Adaptation of the AACN Synergy Model for Patient Care to Critical Care Transport

Abstract

Today’s health care delivery system relies heavily on interhospital transfer of patients who require higher levels of care. Although numerous tools and algorithms have been used for the prehospital determination of mode of transport, no tool for the transfer of patients between hospitals has been widely accepted. Typically, the interfacility transport decision is left to the discretion of the referring provider, who may or may not be aware of the level of care provided or the means of transport available. A need exists to determine the appropriate level of care required to meet the needs of patients during transport. The American Association of Critical-Care Nurses (AACN) Synergy Model for Patient Care is a patient-centered model that focuses on optimizing patient care by matching the characteristics of the patient with the competencies of the nurse. This model shows significant promise in providing the theoretical backing to guide the decision on the level of care necessary to complete interfacility transfers safely and effectively. This article describes a new tool inspired by the AACN Synergy Model for Patient Care to determine the appropriate level of care required for interfacility transport.

Nurses' Perceptions of Open Visiting Policy in the Adult Intensive Care Unit: An Integrative Review

“…The Synergy Models continues to be successfully applied today in a multitude of settings ranging from inpatient to the military and provides sound theoretical backing for nurses' decision making in the critical care setting (Swickard, Swickard, Reimer, Lindell, & Winkelman, 2014). Employing the Synergy Model as framework for this integrative review is appropriate, as developing a visiting policy within the ICU is essentially done in effort to create an agreeable, balanced relationship between the nurse, patient, and family while maintaining optimal patient outcomes as top priority.…”

Synergism in Perioperative Services

“…The American Association of Critical‐Care Nurses applied a synergistic model of patient care to various areas such as employee development, nursing productivity, and critical care transportation . In this model, the needs of patients along the eight dimensions of resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision making, and predictability are matched to the competencies of nurses, resulting in a synergy that positively affects patient‐, nurse‐, and system‐derived outcomes .…”

Évaluation de l’application du modèle synergique en hématologie pour améliorer la prestation des soins et l’environnement de travail

“…Le modèle est conçu pour aider les fournisseurs de soins de santé à classer les soins des patients par ordre de priorité, à jauger la charge de travail associée à chaque cas, à établir une approche systématique des réunions d'étude et des conférences de cas, à former et à orienter les nouveaux employés, à prendre des décisions concernant la planification des traitements, à offrir les soins et à procéder aux affectations sur le vif en fonction des notes synergiques (MacPhee, Wardrop, Campbell et Wejr, 2011;Kerfoot et al, 2006;Swickard et al, 2015;Carter et Burnette, 2011). Toutefois, il semble que le modèle n'ait jamais été appliqué dans une unité d'hospitalisation de courte durée en hématologie.…”