Assessing the application of the Synergy Model in hematology to improve care delivery and the work environment

Georgia Georgiou, Yayra Amenudzie, Enoch Ho, Elizabeth O'Sullivan


A pilot project was undertaken to evaluate the impact of the Synergy Model (Curley, 1998) on patient care delivery and professional practice in a hematology unit. Patient characteristics were matched to nurse competency when making the nursing assignments and acuity scores were used to make staffing adjustments. The model resulted in “better fit” assignments, with 87% of nurses reporting their competencies were well matched with patient acuity, compared to 48% before the model implementation. Nurse satisfaction regarding the level of support for novice nurses, involvement in nursing assignments, workload, and engagement also improved. Reduction in safety occurrences and overtime were also observed. The Synergy Model offers a promising framework for improving care delivery and the practice environment in other similar patient populations.

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Amenudzie, Y., Georgiou, G., Ho, E., & O’Sullivan, E. (2017). Adapting and applying the Synergy Model on an inpatient heamatology unit. Canadian Oncology Nursing Journal, 27(4), 338–342.

Armstrong, K., & Laschinger (2006). Structural empowerment, magnet hospital characteristics, and patient safety culture: Making the link. Journal of Nursing Care Quality, 21(2), 124–132.

British Columbia Nurses’ Union. (2010). Provincial nursing workload project resource toolkit for teams: Nursing workload and staffing plan processes.

Carter, K.F., & Burnette, H.D. (2011). Creating patient-nurse synergy on a medical-surgical unit. Medsurg Nursing, 20(5), 249–254.

Curley, M.A. (Ed.). (2007). Synergy: The unique relationship between nurses and patients. Indianapolis: Sigma Theta Tau International.

Curley, M.A. (1998). Patient-nurse synergy: Optimizing patient’s outcomes. American Journal of Critical Care, 7(1), 64–72.

Gralton, K.S., & Brett, S.A. (2012). Integrating the synergy model for patient care at Children’s Hospital in Wisconsin. Journal of Pediatric Nursing, 27, 74–81.

Havens, D., & Aiken, L. (1999). Shaping systems to promote outcomes: The magnet hospital model. Journal of Nursing Administration, 29, 14–20.

Kaplow, R., & Reed, K. (2008). The AACN synergy model for patient care: A nursing model as a force of magnetism. Nursing Economics, 26(1), 17–25.

Kerfoot, K.M., Lavandero, R., Cox, M., Triola, N., Pacinin, C., & Hanson, D.M. (2006). Conceptual models and the nursing organization. Implementing the AACN synergy model for patient care. Nurse Leader, 20–26.

Khalifehzadeh, A., Jahromi, M.K., & Yazdannik, A. (2012). The impact of the Synergy Model on nurses’ performance and the satisfaction of patients with acute coronary syndrome. Iranian Journal Nursing and Midwifery Research, 17(1), 16–20.

Laschinger, H., Almost, J., & Tuer-Hodes. (2003). Workplace empowerment and magnet hospital characteristics. Journal of Nursing Administration, 33(7/8), 410–422.

MacPhee, M.K., Jewell, K., Wardrop, A., Ahmed, A., & Mildon, B. (2010). British Columbia’s provincial nursing workload project: Evidence to empowerment. Canadian Journal of Nursing Leadership, 23(1), 54–63.

MacPhee, M., Wardrop, A., Campbell, C., & Wejr, P. (2011). The synergy professional practice model and its patient characteristics tool: A staff empowerment strategy. Nursing Leadership, 24(3), 42–55.

Shamian, J., & El-Jardali, F. (2007). Healthy workplaces for health workers in Canada: Knowledge transfer and uptake in policy and practice. Healthcare Papers, 7(Special Issue), 6–25.

Swickard, S., Swickard, W., Reimer, A., Lindell, D., & Winkelman, C. (2015). Adaptation of the AACN synergy model for patient care to critical care transport. Critical Care Nursing, 34(1), 16–28.


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