Building a nursing productivity measure based on the synergy model: first steps

The Synergy Model describes nurses' work on the basis of the individual needs of patients and their families. To generate data necessary to develop a nursing productivity system by using the Synergy Model as a conceptual framework. Nurses from 3 different intensive care units participated. In p...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of critical care 2012-11, Vol.21 (6), p.420-431
Hauptverfasser: Kohr, Lisa M, Hickey, Patricia A, Curley, Martha A Q
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 431
container_issue 6
container_start_page 420
container_title American journal of critical care
container_volume 21
creator Kohr, Lisa M
Hickey, Patricia A
Curley, Martha A Q
description The Synergy Model describes nurses' work on the basis of the individual needs of patients and their families. To generate data necessary to develop a nursing productivity system by using the Synergy Model as a conceptual framework. Nurses from 3 different intensive care units participated. In phase 1, charge nurses in focus groups described patient and family indicators considered when making nurse-patient assignments. In phase 2, charge nurse data were used to construct a survey for experienced staff nurses, asking them to link the indicators to 3 levels of nursing workload. Thirty charge nurses considered all 8 patient dimensions of the Synergy Model when making nurse-patient assignments. Thirty-two experienced staff nurses completed 79 surveys ranking patients' stability as the most important dimension in patient care followed by complexity and predictability. Respondents linked a common set of unique indicators to each of the patient dimensions of the Synergy Model: fluctuation in vital signs was linked to stability; number and severity of diagnoses, to complexity; trajectory of illness, to predictability; lack of reserve, to resiliency; invasiveness of procedures, to vulnerability; family educational level and participation style, to family participation in decision making/care; and home environment, to resources. Sets of indicators were common across units and clustered around level of workload. The Synergy Model shows promise as a conceptual framework for a nursing productivity system. Using a model that centers nursing work on patients' needs may better capture what nurses do and enhance our capacity to quantify nursing resource allocation.
doi_str_mv 10.4037/ajcc2012859
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1440668239</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1273601406</sourcerecordid><originalsourceid>FETCH-LOGICAL-c359t-759d13eed2c971c3ee42d2083f96fff0723efff41ced03ecf4486b26200356833</originalsourceid><addsrcrecordid>eNqFkEtLAzEUhYMotlZX7iVLQUZvHpNM3GnxBYVuFNwN0-SmTplHTWaE_nuntIo7V-fA_ThcPkLOGVxLEPqmWFnLgfEsNQdkzIzQiWbwfjh0UDwRXMkROYlxBcBkpvUxGXHBmDaQjsn8vi8rVzZLWtCmD3Hb1qF1ve3Kr7Lb0BqL2AekiyKio21Duw-kcdNgWA7H1mF1S30ZYkdjh-t4So58UUU82-eEvD0-vE6fk9n86WV6N0usSE2X6NQ4JhAdt0YzOzTJHYdMeKO896C5wCEls-hAoPVSZmrBFQcQqcqEmJDL3e7w7GePscvrMlqsqqLBto85kxKUyrgw_6NcCzWoATWgVzvUhjbGgD5fh7IuwiZnkG9l539kD_TFfrhf1Oh-2R-74huIrHoz</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1273601406</pqid></control><display><type>article</type><title>Building a nursing productivity measure based on the synergy model: first steps</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Kohr, Lisa M ; Hickey, Patricia A ; Curley, Martha A Q</creator><creatorcontrib>Kohr, Lisa M ; Hickey, Patricia A ; Curley, Martha A Q</creatorcontrib><description>The Synergy Model describes nurses' work on the basis of the individual needs of patients and their families. To generate data necessary to develop a nursing productivity system by using the Synergy Model as a conceptual framework. Nurses from 3 different intensive care units participated. In phase 1, charge nurses in focus groups described patient and family indicators considered when making nurse-patient assignments. In phase 2, charge nurse data were used to construct a survey for experienced staff nurses, asking them to link the indicators to 3 levels of nursing workload. Thirty charge nurses considered all 8 patient dimensions of the Synergy Model when making nurse-patient assignments. Thirty-two experienced staff nurses completed 79 surveys ranking patients' stability as the most important dimension in patient care followed by complexity and predictability. Respondents linked a common set of unique indicators to each of the patient dimensions of the Synergy Model: fluctuation in vital signs was linked to stability; number and severity of diagnoses, to complexity; trajectory of illness, to predictability; lack of reserve, to resiliency; invasiveness of procedures, to vulnerability; family educational level and participation style, to family participation in decision making/care; and home environment, to resources. Sets of indicators were common across units and clustered around level of workload. The Synergy Model shows promise as a conceptual framework for a nursing productivity system. Using a model that centers nursing work on patients' needs may better capture what nurses do and enhance our capacity to quantify nursing resource allocation.