However, the activities that move(d) them into the new role must have occurred. See glossary definition on pg. 161

The intent is that nurses are being prepared through succession-planning activities to move into one of the four options listed. For example, succession-planning activities for the CNO role might include activities for the Associate CNO or another nurse executive preparing to assume (or already assumed) the CNO’s responsibilities.

Q - My organization does not have all the levels that are requested in the source of evidence for TL7. How do I respond to the required source of evidence request statement?

Three examples must be provided for TL7 (one from an ambulatory setting) using the nurse levels that exist in the organization. If the applicant organization has a flat structure, the organization must provide three examples using the nurse levels that exist in the organization.

Q - Can I use a role not expressly identified in the four options listed? We have nurse educators, infection control, and other professional development specialist roles.

Only if one of these roles meets the definition of the four options provided. We recognize there are other opportunities for succession-planning but these four are the only options included in the Sources of Evidence.

Structural Empowerment

Structural Empowerment - Updated May 2019

SE9 | SE10a | Download PDF


Q- What New Graduate transition programs are on the list of recognized programs in the 2019 manual?  

Two national accreditation programs that meet Magnet criteria are ANCC Practice Transition Accreditation Program (PTAP) and Commission of Collegiate Nursing Education (CCNE).  The ANCC PTAP program accredits RN Residency, RN Fellowship, and APRN Fellowship programs.  CCNE accredits entry-to-practice nurse residency programs.

Learn more about ANCC’s PTAP at:   

Learn more about CCNE accreditation at

Q-If an organization obtains the RN residency program accreditation at a corporate level, would that meet the SE9 standard at the organization level?

Since Practice Transition Accreditation Program (PTAP) and Commission on Collegiate Nursing Education (CCNE) accreditations are programmatic credentials, the entities in a System included in the accreditation are all eligible for meeting SE 9 in the 2019 Magnet® Application Manual. 

The System certificate (or other documentation) needs to identify the entities within the System associated with the credential. The applicant entity must be named in the certificate to meet the requirement for SE9.


Q-Nurses volunteer for international outreach trips on behalf of our organization. Do international trips meet the intent for this Source of Evidence?

No. The Source of Evidence specifically references local or regional community healthcare initiative(s). Local or regional reflect geographically near the healthcare organization.

Exemplary Professional Practice

Exemplary Professional Practice - Updated May 2019

EP8EO | EP18EO | EP18EOc and/or d | Download PDF


Q-Is the interprofessional education activity referring to education for patients or staff?

Interprofessional education is education for patients, inter-professionals, or nurses led or co-led by a nurse and inclusive of other professions (e.g., occupational therapy, medicine, surgery, physical therapy)


Q-Since we must use a national benchmark for EP18EO a through d, if the vendor does not provide unit level data, but rather organization level data, would this be acceptable?

No, you must provide 8 quarters of nationally benchmarked data at the unit level, where the vendor collects the clinical indicator.   If unit level data is not available, another clinical indicator should be selected.  Remember, Falls with Injury and HAPI stage 2 and above are required.

EP18EOc and/or d

Q: Can we use the core measure VTE-1 (VTE prophylaxis on admission or by Hospital day 1)?   

No, the Core Measure of VTE describes process, not an outcome measure.  For instance, prophylaxis or other methods to prevent VTE represent process.  The outcome of that process is a decrease in the VTE.

New Knowledge Innovations and Improvements

New Knowledge Innovations and Improvements - Updated May 2019

NK2 | NK7EO | NK7EOb | Download PDF


Q-For our nursing research can we use the same study for NK2 as we use for NK1?

No. The applicant organization must use a different study for NK2 than is used for NK1. The study used for NK2 must be disseminated within the 48-month application timeframe.  The same study can be used in NK2a and NK2b to demonstrate dissemination.


Q-Two examples are required. If I do not have any ambulatory care settings how do I respond?

Two examples must be submitted for NK7EO. If there are not ambulatory settings in your organization, both may be from inpatient settings. 


Q-NK7EOb is written different than the other sources where ambulatory is an option.  Is this intentional? 

Yes, this is intentional.  NK7EOb must be from an ambulatory setting, while NK7EOa can be from an inpatient or an ambulatory setting.

Paperback Also available in e-book
Price from: $325.00
Member Price: $325.00
Paperback Also available in e-book
Price from: $42.50
Member Price: $42.50
Leadership Package
Presented by Ana
Price from: $89.95
Member Price: $79.95

You are now leaving the American Nurses Foundation

The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The Foundation does not engage in political campaign activities or communications.

The Foundation expressly disclaims any political views or communications published on or accessible from this website.

Continue Cancel

Item(s) added to cart

Go to cart Continue Shopping