The purpose of this paper is to analyze a specific case study in this Troy University School of Nursing student’s clinical experience with the application of the Synergy Model. Both patient characteristics exhibited and nursing characteristics necessary for optimal care and synergy to occur in this specific case study will be discussed. This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks …show more content…
Intravenous (IV) fluids were bolusing; however, when blood pressure was only obtainable manually and revealed that her blood pressure was 74/34, the decision was made to send the patient to the intensive care unit (ICU). There, coagulation studies revealed an elevated PT, PTT, D-dimer, and a decreased fibrinogen count. She received a peripherally inserted central catheter (PICC), a transfusion of two units of packed red blood cells (PRBCs), as well as cryoprecipitate therapy during her treatment in the ICU. Patient Characteristics The Synergy Model defines eight patient characteristics that nurses must understand in order to facilitate optimal clinical outcomes. All eight patient characteristics will be discussed as they relate to this particular case study. Resiliency Resiliency describes a patient’s ability to return to base-line level of functioning after an illness or injury through use of compensatory and coping mechanisms (Lindell, Reimer, Swickard, Swickard, and Winkelman, 2014). This patient suffered the psychological trauma of losing her unborn baby as well as the physical threat to her own life all at the same time. She demonstrated admirable resiliency as she faced such unfathomable events. After two days of care and observation in the ICU, she was able to be discharged to home. It would certainly take time to experience the different stages of grief; however, she possessed an admirable faith that she, her husband, and their
The Synergy Model was created by nurses who wanted to assess the tie between nursing and patient outcomes. These nurses listed eight common patient characteristics along with eight common nursing competencies. This model has previously tested patients, resiliency, vulnerability, stability,
As the old adage goes, “Two heads are better than one.” It takes an entire team of multiple healthcare disciplines to ensure positive client outcomes. Nursing is all about teamwork. Collaboration in the nursing field is defined as, “Multiple health workers from different professional backgrounds work together with patients, families, caregivers, and communities to deliver the highest quality of care” (WHO, 2013). A student nurse will work in collaboration with their professors and peers on multiple projects before moving into the clinical area. Once in the clinical setting, a student nurse will use a collaborative healthcare approach to ensure that all parties involved with a client’s care are working together for the best outcome. Collaboration allows you to gather information from all sources in order to obtain the entirety of the situation at hand. This is important when viewing your client as a whole person and looking beyond the
By dates, the patient is 35 5/7 weeks and the measurements are concordant. The amniotic fluid volume is normal. The fetus is in cephalic presentation. The BPP and Doppler studies are reassuring. A complete fetal anatomical survey was performed and no major malformations were noted at this time within the resolution of the ultrasound equipment other than the fetal abdomen. There is a cystic structure seen in the fetal abdomen that is about 3 cm in diameter with some echolucency surrounding this. It is below the kidney but above the fetal bladder as identified in your office.
In order to improve the quality of patient care and ensure that the goals of care are being achieved, many settings are using the collaborative care delivery model. The collaborative “approach involves teams of health professionals working together to provide more coordinated and comprehensive care to clients,” (Kearney 2008). An interprofessional team can consist of nurses, physicians, care technologists nutritionists, counselors, physical therapists, educators, care givers and the patient. These members work together for the common purpose of enhancing the wellness of a particular patient.
Team discussions include; barriers of care, individualized client education techniques, emotional support needed, facilitation of community referrals and resources, and needs of other health care professionals. According to Fewster-Thuente, “Effective nurse-physician collaboration is essential to superior patient care. The lack of effective collaboration has been cited as the root cause of over 70% of major medical errors (The Joint Commission, 2014). Stability of care provides the patient with safe, timely treatment and prevention of complications.
Interprofessional collaboration plays an important role in the delivery of quality healthcare to patients. There are numerous opportunities for nurses to collaborate with professionals from other fields. Collaboration opens up the healthcare sector and allows professionals qualified in different specialties to interact and learn from each other. With the implementation of a collaborative model of healthcare, patients, healthcare providers as well as hospitals are set to experience a wide array of benefits.
positive helping alliance. The development of a therapeutic nurse-patient relationship is associated with the unfolding of mutual trust and respect. As a nurse, your responsibility within the relationship is to provide a nurturing environment of both faith and hope, while exhibiting sensitivity towards your patient and their families. Gregory, Raymond-Seniuk, Patrick & Stephen (2015) describes a therapeutic relationship between the nurse and client as purposeful, goal-orientated, time-limited and always housing the patients’ best interests and outcomes at the center (p. 608). The purpose of the simulation interview was to gain exposure of what skills we as nursing students portray within developing the nurse-patient relationship, but also become aware of what aspects of the interview or relationship that we could work to improve on.