</description><identifier>ISSN: 1062-3264</identifier><identifier>EISSN: 1937-710X</identifier><identifier>DOI: 10.4037/ajcc2012859</identifier><identifier>PMID: 23117905</identifier><language>eng</language><publisher>United States</publisher><subject>Efficiency, Organizational ; Female ; Humans ; Intensive Care Units ; Male ; Models, Nursing ; Models, Organizational ; New England ; Nursing ; Nursing Care ; Nursing Staff, Hospital - organization &amp; administration ; Personnel Staffing and Scheduling ; Workload</subject><ispartof>American journal of critical care, 2012-11, Vol.21 (6), p.420-431</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-759d13eed2c971c3ee42d2083f96fff0723efff41ced03ecf4486b26200356833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23117905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kohr, Lisa M</creatorcontrib><creatorcontrib>Hickey, Patricia A</creatorcontrib><creatorcontrib>Curley, Martha A Q</creatorcontrib><title>Building a nursing productivity measure based on the synergy model: first steps</title><title>American journal of critical care</title><addtitle>Am J Crit Care</addtitle><description>The Synergy Model describes nurses' work on the basis of the individual needs of patients and their families. To generate data necessary to develop a nursing productivity system by using the Synergy Model as a conceptual framework. Nurses from 3 different intensive care units participated. In phase 1, charge nurses in focus groups described patient and family indicators considered when making nurse-patient assignments. In phase 2, charge nurse data were used to construct a survey for experienced staff nurses, asking them to link the indicators to 3 levels of nursing workload. Thirty charge nurses considered all 8 patient dimensions of the Synergy Model when making nurse-patient assignments. Thirty-two experienced staff nurses completed 79 surveys ranking patients' stability as the most important dimension in patient care followed by complexity and predictability. Respondents linked a common set of unique indicators to each of the patient dimensions of the Synergy Model: fluctuation in vital signs was linked to stability; number and severity of diagnoses, to complexity; trajectory of illness, to predictability; lack of reserve, to resiliency; invasiveness of procedures, to vulnerability; family educational level and participation style, to family participation in decision making/care; and home environment, to resources. Sets of indicators were common across units and clustered around level of workload. The Synergy Model shows promise as a conceptual framework for a nursing productivity system. Using a model that centers nursing work on patients' needs may better capture what nurses do and enhance our capacity to quantify nursing resource allocation.</description><subject>Efficiency, Organizational</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive Care Units</subject><subject>Male</subject><subject>Models, Nursing</subject><subject>Models, Organizational</subject><subject>New England</subject><subject>Nursing</subject><subject>Nursing Care</subject><subject>Nursing Staff, Hospital - organization &amp; administration</subject><subject>Personnel Staffing and Scheduling</subject><subject>Workload</subject><issn>1062-3264</issn><issn>1937-710X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLAzEUhYMotlZX7iVLQUZvHpNM3GnxBYVuFNwN0-SmTplHTWaE_nuntIo7V-fA_ThcPkLOGVxLEPqmWFnLgfEsNQdkzIzQiWbwfjh0UDwRXMkROYlxBcBkpvUxGXHBmDaQjsn8vi8rVzZLWtCmD3Hb1qF1ve3Kr7Lb0BqL2AekiyKio21Duw-kcdNgWA7H1mF1S30ZYkdjh-t4So58UUU82-eEvD0-vE6fk9n86WV6N0usSE2X6NQ4JhAdt0YzOzTJHYdMeKO896C5wCEls-hAoPVSZmrBFQcQqcqEmJDL3e7w7GePscvrMlqsqqLBto85kxKUyrgw_6NcCzWoATWgVzvUhjbGgD5fh7IuwiZnkG9l539kD_TFfrhf1Oh-2R-74huIrHoz</recordid><startdate>201211</startdate><enddate>201211</enddate><creator>Kohr, Lisa M</creator><creator>Hickey, Patricia