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The article offers update on additional elements of performance and revised criteria in the American Nurses Credentialing Center's Pathway to Excellence Framework. These include shared decision-making, leadership and role-modeling, physical and psychological safety of patients and staff, quality standard for describing how the organization promotes a culture of diversity, equity, inclusion and belonging, well-being and resilience, and professional development.

The article discusses the 2016 follow-up report to the 2011 Future of Nursing report, which recommended that healthcare groups prioritize interprofessional and lifelong learning. It suggested the implementation of registered nurse residency programs. Continuing professional development should be implemented within a strategic context to support nurses' professional practice. New graduate nurse attrition rates are estimated to be as high as 30 percent in the first year of practice.

The article describes how cultures in the U.S. healthcare sector are transformed from incivility and bullying to a positive practice environment. Topics covered include how perception gaps between nurse leaders and team members can adversely impact the practice environment, the evidence-based standards in the American Nurses Credentialing Center's Pathway to Excellence Framework for transforming healthcare organizations and the Healthy Workforce Institute's partnership with nurse leaders.

This month's Magnet® Perspectives column examines American Nurses Credentialing Center's Magnet Recognition Program® and Pathway to Excellence® Program as partners for nursing excellence. We explore the differences between the programs, how they complement one another, and how they can be combined to impact a host of key measures, including nurse engagement, interprofessional collaboration, and patient safety. Nursing leaders at 2 dual-designated hospitals share their decision to pursue both credentials and ways in which the combined designation adds value for nurses and the patient care environment. They discuss how the essential elements of a Magnet and Pathway culture contributed to a nimble, innovative response to the COVID-19 pandemic and strategies nursing leaders can employ to create and sustain an environment where change flourishes and nurses thrive. [ABSTRACT FROM AUTHOR]

The Directors of the Magnet Recognition Program® and Pathway to Excellence® use this column to compare and contrast the 2 programs. Both programs profile nursing excellence. [ABSTRACT FROM AUTHOR]