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Implementing the Synergy Model: A Qualitative Descriptive Study

Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction. In an effort to address the Quadruple Aim and our patients’ care needs, Hamilton Health S...

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Autores principales: Cordon, Charissa P., Baxter, Pamela, Collerman, Ari, Krull, Kirsten, Aiello, Celia, Lounsbury, Jennifer, MacPhee, Maura, Udod, Sonia, Alvarado, Kim, Dietrich, Tim, Akhtar-Danesh, Noori, Ramachandran, Meena, Meisenburg, Natalie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8883925/
https://www.ncbi.nlm.nih.gov/pubmed/35225897
http://dx.doi.org/10.3390/nursrep12010011
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author Cordon, Charissa P.
Baxter, Pamela
Collerman, Ari
Krull, Kirsten
Aiello, Celia
Lounsbury, Jennifer
MacPhee, Maura
Udod, Sonia
Alvarado, Kim
Dietrich, Tim
Akhtar-Danesh, Noori
Ramachandran, Meena
Meisenburg, Natalie
author_facet Cordon, Charissa P.
Baxter, Pamela
Collerman, Ari
Krull, Kirsten
Aiello, Celia
Lounsbury, Jennifer
MacPhee, Maura
Udod, Sonia
Alvarado, Kim
Dietrich, Tim
Akhtar-Danesh, Noori
Ramachandran, Meena
Meisenburg, Natalie
author_sort Cordon, Charissa P.
collection PubMed
description Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction. In an effort to address the Quadruple Aim and our patients’ care needs, Hamilton Health Sciences (HHS) embarked on a model of care delivery redesign, beginning with nursing care delivery. From 2013 to 2018, 12 clinical programs at HHS implemented the Synergy Model with its accompanying synergy patient needs assessment tool for nurses to objectively assess patients’ acuity and dependency needs. Data on patients’ priority care needs were used to inform a nursing model of care redesign at HHS, including skill mix and staffing levels. This five-year project was an organization-wide quality improvement initiative. As part of the evaluation, HHS leaders partnered with health services nurse researchers to conduct a mixed methods study. This paper describes the evaluation outcomes from the qualitative component of the study, which included interviews with clinical nurse leaders and direct care nurses. Data were analyzed using descriptive thematic analysis. Some key findings were increased nurse awareness of patients’ holistic care needs and leaders’ capacity to plan staffing assignments based on patients’ priority care needs. Themes helped inform recommendations for key stakeholders, including nurse leaders and direct care nurses.
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spelling pubmed-88839252022-03-01 Implementing the Synergy Model: A Qualitative Descriptive Study Cordon, Charissa P. Baxter, Pamela Collerman, Ari Krull, Kirsten Aiello, Celia Lounsbury, Jennifer MacPhee, Maura Udod, Sonia Alvarado, Kim Dietrich, Tim Akhtar-Danesh, Noori Ramachandran, Meena Meisenburg, Natalie Nurs Rep Article Hospitals across our nation are seeking to implement models of care that meet the primary goals of Quadruple Aim: Improved population health, cost-effective care delivery, and patient and provider satisfaction. In an effort to address the Quadruple Aim and our patients’ care needs, Hamilton Health Sciences (HHS) embarked on a model of care delivery redesign, beginning with nursing care delivery. From 2013 to 2018, 12 clinical programs at HHS implemented the Synergy Model with its accompanying synergy patient needs assessment tool for nurses to objectively assess patients’ acuity and dependency needs. Data on patients’ priority care needs were used to inform a nursing model of care redesign at HHS, including skill mix and staffing levels. This five-year project was an organization-wide quality improvement initiative. As part of the evaluation, HHS leaders partnered with health services nurse researchers to conduct a mixed methods study. This paper describes the evaluation outcomes from the qualitative component of the study, which included interviews with clinical nurse leaders and direct care nurses. Data were analyzed using descriptive thematic analysis. Some key findings were increased nurse awareness of patients’ holistic care needs and leaders’ capacity to plan staffing assignments based on patients’ priority care needs. Themes helped inform recommendations for key stakeholders, including nurse leaders and direct care nurses. MDPI 2022-02-14 /pmc/articles/PMC8883925/ /pubmed/35225897 http://dx.doi.org/10.3390/nursrep12010011 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cordon, Charissa P.
Baxter, Pamela
Collerman, Ari
Krull, Kirsten
Aiello, Celia
Lounsbury, Jennifer
MacPhee, Maura
Udod, Sonia
Alvarado, Kim
Dietrich, Tim
Akhtar-Danesh, Noori
Ramachandran, Meena
Meisenburg, Natalie
Implementing the Synergy Model: A Qualitative Descriptive Study
title Implementing the Synergy Model: A Qualitative Descriptive Study
title_full Implementing the Synergy Model: A Qualitative Descriptive Study
title_fullStr Implementing the Synergy Model: A Qualitative Descriptive Study
title_full_unstemmed Implementing the Synergy Model: A Qualitative Descriptive Study
title_short Implementing the Synergy Model: A Qualitative Descriptive Study
title_sort implementing the synergy model: a qualitative descriptive study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8883925/
https://www.ncbi.nlm.nih.gov/pubmed/35225897
http://dx.doi.org/10.3390/nursrep12010011
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