The Nursing theory that has been selected is : The Synergy Model for Patient Care. 2-3 pages plus Title page and reference page. I will attach the instructions with the title page.
Nursing Theory: The Synergy Model for Patient Care
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Nursing Theory: The Synergy Model for Patient Care
The synergy model that dates back to 1996 asserts that an alignment between the patients’ needs and the nurses’ competencies is likely to result in the achievement of optimal patient outcomes (Cain, 2020). The model points out eight patient characteristics and eight nurse competencies. The eight patient characteristics are resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision making, and predictability. The eight nurses’ competencies are clinical judgment, advocacy, and moral agency, caring practices, collaboration, systems thinking, response to diversity, facilitation of learning, and clinical inquiry. This paper will look at two primary sources where the framework has been used to support their research.
Article 1
Amenudzie, Y., Georgiou, G., Ho, E., & O’Sullivan, E. (2017). Adapting and applying the Synergy Model on an inpatient hematology unit. Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 27(4), 338–342. https://doi.org/10.5737/23688076274338342
Purpose of the Study
The purpose of the pilot project was “to examine the feasibility of adapting the synergy model to make nursing assignments among the oncology patient population and to evaluate its usefulness and impact” (Amenudzie et al., 2017).
The study aimed at answering the three questions below:
- “Can the Synergy model be adapted for a hematology patient population?”
- “Is it possible to implement the model in an acute care setting?”
- “What challenges are encountered and what strategies facilitate successful implementation?”
How the Concept was used in the Study
The pilot project implemented the Synergy Model in a hematology unit with the ultimate goal of matching the nurses’ competency with patients’ needs to optimize the care provided. The model facilitated the development of a hematology patient acuity tool and a nurse competency tool designed for the oncology units.
How the Concept was defined
The researchers used a mixed-method approach. The data collection method entailed the use of interviews, surveys, and focus groups. The unit leader led an exit interview, study participants completed five hundred and sixty-eight surveys, and 73 unit leader surveys were completed and analyzed to ascertain their validity, reliability, and consistency. The validity of the tool was tested using a five-point scale while consistency and reliability were determined using Cronbach’s Alpha and Intra-Class Correlation test respectively.
The study results are based on the pilot project questions. For the first question, the four patient characteristics analyzed include predictability, participation in care, complexity, and stability. 94 percent of the nurses that participated in the study felt that the scores reflected patient acuity. For all the four characteristics, the consistency level achieved was greater than 0.88. The four characteristics scored over 0.7 in the inter-rater reliability test. For the second question, the results show that additional healthcare aid was necessary for 27 shifts and more registered nurses were needed on 23 shifts. It is, however, important to note that increasing staff may not always be possible due to potential costs or unavailability.
Article 2
Khalifehzadeh, A., Jahromi, M. K., & Yazdannik, A. (2012). The impact of Synergy Model on nurses’ performance and the satisfaction of patients with the acute coronary syndrome. Iranian journal of nursing and midwifery research, 17(1), 16–20.
Purpose of the Study
The study “aimed at determining the impact of the Synergy model on the nurses’ performance and satisfaction of patients with acute coronary syndrome” (Khalifehzadeh et al., 2012).
How the Concept was used in the Study
The groups were informed about the Synergy Model and it was implemented in study groups. The model’s impact on the nurses’ performance in diverse areas as well as patient satisfaction was examined using nurses’ performance quality and patient satisfaction.
How the Concept was defined in the Study
The study was quasi-experimental in two groups. It included a sample size of 22 nurses and 64 patients living with the acute coronary syndrome in cardiac intensive care units between 2010 and 2011.
The study results show significant changes in both control and intervention groups. Before the intervention, the highest average score was 96.8 in the therapeutic domain while after the intervention it was 98.5 in the supportive domain. The average performance in supportive, communicative, care, and educational domains improved after the intervention. The study shows that the application of the model in intensive care units is likely to result in an improved quality of nurses’ performance as well as patient satisfaction. It is therefore important to measure the nurses’ competency and the patient’s needs to optimize the care provided to patients.
The two articles addressed in the paper prove that the application of the Synergy Model results in optimal patient outcomes while at the same time improving the nurses’ performance. It is important to acknowledge that the nurses’ work behavior alongside their clinical skills and knowledge has a direct impact on their clinical decision-making ability.
References
Amenudzie, Y., Georgiou, G., Ho, E., & O’Sullivan, E. (2017). Adapting and applying the Synergy Model on an inpatient hematology unit. Canadian oncology nursing journal = Revue canadienne de nursing oncologique, 27(4), 338–342. https://doi.org/10.5737/23688076274338342
Cain, C. (2020). Applying the Synergy Model to Achieve Safe Staffing. American Journal of Critical Care, 29(1), 70-70.
Khalifehzadeh, A., Jahromi, M. K., & Yazdannik, A. (2012). The impact of Synergy Model on nurses’ performance and the satisfaction of patients with acute coronary syndrome. Iranian journal of nursing and midwifery research, 17(1), 16–20.