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Synergy: The Unique Relationship Between Nurses and Patients, the AACN ...

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Use the Synergy Model in Nursing Practice

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The you accurately received engaged the adhesion documentation. What can I access to settle this? You can provide the view point made: how to write like the nation's top advocates transfer to polish them be you contributed made. So Paulo Wint By Lucien Samaha. The professional nurse is seen as the driving force within the process of engagement. The professional nurse offers assistance and creates an empowering environment to further enable the individual with mental health challenges. The empowering environment makes it easier for the individual with mental health challenges to engage more deeply in this facilitative engagement.

The professional nurse provides the individual with mental health challenges with the instrument i. These are the initial steps of movement where the process is initiated to assist the individual with mental health challenges in gaining mindfulness of living as an integrated part of mental health. The professional nurse shares knowledge and experiences with the individual with mental health challenges in the "getting-to-know" phase. The individual with mental health challenges seeks the nurse out to share the knowledge and experiences in an environment that is understanding, open and inviting.

In the second phase Fig. The creation of the enabling environment is important for the internal and external movement to occur. This dynamic change or movement needs to assist the individual with mental health challenges whereby the process of integrating the self in order to gain a deeper realisation of self is initiated. The partnership with the professional nurse acts as the catalyst to stimulate and bring about newness and growth in the individual with mental health challenges. The involvement and assistance are vital dimensions in the relationship between the nurse and the individual with mental health challenges and can bring about dynamic change.

The dynamic changes need to be sustained by the individual with mental health challenges in everyday living to promote mental health as an integral part of wholeness of the person.

The AACN Synergy Model and Patient Care

This involvement leads to the dynamic changes within the individual with mental health challenges in all dimensions of the self, to further enhance and facilitate the process of movement to promote and assist the mindfulness of living as an integral part of living to promote wholeness. The individual with mental health challenges is thus taking steps towards being present and being a presence in everyday life and being more authentic and real in living. The individual with mental health challenges thus creates a world of choice and embarks on the journey to choose a path of movement to explore deeper meaning and a sense of self, to be a more integrated in the self and thus find completeness of unity.

The self is described in the model Fig. The person is seen as a unique and integrated being. The wholeness of the individual with mental health challenges is thus seen as greater than the sum of the parts. The parts that are referred to in this study are the physical, social, psychological, emotional, mental and spiritual parts that form the wholeness of the individual.

In the third phase Fig. Personal knowing is deeply rooted within the spiritual experiences and living of the individual. The words "spirit" and "spiritual" are defined by the life journey of discovering meaning and purpose in life and living McCrae, The totalityof the human spirit is seen and experienced in the complexity of its existence. The person is thus guided towards being more integrated and open towards experiences of wholeness.

The increased awareness leads to the individual to paying attention to being more open, to come to know what is within them and at the same time to show intentionality in this process. The movement of the individual with mental health challenges leads to further and deeper creations and experiences of mindfulness of living. The appreciation and acceptance of the self within the newness of the living environment creates a reflection to find a balance between the internal and external world.

The individual with mental health challenges thus moves to finding a balance in the meaning of being open and spontaneous. The further enriched engagement leads the self to partially or fully realise potential. The interaction is deeply valued as meaningful and supports further changes for the individual with mental health challenges. The experiences contribute to the knowing of the individual with mental health challenges. The fourth phase Fig. Ideally, this process should result is a state of mindfulness of living which will be continued throughout the life of the individual with mental health challenges in a continued striving to promote mental health as an integrated part of wholeness.

Wholeness acts as a positive impetus to enhance further movement for a deeper meaning to consciousness and mindfulness of living. As a result of this process the individual with mental health challenges feels and lives the deep meaning and authentic sense of self. The lived experiences are grounded in everyday living. The unfolding and knowing of the self guide the individual with mental health challenges to being present and experiencing presence in life.

The individual with mental health challenges lives with acceptance and love, and leads to being a mentally healthy person reaching out to attain and maintain wholeness in daily living activities. According to Bumpus , the movement towards wholeness is essential. Wholeness takes place through a continuous series of transformations. Transformations are the processes of individuations and move the individual to the realisation of the authentic self.

The united being of the individual with mental health challenges allows the person to be one and united, and to enjoy the new life. The new life of facilitation of self-living with mindfulness brings about life-enhancing and life-giving effects in the daily living of the individual with mental health challenges Bumpus, ; White, A description of the guidelines for the operationalisation of the model.

The research findings and literature were used as the base for formulating the guidelines. The guidelines with specific strategies for interventions were developed to facilitate the process of engagement with self through movement to attain and maintain a mindful way of living as an integral part of mental health.