A</creator><creator>Curley, Martha A Q</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201211</creationdate><title>Building a nursing productivity measure based on the synergy model: first steps</title><author>Kohr, Lisa M ; Hickey, Patricia A ; Curley, Martha A Q</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-759d13eed2c971c3ee42d2083f96fff0723efff41ced03ecf4486b26200356833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Efficiency, Organizational</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive Care Units</topic><topic>Male</topic><topic>Models, Nursing</topic><topic>Models, Organizational</topic><topic>New England</topic><topic>Nursing</topic><topic>Nursing Care</topic><topic>Nursing Staff, Hospital - organization &amp; administration</topic><topic>Personnel Staffing and Scheduling</topic><topic>Workload</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kohr, Lisa M</creatorcontrib><creatorcontrib>Hickey, Patricia A</creatorcontrib><creatorcontrib>Curley, Martha A Q</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>American journal of critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kohr, Lisa M</au><au>Hickey, Patricia A</au><au>Curley, Martha A Q</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Building a nursing productivity measure based on the synergy model: first steps</atitle><jtitle>American journal of critical care</jtitle><addtitle>Am J Crit Care</addtitle><date>2012-11</date><risdate>2012</risdate><volume>21</volume><issue>6</issue><spage>420</spage><epage>431</epage><pages>420-431</pages><issn>1062-3264</issn><eissn>1937-710X</eissn><abstract>The Synergy Model describes nurses' work on the basis of the individual needs of patients and their families. To generate data necessary to develop a nursing productivity system by using the Synergy Model as a conceptual framework. Nurses from 3 different intensive care units participated. In phase 1, charge nurses in focus groups described patient and family indicators considered when making nurse-patient assignments. In phase 2, charge nurse data were used to construct a survey for experienced staff nurses, asking them to link the indicators to 3 levels of nursing workload. Thirty charge nurses considered all 8 patient dimensions of the Synergy Model when making nurse-patient assignments. Thirty-two experienced staff nurses completed 79 surveys ranking patients' stability as the most important dimension in patient care followed by complexity and predictability. Respondents linked a common set of unique indicators to each of the patient dimensions of the Synergy Model: fluctuation in vital signs was linked to stability; number and severity of diagnoses, to complexity; trajectory of illness, to predictability; lack of reserve, to resiliency; invasiveness of procedures, to vulnerability; family educational level and participation style, to family participation in decision making/care; and home environment, to resources. Sets of indicators were common across units and clustered around level of workload. The Synergy Model shows promise as a conceptual framework for a nursing productivity system. Using a model that centers nursing work on patients' needs may better capture what nurses do and enhance our capacity to quantify nursing resource allocation.</abstract><cop>United States</cop><pmid>23117905</pmid><doi>10.4037/ajcc2012859</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1062-3264
ispartof American journal of critical care, 2012-11, Vol.21 (6), p.420-431
issn 1062-3264
1937-710X
language eng
recordid cdi_proquest_miscellaneous_1440668239
source MEDLINE; Journals@Ovid Complete
subjects Efficiency, Organizational
Female
Humans
Intensive Care Units
Male
Models, Nursing
Models, Organizational
New England
Nursing
Nursing Care
Nursing Staff, Hospital - organization & administration
Personnel Staffing and Scheduling
Workload
title Building a nursing productivity measure based on the synergy model: first steps
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T22%3A43%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Building%20a%20nursing%20productivity%20measure%20based%20on%20the%20synergy%20model:%20first%20steps&rft.jtitle=American%20journal%20of%20critical%20care&rft.au=Kohr,%20Lisa%20M&rft.date=2012-11&rft.volume=21&rft.issue=6&rft.spage=420&rft.epage=431&rft.pages=420-431&rft.issn=1062-3264&rft.eissn=1937-710X&rft_id=info:doi/10.4037/ajcc2012859&rft_dat=%3Cproquest_cross%3E1273601406%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1273601406&rft_id=info:pmid/23117905&rfr_iscdi=true