NR447 RN Collaborative Healthcare


Leadership concepts, skills, decision-making, and leadership are essential for providing high-quality nursing care and healthcare team management. Also, care delivery oversight and accountability in a variety settings is required.

Use communication and relationship building to implement patient safety measures and quality improvements within the contexts and interprofessional team.

Participate and help develop and implement creative strategies to create systems that can change.

Develop a personal awareness and understanding of complex organizational systems.

In order to improve the quality of healthcare delivery, leadership skills are required.

As part of the change process for current practice, consider using concepts of quality & safety such as structure, process, outcomes, and outcome to identify clinical questions.

Answer to Question: NR447 RN Collaborative Healthcare


The delivery of nursing care is critical for the safety and wellbeing patients.

A proper nursing model is necessary to deliver quality nursing care.

The American Organization of Nurse Executives (AONE), has some assumptions for patient care delivery. “The role of nurse leaders [in future patient care delivery systems] will continue to require an integrated systems approach with all disciplines involved and outcome models” (Huber (2013).

The assumption that nursing care delivery systems would be able to meet public and healthcare needs will lead to improved patient safety and quality results.

There are several types of nursing care models. Some of them have a historical perspective while some are newer to the health-care system.

The current case study uses the “Synergy Method for Patient Care”.

This assignment would examine the scholarly literature related to the above nursing care model, as well as another delivery method.

Also, we will discuss how to implement the current model and another one.

Review of Resources related to Synergy Model Of Patient Care

American Association of Critical care Nursing has developed the Synergy method for patient care. It can be used by all nursing units.

This model emphasizes the need to match the nurse’s competence with the patient’s clinical signs, needs and needs.

The model also considers the patient’s characteristics.

This model serves a key purpose: to provide a theoretical framework for certified practice.

This model can be used in a variety of contexts such as staff development, building nursing productivity and caring for patients suffering from acute coronary syndromes.

These 8 characteristics are the characteristics of patients in the model.

Resiliency, stability. vulnerability. complexity. Resource availability. Participation in decision-making and predictability.

This model also features 8 characteristics of nurses. They include clinical judgment and caring practices, advocacy, moral agency and systems thinking. Collaboration, facilitation, facilitation, learning, response and diversity, and clinical inquiry.

The model also includes three levels, with the first being from the patient and the second coming from the nurse. The third comes from system.

Swickard, (2014) describe how this model can be used to aid nurses in making the right decision and providing care during patient transfers.

The model gave the theoretical foundation for guiding decisions regarding interfacility transfers in a safe and effective manner.

Hardin (2003) and Hussey (2003) provide another literature on the AACN Synergy Model in patient care. Here, the case is management of patients who have chronic heart failure (CHF).

The Synergy framework provides nurses with the tools to manage complex clients.

It also allowed nurses to slow down the progression of illness.

In this article, the authors discuss the characteristics that a patient visits at a local clinic. They also explain how this model helps to align the patient’s characteristics with the clinical nurse specialist or advanced practitioner nurse.

Sophie, an 82-year old woman, is the focus of this article. Sophie’s characteristics were aligned with 8 nursing attributes that are required to deliver effective critical care services.

Finally, the outcomes of the model were measured using three levels.

The model can be applied in many different settings according to the author.

Synergy’s flexibility is also evident in an ambulatory setting.

Review of Resources Related To Interprofessional practice Model

Patient navigation is a type of care delivery model that focuses on quality improvement. It identifies the importance to meet the interprofessional competencies of health professionals while emphasizing the necessity for working interprofessional teams “to communicate, collaborate and integrate care” in order to ensure continuity and reliability.

This model addresses health care needs in a better way, with more complex patient care requirements. It uses a mixture of expertise and knowledge necessary for meeting the expected patient outcomes.

Legare (2011) addressed this topic.

The article covered the interprofessional shared decim making model (IPSDM).

This model is divided into three levels, the individual (micro) as well as two health systems (meso/macro).

At the individual level, informed values-based decision making is achieved through the collection data from patients. However, at the meso or macro level, organizational systems have an influence, i.e.

All aspects of policies, including social and organizational factors, are taken into consideration.

In this way, the model is able to integrate care in teams to provide continuous and reliable care.

Legare (2011) provided an article that addressed the development and implementation of an interprofessional approach for shared decision making in primary care.

Also, the validity of this model has been evaluated with stakeholders.

15 individual and seven group interviews with 79 stakeholder groups revealed that merging micro and meso levels in one figure, putting patient at centre, identifying emotion and environment, clarifying patient’s status, and highlighting the concept time and family could all be ways to improve the efficiency of the model.

Implementation is hampered by time constraints, insufficient resource availability, and imbalance of power among health professionals.

Facilitators were, on the contrary, training and education as well as motivation, mutual learning, and an understanding of the individual roles in the team.Observation Of Current Nursing Model Implementation

In current circumstances, the Synergistic model of patient care has been adopted.

Many faculties and students are unable understand the model’s importance in the current context. They also have limited time and are not willing increase their burden.

The shared governance does not involve the nurse managers directly.

One example of this is the lack of collaboration: if patients are not satisfied, only the nurse can be held responsible (Finkelman 2015.

One of the major issues is the decentralized approach to decision-making.

Staff members are not able to adhere to the principles of sharing governance.

The program’s goals are not met by staff because of this.


An interprofessional practice model, which can be used to improve and manage intra and cross-team conflicts, can be applied.

This model will allow for decisions to be made at all levels, i.e.

This model can address decisions at each level separately. It also combines key ideas regarding patient care.

It would also make it easier to share governance.

The whole process would be done in a collaborative way with two-way communication. As a result, staffs would be able understand the purpose of the model and no single staff member would be responsible.

It will also reduce mistakes and improve the quality patient outcomes.

Communication would be crucial in this setting.


The assignment was a valuable tool in helping to understand the role and purpose of the nursing care model, as well as where this model should be used.

Additionally, it was understood that the model must be evaluated in light of the context.

Refer to Reference ListFawcett, J., & Desanto-Madeya, S. (2012).

The current nursing knowledge: Analysis of and evaluations of models and theories in nursing.

FA Davis.Finkelman, A. (2015).

Leadership and management: Key competencies for quality nursing care. Pearson.Hardin, S., & Hussey, L. (2003).

A case study of a CHF victim using the AACN Synergy Model for Patient Care. Critical care nurse, 23(1), 73-76.Huber, D. (2013).

Leadership and management of nursing services. Elsevier Health Sciences.Legare, F., Stacey, D., Gagnon, S., Dunn, S., Pluye, P., Frosch, D., … & Graham, I. D. (2011).

Validating a conceptual framework for an interprofessional approach to sharing decision making: a mixed method study.

Journal of evaluation and clinical practice, 17(4). 554-564.Legare, F., Stacey, D., Pouliot, S., Gauvin, F. P., Desroches, S., Kryworuchko, J., … & Harrison, M. B. (2011).

An approach to a better model: Interprofessionalism, shared decision-making in primary healthcare: A stepwise approach.

Journal of Interprofessional Care, 25(1). 18-25.Swickard, S., Swickard, W., Reimer, A., Lindell, D., & Winkelman, C. (2014).

Adaptation from the AACN Synergy Model of Patient Care to critical-care transport. Critical care nurse, 34(1), 16-28.