The guidelines have the potential to contribute to the overall status of improvement of care rendered to self, other and the environment. Evaluation of the model. Chinn and Kramer were used to evaluate the model. The model was evaluated by people involved during a presentation by the researcher as part of the current study. A written feedback report was given by all attendees in which they evaluated the model. The headings of the model evaluation were given to them. All the input and recommendations are described below as received by the researcher.

The model was reviewed by using a set standard, well-researched and accepted method of evaluation as supported by Chinn and Kramer - clarity, simplicity, scope and purpose, accessibility and clinical significance were used. The participants at this presentation consisted of a number of people who had many years of experience in supervising doctoral candidates including one who had successfully supervised more than post-graduate candidates in doctoral research. Three of the participants were professors. Two of these were in psychiatric nursing, with one being currently appointed in a teaching position of research methodology at all levels of teaching at a higher education institution and one in education.

All participants were experts in qualitative and theory-generating methods. All participants were academics representing the diversity of background and culture found in South Africa. Representatives from more than one higher education institution were present. Some of the participants were novice researchers and current doctoral candidates from higher education institutions. The participants were representative of various specialisation fields within nursing, including intensive care, public health, and psychiatric nursing.

The participants were a reflection of the current world of practice in psychiatric nursing, nursing education and nursing research. The panel contributed to the critical analysis and evaluative processes of the model. The members evaluated the proposed model from a position of being informed and having an understanding of the nursing field or practice, in the know for utilisation of the model and providing critical feedback on application Bumpus, Therefore the complexity and integrity of the exposure of the model was saturated. From the storyline and themes which emerged during the empirical stage of the research, the researcher gained an in-depth and detailed understanding of the lived experience of the individual participating in belly dancing.

The engagement was facilitated through movement and the experience of sharing and being an authentic being in constant interaction with the internal and external environment. The individual with mental health challenges participating in the process of engagement with the self through belly dancing created a new beginning for the self. Therefore the individual with mental health challenges moves within the process of facilitation to a greater sense of wholeness within themselves, with others and with their immediate and less-immediate environment. The movement occurs in harmony with the self and involves a process of engagement to create an authentic and genuine self.

The discovered self thus engages in a process of healing and as a result starts participating in the creation of newness in life. The individual with mental health challenges embraces the wholeness that is intimately related to a mindfulness in living. The individual lives in harmony with the world to facilitate mental health as an integral part of wholeness White, Wholeness of the person and continual interaction with the person's environment is purported in the Theory of Integral Nursing by Dossey.

Shea and Frisch compares the Theory of Integral Nursing by Dossey in relation to the original theoretical source, which is the work of Wilber's integral theory. In nursing practice, healing and caring are the core elements. The concepts of healing and caring find their initial meaning in the writings of Nightingale. According to McElligiott , Nightingale saw healing in terms of a wholistic perspective of togetherness of all aspects of the person, mind and spirit. Thus by integrating person, mind and spirit the professional nurse aims at achieving and maintaining an integrated balance.

In this study the meaning of movement for the individual was explored to describe the inner and outer healing of the participant. The more the individuals with mental challenges showed evidence of caring for themselves, the more healing happened within them and their environment.

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The empowerment of the professional nurse lies at the heart of caring for self and the patient. The professional nurse and the patient are united within a dance.

Synergy: The Unique Relationship Between Nurses and Patients

They are the dancers and dancing partners in the dance. According to Alligood and Tomey , when effective nursing is happening, there is an inability to separate the dancer from the dance. The theory therefore remains to be viewed as substantive until such testing in a wider scope is done.

Synergy The Unique Relationship Between Nurses and Patients PDF

The model and the guidelines have not been operationalised in clinical nursing practice, nursing education or nursing research. The discussion above provides a description of the steps that were utilised in the development of the model for the facilitation of mental health through belly dancing as movement.

These steps included placing the concepts in relationship, the description of the model, and the vignette as application of the model. It is recommended that further research on the current model be implemented. Additional studywill enable the model to be refined and truth value in clinical practice can be tested. Al-Rawi, R. Belly dancing: Unlock the secret power of an ancient dance. London: Robinson. Alligood, M.

Missouri: Elsevier. Nursing theorists and their work 7th ed. Biley, F. Lifeworld, the arts and mental health nursing. Journal of Psychiatric and Mental Health Nursing, 14, Bumpus, M. Awakening hidden wholeness: A Jungian view of Luke Journal of Psychology and Christianity, 29 3 , Chinn, P. St Louis: Mosby. Dickoff, J. Theory in a practice discipline, part 1: Practice oriented theory.

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