Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care / Edition 1

by Sonya R. Hardin

Overview

When patient characteristics and nurse competencies match, patient outcomes are optimized, according to The AACN Synergy Model for Patient Care. Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care enhances the understanding of the Synergy Model and provides nurses with the clinical knowledge they need to apply this model in practice. Based on a decade of work by the American Association of Critical Care Nurses, the text encompasses the history and development of the nurse and patient characteristics inherent in the Synergy Model, and then thoroughly addresses each characteristic individually and applies the model in practice. Sample test questions relevant to the model will assist nurses in preparing for certification, and provide further examples of the integration of the Synergy Model in practice. The AACN Synergy Model for Patient Care is the most widely applicable framework for nursing practice. This makes Synergy for Clinical Excellence: The AACN Synergy Model for Patient Care an essential reference in caring for critically ill patients.

Product Details

ISBN-13:	2900763726019
Publisher:	Jones & Bartlett Learning
Publication date:	09/22/2004
Edition description:	1E
Pages:	237
Product dimensions:	6.00(w) x 1.25(h) x 9.00(d)

About the Author

Dr. Sonya Renae Hardin is a Professor and Dean in the School of Nursing at University of Louisville, Louisiville, KY. She has provided academic leadership for nursing administration, nursing education and nurse practitioner programs. Dr. Hardin has co-authored three books and numerous book chapters and articles in critical care, cardiovascular disease and geriatrics. She serves on several editorial boards and reviews for many journal focused on critical care and geriatrics. Her PhD is from the University of Colorado Health Sciences Center. She is certified as a Critical Care Nurse and an Adult Nurse Practitioner with experience teaching in undergraduate, graduate and doctoral programs. Her scholarship includes serving as PI on a HRSA funded Geriatric Workforce Enhance Program grant focused on improving care in rural eastern North Carolina through interprofessional education. She has served on expert panels to develop geriatric competencies and standards of care.

Dr. Roberta Kaplow is a clinical nurse specialist at Emory University Hospital in Atlanta, GA. She has co-authored three books and numerous book chapters and articles in critical care and oncology. She has served on the AACN Board of Directors and AACN Certification Corporation Board of Directors. She has served on the editorial board of Applied Nursing Research and reviews for many journal focused on critical care, oncology, research, and medical/surgical nursing. Her Ph.D. is from New York University. She is certified as a Critical Care Nurse, Critical Care Clinical Nurse Specialist, and Adult Oncology Clinical Nurse Specialist. She has taught in undergraduate and graduate nursing programs. She has also Director of the Oncology/Immunology Master’s Nurse Practitioner/Clinical Nurse Specialist program at the Nell Hodgson Woodruff School of Nursing of Emory University.

