DELIVERING NURSING CARE;interview, hire, train, and motivate staff.
Some organizations share assistive staff between units, also increasing the need for more communication and coordination with other managers.
Synergy Model of Care Developed by the American Association of Critical Nurses, the American Association of Critical Care Nurses conceptualizes nursing practice based on the needs and characteristics of patients (AACN, 2011). These characteristics drive nurse competencies. Patient characteristics include:
● Resiliency ● Vulnerability ● Stability ● Complexity ● Resource availability ● Participation in care ● Participation in decision making ● Predictability
These characteristics are then matched with nurse competencies, including:
● Clinical judgment ● Advocacy and moral agency ● Caring practices ● Collaboration ● Systems thinking ● Response to diversity ● Facilitation of learning ● Clinical inquiry (AACN, 2011)
When patients’ characteristics and nurses’ competencies match, synergy is the outcome. The model is useful to nurses by delineating job descriptions, evaluation formats, and advancement criteria. Furthermore, a synergy model helps meet the standards for Magnet certification (Kaplow & Reed, 2008).
Clinical Microsystems Clinical microsystems are a recent addition to care delivery structures. Clinical microsystems evolved from the belief that decision making is best given to those involved in the smallest unit of care. Thus, a clinical microsystem is a small unit of care that maintains itself over time.