1.1 Synergy Model Flashcards
What is the Synergy Model
- Matches identified patient needs with competencies of the nurse
The 5 Why’s
- Widely used in root cause analysis (RCA)
- Asking why encourages examination of current practice and proposes to test new interventions
- Why guides us to additional questions like how and what
5 Assumptions of Synergy Model
- The whole patient (body, mind, spirit) must be considered
- Patient, family and community all contribute to providing context for nurse-patient relationship
- Patients are described as a number of characteristics
- Nurses profile is based off interrelated dimensions
- Goal of nursing is to restore patient to optimal wellness as defined by the patient or towards peaceful death.
PATIENT CHARACTERISTICS
Complexity
- Intricate mix of psychological and emotional states.
Includes - Family Relationships
- Complicated Lifestyles (Environmental Factors)
Participation in Care
- Accessibility, availability and willingness by patient and family to assist in care.
Resiliency
- Ability to bounce back from illness or injury
- Based on age, overall health, comorbid conditions.
1 - Unable to cope
3 - Moderately resilient
5 - Highly resilient
Participation in Decision Making
- Accessibility, availability, and willingness by patient and family to understand information provided.
Resource Availability
Availability of support including
- Supportive relationships
- Financial stability
- Psychological care
Predictibility
- Expectations of a certain course of action.
Stability
- Ability to maintain equilibrium, ranging from high risk of death to low risk of death.
Vulnerability
- Susceptibility to stressors that can endanger patient outcomes.
- Medically fragile to fully recovering.
Intrinsic vs Extrinsic Characteristics
Intrinsic (Patient Specific Factors)
- Resiliency, Stability, Vulnerability, Complexity, Predictability
Extrinsic (Outside Factors)
- Resource availability, Participation in Decision Making, Participation in Care.
Ratings for Patient Characteristics
1 - Lowest
3 - Moderate
5 - Best
NURSING COMPENTENCIES
Caring Practices
- Using caring behavior on individual patient needs.
Example - Sitting with your patient during time of need
Advocacy and Moral Agency
- Working on another person’s behalf
Systems Thinking
- Using tool’s and knowledge from across the healthcare system
Collaboration
- Working with others to promote wellbeing
Response to Diversity
- Recognizing and appreciating differences for appropriate care
Clinical Judgement
- Assessing situation based on education and experience
Facilitator of Learning
- Using knowledge to educate patients, families, caregivers and other healthcare providers
Clinical Inquiry
- Guided by Why
LEVELS OF NURSING
Novice
- Lacks experience in situations expected to preform.
- Lacks confidence to demonstrate safe practice
- Unable to use unrestricted judgement
Advanced Beginner
- Knowledge is developing
- Adequate performance based on experience
- Requires occasional supportive cues
Competent
- Efficient, coordinated, confident, organized
- Completes patient care within suitable time frame without supporting queues
Proficient
- Perceives situations as wholes rather than chopped up aspects.
- Perceives situations as long-term goals
- Learns from experiences on what to expect from each situation and how to modify plans to respond to these events.
- Holistic view of a patient’s situation
Expert
- Can accurately identify the problem without need for unproductive and inefficient diagnoses.
- Deep understanding of situation.
- Highly proficient
- Highly skilled analytical ability.
OUTCOMES OF SYNERGY
Patient Derived Outcomes
- Functional Changes
- Behavioral Changes
- Trust
- Satisfaction
- Comfort
- Improved Quality of Life
Nurse Derived Outcomes
- Recognition and assessment of physiological and psychosocial changes
- Presence/absence of complications
- Evaluation of attainment of goals
- Level of patient wellness
System Derived Outcomes
- Re-admission rates
- Length of stay
- Cost utilization
- Prevention of adverse events
