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The AACN Synergy Model for Patient Care is a conceptual framework that emphasizes the importance of nursing care based on patient and family needs. It outlines patient characteristics, nurse competencies, and outcomes of synergy. The model assumes the patient has biological, social, and spiritual entities, and the nurse's goal is to restore the patient to an optimal level of wellness as defined by the patient.
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The AACN Synergy Model for Patient Care - ANS a conceptual framework describing a patient-nurse relationship that acknowledges the primary importance of nursing care based on the needs of patients and their families. 3 AACN Synergy Model Components - ANS Patient Characteristics (8) Nurse Competencies (8) Outcomes of Synergy Three Outcomes of Synergy - ANS Patient outcomes, Nurse outcomes, System outcomes Patient outcomes - ANS functional changes, behavioral changes, trust, comfort, quality of life, satisfaction Nurse-derived outcomes - ANS physiological changes, complications, goal achievements System-derived outcomes - ANS readmissions, cost effectiveness, resource utilization Assumptions of Synergy Model - ANS Patient has biological, social, & spiritual entities. Look at holistically. Nurse has interrelated dimensions with goal restore patient to optimal level of wellness as defined by patient Eight Patient Characteristics - ANS Resiliency, Vulnerability, Stability, Complexity, Predictability, Resource Availability, Participation in Decision Making, Participation in Care Resiliency - ANS The patient's ability to bounce back from an illness or injury. This is based on age, overall health, and comorbid (or simultaneous) medical conditions Vulnerability - ANS Susceptibility to actual and potential stressors that can endanger patient outcomes. This ranges from medically fragile to fully recovering Stability - ANS Ability to maintain steady equilibrium, ranging from a high risk of death to a low risk of death. Complexity - ANS Intricate entanglement of psychological and emotional states, including family relations and environmental factors. This ranges from complicated lifestyles and family relations to straightforward interactions. Predictability - ANS Expectations of a certain course of action, ranging from not predictable to highly predictable.
Resource Availability - ANS Availability of support, including supportive relationships, financial stability, and psychological care, ranging from few resources to abundant resources Participation in Decision Making - ANS Accessibility, availability, and willingness by the patient and family to understand the information provided, ranging from no participation to full participation Participation in Care - ANS Accessibility, availability, and willingness by the patient and family to assist in care, ranging from no participation to full participation Novice Nurse - ANS no experience Advanced Beginner Nurse - ANS not good at time managment, knowledge still developing Competent - ANS can be efficient, confident, perform tasks within specific time frame, may not be able to see holistic view of patient Proficient - ANS looks at patient and situation as a whole Expert - ANS Good intuition, can avoid heading down pathways that are not useful Eight nurse competencies - ANS Clinical judgment, advocacy, caring practices, facilitation of learning, collaboration, systems thinking, response to diversity, and clinical requirement Clinical Judgment - ANS Assessing a situation based on education and experience Advocacy & moral agency - ANS Working on another person's behalf Caring Practices - ANS Using caring behaviors based on individual patient needs Collaboration - ANS Working with others to promote wellbeing Systems Thinking - ANS Using tools and knowledge from across the healthcare system Response to Diversity - ANS Recognizing and appreciating differences for appropriate care Clinical Inquiry - ANS Guided by Why Facilitator of Learning - ANS Using knowledge to educate patients, families, caregivers, and other healthcare providers