As healthcare advances and becomes more convoluted there is an increase need for interprofessional collaboration to provide quality and patient-centered care. According to the Institute of Medicine (2015), not one profession can lead and expand interprofessional collaboration independently. It requires collaboration of all team members working to their highest level of functioning to provide patient centered care. Interprofessional collaboration involves healthcare professionals from multi-disciplinary teams with one common goal of providing excellent care to patients. To provide the best patient-centered and team based care all of the team members have to be in sync and willing
Patient centered, effective, efficient, safe, and quality of care is only possible when there is a great collaboration among health care team members. Each member of the healthcare team from various department/profession has unique role in providing quality of care to the patients. A nurse or a doctor not only can assess, diagnose, treat, provide holistic care and other necessary part of treatment to the patients so, it is very crucial to have a basic understanding of team collaboration and it’s effects of patient care and professional growth of team members.
The nursing profession is continuously evolving and changing. These environment of endless progression take along the necessity of periodical revision and reconsideration of significant concepts on the healthcare system. According to ISNA (2014), the collaboration between nurses and physicians is one of these concepts. Making the best of the nurse- physician interprofessional collaboration we can improve patient care and quality outcomes (p. 9).
It is the circumstance where nurses can collect vital information and identify barriers in patient learning process. Thus, it facilitates cooperation and trust. Arnetz, Zhdanova and Arnetz, (2016) agree with the view that build-ing rapport with patients is an essential strategy for involving them within the health care treatment. Nurses must engage in communication that focus on patient involvement for better understanding of the course of treatment, disease process, lifestyle and activity modifica-tions. Furthermore, guiding the patients through decision making care uplifts aspects of coop-eration. Marcus (2014) describe that nurses and the patient should share an open channel for exchanging ideas and information that facilitates autonomy. Likewise, another study indi-cates that collaborative management together with patient and health care workers is neces-sary for imparting information that enable them to participate responsibly in their care (Ko-lovos et al., 2016). In other literatures, it was explained that individualise holistic care is linked to patient cooperation. It is perceived by acknowledging the patient decision by pro-moting autonomy, values, perspectives, knowledge to come up with their preferred health care interventions. Furthermore, RNs are responsible for providing an open channel that ena-ble the patient to ask questions
Inpatient care is provided by a team of professionals and support staff that rarely meets as a group but is in constant communication. Each team member is dealing with multiple patients and care management tasks, with many information transfers and patient hand-offs that must be reliable and coordinated if care is to be effective, safe, and timely. Meanwhile, nurses and others are
Within the perspective of healthcare one of the most essential elements is the formation of an effective therapeutic relationship between the nurse and patient (Foster & Hawkins, 2005). The interaction between nurses and their patients can be significant in terms of information transfer, provision of support and could also provide some therapeutic benefits in themselves. (Welch, 2005).
Synergy results when the needs and characteristics of a patient, clinical unit, or system are matched with a nurse’s competencies (AACN, 2003). The Synergy Model has outlines three levels of outcomes, the nurse-patient/family, the nurse-nurse, and the nurse-system. Patient outcomes include functional and behavioral change, trust, satisfaction, comfort and quality of life. Nurse outcomes include physiologic changes, presence or absence of complications, and extent to which care objectives were attained. System outcomes include recidivism, costs, and resource utilization (McEwen, 2014). The incorporation of the Synergy Model was designed as a conceptual framework for establishing practices and developing competencies required for taking care of critically ill patients and optimizing patient outcomes.
Collaboration is a process involving at least two entities who commit to working toward a common goal. These entities must be open to discussing concepts in a positive manner to achieve mutual acceptance of shared principles and reach their objective. Participants share power in a collaborative relationship with each demonstrating respect for variances among the members. Group interactions become synergistic as each entity provides education and support for the others within the alliance (Hanson & Carter, 2015). Changes in today’s health care needs create the opportunity for innovative approaches to problem solving in the face of limited resources and increasing demands on time (Garcia, Meek, & Wilson, 2011). Collaboration is an essential