The Synergy Model Helping CLABSI Central line associated blood stream infections (CLABSI) are serious problems that affect each hospital in the United States. While CLABSI rates have decreased, they have not been eradicated. The amount that CLABSI has decreased has slowed substantially, and CLABSI continues to affect negatively affect patients. With the use of middle-range nursing theories such as The Synergy Model, CLABSI rates can be decreased in hospitals everywhere. The Synergy Model The Synergy Model for Patient Care was created by American Association of Critical-Care Nurses in the 1990’s. This theory allows nurses to assess different characteristics or patient needs and then list nursing competencies that apply to those needs or characteristics. This theory allows for the patients to be unique individuals and have different characteristics as all patients do. The theory relies on nurses to be competent, knowledgeable, skilled, and have experience in carrying out the competencies to help the patient (McEwen & Wills, 2014). Synergy is the result of the patient’s needs matching the nurse’s competencies (American Association of Critical-Care Nurses [AACN], 2015). Use of the Model 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,
The building of a positive relationship is described as showing warmth, respect and empathy however to provide effective communication between nurse and patient the nurse needs to be aware of and identify the patient’s physical, social and psychological barriers. A nurse can use these tools to build trust, mutual respect and confidence with the patient as these are needed for
Nurse Brink designed a care modality that follows the functional model. With the functional model, care is provided by all members of a nursing team through different tasks (Yoder & Wise, 2015). Nurse Brink uses this model as each RN, LPN, and UAP are assigned a specific job. The jobs that each member of the nursing team has, correspond to their scope of practice (Yoder & Wise, 2015). By having each member complete their job, they’re supporting how a patient’s care is provided. With this design, it allows for each member of the team to work together in union. Though there may be a small number of staff members, they still have a role and responsibility to meet the needs of all patients.
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.
Working in a team is an important responsibility by understanding each other’s role which may include doctor, nurse, occupational therapist, physiotherapist and many more. Team members divide the work based on their scope practice such as acute care, metal health care, homecare etc. Interprofessional collaboration practice is decision making and communicating between individuals for their patient’s health based on their knowledge and skills. It helps to promote habits, maximizing health resources, leading care to be safer with patient’s satisfaction and Canada’s health care (Kenaszchuk, Reeves, Nicholas, & Zwarenstein, 2010).
First, the article provides a short explanation regarding central line associated bloodstream infections (CLABSI) and CLABSI related deaths that occur annually in the US. A national campaign, ‘On the CUSP,’ is briefly discussed. This was a collaborative cohort study of 1,071 adult intensive care units (ICUs) in 44 states, Puerto Rico, and Washington D.C. Their goal was to evaluate the impact of the ‘On the CUSP’ campaign in relation to CLASI reduction. Extensive education and training was provided prior and during the intervention. The multi-level Poisson regression model showed CLABSIs dropped from 1.96 to 1.15 per 1,000 line-days, a 43% decrease. Limitations included: this was not a randomized controlled trial (RCT), lack of resources to validate CLABSI data or collect intervention compliance data. However, the study indicates CLABSIs are preventable with standardized nursing interventions, which improves patient outcomes.
Nurses play a significant and pertinent role in healthcare delivery. They are educators, counselors, offer one on one care and attend to the needs of the patient. They implement direct care, augment quality patient care, advocate and bring comfort to the patient. Nursing models are designed to guard and support professional practice. Nursing care models provide the infrastructure for organizing the delivery of care to patients and families (Dubois, C. et al. 2013). The nursing care model creates a process used when caring for patients and it varies depending on the healthcare facility and the form of nursing leadership utilized. The purpose of this paper is to evaluate the two nursing care models with my experience. At the long-term care facility that I currently work, nurses utilize a functional nursing care model, which I will discuss in the paper along with the synergy nursing care model method.
