Assumptions
These are biological, psychological, social, and spiritual entities who present at a particular developmental stage.
What are patients?
Minimally vulnerable: Safe, out of the woods, protected, not fragile.
What is level 5 of Vulnerability?
The core assertion made by this model is that “when ________ characteristics and _____
competencies match, patient outcomes are optimized” (Hardin, 2009, p. 8)
What are "patient" and "nurse"
This is the capacity to return to a restorative level of functioning using compensatory or coping mechanisms, as well as the ability to bounce back quickly after insult.
What is resiliency?
The dimensions of a nurse's practice are driven by these.
What are the needs of a patient and family?
These all contribute to providing a context for the nurse-patient relationship.
Who are the patient, the family and the community?
Works on behalf of patient; self-assesses personal values; aware of ethical conflicts/issues that may surface in clinical setting; makes ethical/moral decisions based on rules; represents patient when patient cannot represent self; aware of patients' rights.
What is level 1 of Advocacy and Moral Agency?
Each patient and family, clinical unit and system is unique, with a varying capacity for ______ and vulnerability to illness.
What is 'health'?
This is clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence- based guidelines.
What is clinical judgement?
These are clinical judgement, advocacy and moral agency, caring practices, collaboration, systems thinking, response to diversity, facilitation of learning, and clinical inquiry (Innovator/Evaluator).
What are the eight nursing competencies defined in the AACN synergy model?
These individuals can be described by a number of characteristics, and all characteristics are connected and contribute to each other.
Who are patients?
Highly complex. Intricate; complex patient/family dynamics; ambiguous/vague; atypical presentation.
What is level 1 of complexity?
This Model suggests that outcomes are derived from three sources: the _______, the nurse, and the ______ care system
(Hardin, 2009).
What are 'patient' and 'health'?
The extent of resources (e.g., technical, fiscal, personal, psychological, and social) the patient/family/community bring to the situation.
What is resource availability?
Resiliency, vulnerability, stability,
complexity, resource availability, participation in care, participation in decision-making, and
predictability.
What are the eight core patient characteristics defined in the AACN synergy model?
These individuals can be described on a number of dimensions, and the interrelated dimensions create a profile of the nurse.
Who are nurses?
Collects basic-level data; follows algorithms, decision trees, and protocols with all populations and is uncomfortable deviating from them; matches formal knowledge with clinical events to make decisions; questions the limits of one's ability to make clinical decisions and delegates the decision making to other clinicians; includes extraneous detail.
What is level 1 of Clinical judgement?
Participation of care: Level 1- no participation: _____ and family ______ or unwilling to participate in care.
What are 'patient' and 'unable'
The ongoing process of questioning and evaluating practice and providing informed practice. Creating practice changes through research utilization and experiential learning.
What is Clinical inquiry?
In this model of nursing, the care of nurses reflects the integration of knowledge, skills, experience, and attitudes needed to meet the patient's needs.
What is the AACN Synergy Model of Nursing?
One possible outcome is to restore a patient to an optimal level of wellness as defined by the patient.
What is a goal of nursing?
Improves, deviates from, or individualizes standards and guidelines for particular patient situations or populations; questions and/or evaluates current practice based on patients' responses, review of the literature, research and education/learning; acquires knowledge and skills needed to address questions arising in practice and improve patient care; (The domains of clinical judgment and clinical inquiry converge at the expert level; they cannot be separated)
What is level 5 of Clinical Inquiry?
Caring Practices: Nursing activities that create a ________, ________, and therapeutic environment for patient and staff with the aim of promoting comfort and healing and preventing unnecessary suffering.
What are 'compassionate' and 'supportive'?
A characteristic that allows one to expect a certain course of events or course of illness.
What is predictability?
This is the scale used to evaluate patient characteristics.
What is the 5 point Likert scale?