Evidence map›Paper›PMID 40853206›Full record

ArticleMedical care2025

How Organizational Inclusion Shapes Patient Satisfaction in Magnet Hospitals.

Hyunmin Yu, Heather Brom, José A Bauermeister, Jessie Reich, Matthew D McHugh, Tari Hanneman, Linda H Aiken

Abstract read
In one paragraph

Article in Medical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Hyunmin YuCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-6770-0808
Heather BromCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
José A BauermeisterLeonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.
Jessie ReichHospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Matthew D McHughCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Tari HannemanHuman Rights Campaign Foundation, Washington, DC.
Linda H AikenCenter for Health Outcomes and Policy Research, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

The Impact of Changes in Nursing Systems and Models of Care on Patient Outcomes: A Panel StudyR01NR014855 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Matthew D. McHugh · 2014 to 2026
$7.5M
NINR NIH HHS R01 NR014855
6 · The paper itself

Abstract

objectiveMagnet hospitals exhibit higher patient satisfaction than non-Magnet hospitals, yet the underlying mechanisms driving these differences remain underexplored. This study examined the associations between Magnet status, hospitals' inclusion efforts for diverse populations, and patient satisfaction, and whether inclusion efforts explain Magnet hospitals' higher satisfaction.

methodsThis cross-sectional study analyzed 2023 secondary data from 4 sources: the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), the Healthcare Equality Index (HEI), the American Hospital Association Annual Survey, and the list of Magnet-recognized organizations. The sample included 708 hospitals (216 Magnet, 492 non-Magnet) participating in both HCAHPS and HEI. HEI scores, which assess hospitals' inclusion efforts for lesbian, gay, bisexual, transgender, queer, and other sexual and gender diverse (LGBTQ+) populations, were used as a proxy for overall inclusion. Patient satisfaction was measured using 8 HCAHPS indicators. Mediation analyses tested whether HEI scores explained the association between Magnet designation and patient satisfaction.

resultsMagnet hospitals had higher HEI scores (M=92.0, SD=12.2) compared with non-Magnet hospitals (M=88.5, SD=13.3). They also had higher hospital ratings (M=88.4, SD=2.4 vs. M=87.6, SD=3.3) and patient recommendations (M=88.4, SD=3.2 vs. M=86.8, SD=4.1). Magnet status had direct effects on hospital ratings (b=1.75, P <0.001) and recommendations (b=2.37, P <0.001), as well as indirect effects through HEI performance on hospital ratings (b=0.07, P =0.022) and recommendations (b=0.10, P =0.026), resulting in total effects on hospital ratings (b=1.82, P <0.001) and recommendations (b=2.47, P <0.001).

conclusionsThe findings underscore the importance of organizational priorities and policies that promote patient-centeredness and inclusion for the satisfaction of all patients.

Indexed as

HospitalsPatient SatisfactionAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSexual and Gender MinoritiesSurveys and QuestionnairesUnited StatesHealthcare Equality IndexMagnet hospitalsorganizational inclusionpatient-centerednesspatient satisfaction

Identifiers

PMID40853206
PMCPMC12699985

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.