A multidisciplinary approach to patient care helps improve client outcomes. This collaboration helps ensure clients are receiving high-quality patient care. The clinic team is multidisciplinary including the clinic manager, medical director, physicians, nurse practitioners, nursing supervisor, registered nurses, license practical nurses, nursing assistants, rehabilitation therapists, social workers, psychologist, recreational therapist, radiology technician, respiratory therapist, assistive technologist, and registration staff. McComb and Hebdon (2013) state, “positive relationships between patients and healthcare providers, as well as those among providers, promote patient-centered care and enhance patient outcomes” (p. 669). This facility
As the obligations of nurses around the world continue to become more complex, the need for the field to constantly grow and improve is continuous. This is especially evident when referring to nurses who work in the intensive care unit as they must care for patients with more severe illnesses (Intensive Care Unit, 2016). One possible way to improve the quality of patient care besides technological advancements is the use of teamwork. The purpose of this paper is to determine if teamwork among health care professionals in the intensive care unit benefits patient care, as opposed to working as individuals. It is important to first understand the role of these nurses to determine if teamwork could have an effect on the overall patient care. Nurses
For over a decade, healthcare associated infections (HAIs) have been at the forefront for improvement in hospitals across the nation, with central line associated blood stream infections (CLABSI) being a frontrunner of HAIs investigated as a major area for improvement. A central line can be either a central venous catheter (CVC) or a peripherally inserted central catheter (PICC) and has many uses in intensive care units, inpatient units, and home health care including administration of antibiotics, TPN, and chemotherapy treatment. Remarkable improvements over the past decade have been made in order to shrink the rate of CLABSIs with measures and ongoing research to continue to diminish the number of central line infections seen in hospitals.
atisfaction (ANA, 2012). According to the ANA (2012), “Coordination of care is not a new concept to registered nurses. They understand that they are an essential component of the care coordination process to improve patients’ care outcomes, facilitate effective inter-professional collaboration, and decrease costs across patient populations and health care settings” (p. 1). As part of the Nurse of the Future Competencies, this ensures a successful outcome during the transition period from hospital to home (Massachusettes Department of Higher Education, 2010) because communication, professionalism, patient-centered care, and evidence-based practice are vital for the intervention to be successful. Part of the communication component is for nurses to educate patients thoroughly by assessing their health literacy capabilities upon discharge from the hospital. They should start
Central lines are widely used and plays a crucial role in the management of patient care for nutritional supplementation, hydration, long-term dialysis, as well as administration of intravenous medication treatments such as antibiotics, or chemotherapeutic agents. However, inappropriate use and handling of central lines can result in increased risk of central line-associated bloodstream infections (CLABSIs) which consequently increase the risk of morbidity and mortality, high health care cost, and extended length of hospital stay (Stevens, et al., 2014). Prevention of CLABSIs is an essential component of the delivery of safe, and quality care. If strictly followed, the recommended guidelines derived from extensive evidence-based research on
Nursing is a career that requires collaborative relationships among professionals that assist nurses to provide the best possible care for the client and family. These interprofessional relationships may involve a wide range of health care professionals of multiple members that work collaboratively together to deliver quality care. Nurses are required to work with other professionals on a daily basis on the floor whether it is with a doctor, a lab tech, a respiratory therapist, physiotherapists or even a fellow nurse. Registered Practical Nurses (RPN) and Registered Nurses (RN) work together on a daily basis and work in partnership with
Great job you nurses are doing at your unity. Central line associated blood stream infection (CLABSI) is one of the major problems most hospitals are experiencing. As explained by Boubekri, (2013) health care associated infections are a measure problem in most hospital and about 70% are from centrals lines. An effort put in place at my hospital was the use of chlorhexidine (CHG) wipes, we use them daily with patients that have a central line, wiping the daily around the central line side to reduce infection. Boubekri went further to explain in the article that the use of CHG wipe daily reduce the CLABSI. We use the CHG wipes on patients going for surgery, patients on Foley catheter, and any invasive procedure. It has really helped to reduce
Collaboration of the nurses, doctors, patients, families, and home care nurses or nursing home nursing plays a significant role in the outcome
Johanson, L. S. (2008). Interprofessional collaboration: nurses on the team. MEDSURGE Nursing, 129-130. Retrieved from http://ehis.ebscohost.com.ezproxy.gard