Empirical outcomes are a clear focus of this
new model and are integrated throughout the domains. For the first time, the ANCC required sources of evidence for initial Magnet designation
and for hospitals seeking redesignation. The required sources of evidence for transformational leadership are identical for facilities seeking initial designation and those seeking redesignation;higher weight is placed on outcomes in hospitals
seeking redesignation. Personnel at these hospitals
are expected to demonstrate that they have consistently achieved scores significantly above the mean scores of benchmarked national databases
for patient satisfaction, staff nurse satisfaction,
and clinical indicators. Those seeking redesignation must demonstrate that they are
continuing to reach higher levels of achievement through continuously improving patient care and nursing practice