Table of Contents

	Foreword	xi
	Preface	xiii
	Acknowledgments	xv
	Contributors	xvii
Section I	Introduction	1
Chapter 1	Introduction to the AACN Synergy Model for Patient Care	3
	Introduction	3
Section II	Patient Characteristics	11
Chapter 2	Resiliency	13
	Introduction	13
	Definition	14
	Application of the Case Study to the Synergy Model	15
Chapter 3	Vulnerability	19
	Introduction	19
	Definition	20
	Application of the Case Study to the Synergy Model	21
Chapter 4	Stability	23
	Introduction	23
	Definition	23
	Application of the Case Study to the Synergy Model	24
Chapter 5	Complexity	27
	Introduction	27
	Definition	28
	Application of the Case Study to the Synergy Model	29
Chapter 6	Resource Availability	33
	Introduction	33
	Definition	34
	Application of the Case Study to the Synergy Model	35
Chapter 7	Participation in Care	37
	Introduction	37
	Definition	38
	Application of the Case Study to the Synergy Model	39
Chapter 8	Participation in Decision Making	43
	Introduction	43
	Definition	45
	Application of the Case Study to the Synergy Model	46
Chapter 9	Predictability	49
	Introduction	49
	Definition	51
	Application of the Case Study to the Synergy Model	52
Section III	Nurse Characteristics	55
Chapter 10	Clinical Judgment	57
	Introduction	57
	Clinical Judgment	57
	Expert Clinical Judgment	58
	Competency for Evaluating Clinical Judgment	58
	Definition	59
	Application of the Case Study to the Synergy Model	61
Chapter 11	Advocacy/Moral Agency	63
	Introduction	63
	Competency of Advocacy	64
	Definition	64
	Application of the Case Study to the Synergy Model	66
Chapter 12	Caring Practices	69
	Introduction	69
	Caring Practices	69
	Caring Skills	69
	Caring in Nursing	70
	Competency for Evaluating Caring Practices	71
	Definition	71
	Application of the Case Study to the Synergy Model	72
Chapter 13	Collaboration	75
	Introduction	75
	Communication Skills	76
	Collaborating in Nursing	77
	Competency for Evaluating Collaboration	78
	Definition	78
	Application of the Case Study to the Synergy Model	81
Chapter 14	Systems Thinking	83
	Introduction	83
	Casual Loops	84
	Archetypes	85
	System Modeling	85
	Definition	86
	Application of the Case Study to the Synergy Model	88
Chapter 15	Response to Diversity	91
	Introduction	91
	Response to Diversity Skills	91
	Competency for Evaluating Response to Diversity	92
	Definition	93
	Application of the Case Study to the Synergy Model	94
Chapter 16	Clinical Inquiry	97
	Introduction	97
	Clinical Inquiry Skills	97
	Competency for Evaluating Clinical Inquiry	98
	Definition	98
	Application of the Case Study to the Synergy Model	100
Chapter 17	Facilitator of Learning	103
	Introduction	103
	Theories of Learning	103
	Facilitator of Learning in Nursing	104
	Competency for Evaluating Facilitator of Learning	104
	Definition	105
	Application of the Case Study to the Synergy Model	106
Section IV	Sample Questions of the AACN Synergy Model	109
Chapter 18	The Acutely and Critically Ill Adult Patient Sample Questions	111
	Introduction	111
Scenario 1111
Scenario 2112
Scenario 3113
Scenario 4114
Scenario 5115
Scenario 6116
Scenario 7117
	Answer Key and Rationales to Acutely and Critically Ill Adult Patient Sample Questions	118
Chapter 19	The Acutely and Critically Ill Pediatric Patient Sample Questions	135
	Introduction	135
Scenario 1136
Scenario 2139
Scenario 3140
	Answer Key and Rationales to Acutely and Critically Ill Pediatric Patient Sample Questions	141
Chapter 20	The Acutely and Critically Ill Neonatal Patient Sample Questions	155
	Introduction	155
	Answer Key and Rationales to Acutely and Critically Ill Neonatal Patient Sample Questions	161
Chapter 21	Advanced Practice Sample Questions: Adult Nurse Practitioner	169
	Introduction	169
Scenario 1169
Scenario 2170
Scenario 3171
Scenario 4173
Scenario 5174
	Answer Key and Rationales to Advanced Practice Sample Questions: Adult Nurse Practitioner	175
Chapter 22	Advanced Practice Sample Questions: Clinical Nurse Specialist	189
	Introduction	189
Scenario 1190
	Answer Key and Rationales to Advanced Practice Sample Questions: Clinical Nurse Specialist	195
Chapter 23	The Care of the Acutely and Critically Ill Adult Patient in the Progressive Care Unit Sample Questions	209
	Introduction	209
	Answer Key and Rationales to the Care of the Acutely and Critically Ill Adult Patient in the PCU Sample Questions	215
	Glossary	227
	Index	229

Editorial Reviews

4 Stars! from Doody

Reviewer: Theresa P. Yeo, MSN, MPH, CRNP (Johns Hopkins University School of Nursing)
Description: This book brings the Synergy Model to the realm of critical care nursing, describing and illustrating its implementation in critical care settings. This publication represents more than a decade of labor by the American Association of Critical-Care Nurses (AACN) to develop a conceptual framework for certified practice in critical care.
Purpose: The purpose is two-fold: to provide a historical background for implementing the Synergy Model as the conceptual framework for certified practice in critical care and to provide the foundation for applying the theoretical concepts to patient situations. These objectives are met through well-organized chapters and practice patient care questions.
Audience: The book describes in detail the components of the Synergy Model and is directed at practicing critical care experts, including: staff RNs, CCRNs, acute care clinical nurse specialists, and acute care nurse practitioners seeking a conceptual framework for ICU practice and desiring certification in this area. It is appropriate as well for use in schools of nursing for developing acute care/critical care curricula and for courses focused on nursing theories and conceptual frameworks.
Features: The book describes in detail the components of the Synergy Model and is directed at practicing critical care experts, including: staff RNs, CCRNs, acute care clinical nurse specialists, and acute care nurse practitioners seeking a conceptual framework for ICU practice and desiring certification in this area. It is appropriate as well for use in schools of nursing for developing acute care/critical care curricula and for courses focused on nursing theories and conceptual frameworks.
Assessment: This is well-written, very readable, and presents an important conceptual framework for critical care practice.

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