Critical Review
The article by Swickard et al considers the role of the American Association of Critical-Care Nurses Synergy Model for Patient Care in relation to transporting patients between hospital settings for increased levels of care. It reveals the fact that the aforementioned synergy model is a patient-centric one in which providers attempt to match a patient’s characteristics with a particular nurse’s competency to achieve patient goals (Swickard et al, 2014, p. 16). The article was insightful because it demonstrated the need for such an approach in situations in which the care provider may or may not be aware of each of the factors influencing how successful transporting the patient is.
The article by Montgomery et al focuses on the applicability of the synergy model of care in rural settings. It deconstructs the theory behind this care model, rural theory, and rural nursing practices. Analysis of “the four major concepts of the metaparadigm” (Montgomery et al, 2017, p. 87) associated with these concepts revealed that they were congruent to one another, and appropriate to be used in conjunction with one another. The article utilized this analysis to determine that although the synergy model is designed for critical care, it is worthy of expansion to rural nursing practices in general.
The information contained in this article and that by Swickard et al is a testament to the utilitarian nature of this care model. It is adequate for use in rural settins and for determining modes of transportation between hospitals.
The article by Shearer considers the variation in the mixture of skills for nurses in various states in Australia. Specifically, this work evaluates the influence of nursing assistants when paired with registered nurses in acute settings. The basis of the article is an open forum in which registered nurses discussed the merit of nursing assistants in the context of different facets of this profession. Some of the findings revealed that the work load of each of these groups was incommensurate. Registered nurses actually wanted nursing assistants to perform more tasks. The article also detailed the phenomenon of placing registered nurses with nursing assistants, and largely cautioned against it because of the...
References
Driscoll, A., Grant, M.J., Carroll, D., Dalton, S., Deaton, C., Jones, I., Lehwaldt, D., McKee, G., Munyombwe, T., Astin, F. (2018). European Journal of Cardiovascular Nursing. 17(1), 6-22.
Montgomery, S.R., Sutton, A.L., Pare, J. (2017). Online Journal of Rural Nursing and Health Care. 17(1), 87-99.
Stimpfel, A.W., Sloane, D.M., Aiken, L.H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Affairs (Millwood). 31(11), 2501-2509.
Shearer, T. (2013). Getting the mix right: assistants in nursing and skill mix. Australian Nursing & Midwifery Journal. 21(5), 24-27.
Swickard, S., Swickard, W., Remier, A., Lindell, D., Winkelman, C. (2014). Adaptation of the AACN synergy model for patient care to critical care transport. Critical Care Nurse. 34(1), 16-28.
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