Curley M A
Children's Hospital, Boston, Mass., USA.
Am J Crit Care. 1998 Jan;7(1):64-72.
Given the current demands of the healthcare environment, a clear sense of the unique contributions of nursing to patients' outcomes is critical. This paper articulates a model that describes nursing practice on the basis of the needs and characteristics of patients. The model was developed by the American Association of Critical-Care Nurses Certification Corporation to link certified practice to patients' outcomes. The fundamental premise of this model, known as the Synergy Model, is that patients' characteristics drive nurses' competencies. When patients' characteristics and nurses' competencies match and synergize, outcomes for the patient are optimal. This paper presents the major tenets of the Synergy Model: patients' characteristics of concern to nurses, nurses' competencies important to patients, and patients' outcomes that result when patients' characteristics and nurses' competencies are mutually enhancing. By creating safe passage for patients, nurses make a significant contribution to the quality of patients' care, containment of costs, and patients' outcomes. Although the Synergy Model will be used as a blueprint for the certification of acute and critical care nurses, it is conceptually relevant to the entire profession. Dissemination of this model may help situate nursing within the current healthcare environment and facilitate intradisciplinary dialogue.
鉴于当前医疗环境的要求，明确护理对患者治疗结果的独特贡献至关重要。本文阐述了一个基于患者需求和特征描述护理实践的模型。该模型由美国重症护理护士认证公司开发，旨在将认证实践与患者治疗结果联系起来。这个被称为协同模型的模型的基本前提是患者的特征驱动护士的能力。当患者的特征与护士的能力相匹配并产生协同作用时，患者的治疗结果将达到最佳。本文介绍了协同模型的主要原则：护士关注的患者特征、对患者重要的护士能力，以及当患者特征与护士能力相互促进时产生的患者治疗结果。通过为患者创造安全通道，护士对患者护理质量、成本控制和患者治疗结果做出了重大贡献。尽管协同模型将用作急性和重症护理护士认证的蓝图，但从概念上讲，它与整个护理行业相关。传播该模型可能有助于在当前医疗环境中定位护理，并促进学科内部对话。
