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Older Adults Pt 2 > 1.1 Synergy Model > Flashcards

1.1 Synergy Model Flashcards

1
Q

What is the Synergy Model

A
  • Matches identified patient needs with competencies of the nurse
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2
Q

The 5 Why’s

A
  • 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
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3
Q

5 Assumptions of Synergy Model

A
  • 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.
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4
Q

PATIENT CHARACTERISTICS

A
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5
Q

Complexity

A
  • Intricate mix of psychological and emotional states.
    Includes
  • Family Relationships
  • Complicated Lifestyles (Environmental Factors)
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6
Q

Participation in Care

A
  • Accessibility, availability and willingness by patient and family to assist in care.
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7
Q

Resiliency

A
  • 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
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8
Q

Participation in Decision Making

A
  • Accessibility, availability, and willingness by patient and family to understand information provided.
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9
Q

Resource Availability

A

Availability of support including

  • Supportive relationships
  • Financial stability
  • Psychological care
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10
Q

Predictibility

A
  • Expectations of a certain course of action.
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11
Q

Stability

A
  • Ability to maintain equilibrium, ranging from high risk of death to low risk of death.
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12
Q

Vulnerability

A
  • Susceptibility to stressors that can endanger patient outcomes.
  • Medically fragile to fully recovering.
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13
Q

Intrinsic vs Extrinsic Characteristics

A

Intrinsic (Patient Specific Factors)
- Resiliency, Stability, Vulnerability, Complexity, Predictability
Extrinsic (Outside Factors)
- Resource availability, Participation in Decision Making, Participation in Care.

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14
Q

Ratings for Patient Characteristics

A

1 - Lowest
3 - Moderate
5 - Best

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15
Q

NURSING COMPENTENCIES

A
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16
Q

Caring Practices

A
  • Using caring behavior on individual patient needs.

Example - Sitting with your patient during time of need

17
Q

Advocacy and Moral Agency

A
  • Working on another person’s behalf
18
Q

Systems Thinking

A
  • Using tool’s and knowledge from across the healthcare system
19
Q

Collaboration

A
  • Working with others to promote wellbeing
20
Q

Response to Diversity

A
  • Recognizing and appreciating differences for appropriate care
21
Q

Clinical Judgement

A
  • Assessing situation based on education and experience
22
Q

Facilitator of Learning

A
  • Using knowledge to educate patients, families, caregivers and other healthcare providers
23
Q

Clinical Inquiry

A
  • Guided by Why
24
Q

LEVELS OF NURSING

A
25
Q

Novice

A
  • Lacks experience in situations expected to preform.
  • Lacks confidence to demonstrate safe practice
  • Unable to use unrestricted judgement
26
Q

Advanced Beginner

A
  • Knowledge is developing
  • Adequate performance based on experience
  • Requires occasional supportive cues
27
Q

Competent

A
  • Efficient, coordinated, confident, organized

- Completes patient care within suitable time frame without supporting queues

28
Q

Proficient

A
  • 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
29
Q

Expert

A
  • Can accurately identify the problem without need for unproductive and inefficient diagnoses.
  • Deep understanding of situation.
  • Highly proficient
  • Highly skilled analytical ability.
30
Q

OUTCOMES OF SYNERGY

A
31
Q

Patient Derived Outcomes

A
  • Functional Changes
  • Behavioral Changes
  • Trust
  • Satisfaction
  • Comfort
  • Improved Quality of Life
32
Q

Nurse Derived Outcomes

A
  • Recognition and assessment of physiological and psychosocial changes
  • Presence/absence of complications
  • Evaluation of attainment of goals
  • Level of patient wellness
33
Q

System Derived Outcomes

A
  • Re-admission rates
  • Length of stay
  • Cost utilization
  • Prevention of adverse events

Older Adults Pt 2 (17 decks)

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