Nurse perspectives in the emergency department: The synergy tool in workload management and work engagement

Udod, Sonia; MacPhee, Maura; Wagner, Joan; Berry, Lois; Perchie, Glen; Conway, Aidan

doi:10.1111/jonm.13320

Cited by 13 publications

(13 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The findings of this study support similar research with the Synergy Model: participants valued the nurse-driven patient-centered approach to this care model [5,[9][10][11]13,14]. This study further demonstrated how one tertiary care healthcare organization was able to successfully standardize the synergy patient needs assessment tool across 12 different clinical programs while adapting the synergy scoring indicators for specific patient populations, such as cardiology and neurology.…”

Section: Discussionsupporting

confidence: 79%

“…This model was originally developed for use in critical care settings in the United States, but it has since been used in a variety of healthcare sectors in the United States and other countries [5][6][7]. In Canada, the Synergy Model has been successfully used in acute care and inpatient specialty areas [8,9] and in emergency services [10,11]. The premise of this model is that synergy or best possible outcomes arise from a 'fit' between patients' needs and nursing competencies [4].…”

Section: Introductionmentioning

confidence: 99%

“…Scores can also be averaged and graphed to look for trends in patient population care needs over different lengths of time, such as over a shift, a week, a month, or seasonally. Because the Synergy Model is nurse driven, use of this model has been associated with nurse empowerment and more effective relational practice [9][10][11][12][13][14] while the patient-centered approach to patient needs assessment has been linked to more effective patient outcomes [5].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implementing the Synergy Model: A Qualitative Descriptive Study

et al. 2022

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Implementing the Synergy Model: A Qualitative Descriptive Study

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…Likewise, evaluating COVID-19 responses within an organization alongside HCWs and their first-hand perspectives can inform the refinement of best practices whilst simultaneously curbing future harm amongst HCWs (Stelnicki et al, 2020). Furthermore, lessons learned from the pandemic can aid in structuring better staffing and workload management tools to improve staff work experiences (Udod et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Long-Term Care Workers’ Experiences and Their Views About Support During the COVID-19 Pandemic: A Scoping Review

Boamah¹,

Weldrick²,

Havaei³

et al. 2022

Preprint

View full text Add to dashboard Cite

Healthcare workers (HCWs) in long-term care (LTC) faced and continue to experience significant emotional and psychological distress throughout the pandemic. Despite this, little is known about the unique experiences of LTC workers. This scoping review synthesizes existing research on the experiences of HCWs in LTC during the COVID-19 pandemic. Following Arksey and O’Malley’s framework, data were extracted from six databases from inception of the pandemic to June 2022. Among 3,808 articles screened, 40 articles were included in the final analysis. Analyses revealed three interrelated themes: carrying the load (moral distress); building pressure and burning out (emotional exhaustion); and working through it (a sense of duty to care). Given the impacts of the pandemic on both HCW wellbeing and patient care, every effort must be made to address the LTC workforce crisis and evaluate best practices for supporting HCWs experiencing mental health concerns during and post-COVID-19.

show abstract

“…Increasing complexity of consumer care across all settings in nursing creates workload challenges (Udod et al . 2021). While the clinical reality is that competing demands can make participation in research challenging, the Nominal Group Technique may be a suitable method for similar health care settings that service large geographic areas, and where taking busy clinicians away from the clinical setting requires efficient use of their time.…”

Section: Relevance For Clinical Practicementioning

confidence: 99%

Using the Nominal Group Technique to determine a nursing framework for a forensic mental health service: A discussion paper

Maguire

Garvey

Ryan

et al. 2022

Int J Mental Health Nurs

View full text Add to dashboard Cite

The Nominal Group Technique is a method used to explore issues, generate ideas, and reach consensus on a topic. The Nominal Group Technique includes individual and group work and is designed to ensure participants have the same opportunity to engage and provide their opinions. While the technique has been used for around six decades to assist groups, in industry, and government organizations to examine issues and make decisions, this technique has received limited attention in nursing research, particularly in mental health. This discussion paper describes the use of a modified Nominal Group Technique for a study designed to determine a nursing decision-making framework for a state-wide forensic mental health service. Modifications were made to the traditional technique, to enable participants to make an informed and collective decision about a suitable framework for the novice to expert nurses, across secure inpatient, prison, and community forensic mental health settings. The Nominal Group Technique generated rich data and offered a structured approach to the process. We argue that the Nominal Group Technique offers an exciting and interactive method for nursing research and can increase opportunity for minority group members to participate. This technique also offers a time efficient way to engage busy clinical nurses to participate in research, with the advantage of members knowing the decision on the day of the group. Consideration, however, needs to be given to the duration and effect on participant concentration, and if not actively managed by facilitators, the possible emergence of group dynamics affecting individuals' decisions.

show abstract

Nurse perspectives in the emergency department: The synergy tool in workload management and work engagement

Cited by 13 publications

References 27 publications

Implementing the Synergy Model: A Qualitative Descriptive Study

Implementing the Synergy Model: A Qualitative Descriptive Study

Long-Term Care Workers’ Experiences and Their Views About Support During the COVID-19 Pandemic: A Scoping Review

Using the Nominal Group Technique to determine a nursing framework for a forensic mental health service: A discussion paper

Contact Info

Product

Resources

About