Professional Nursing Practice

UCSF Nursing supports the mission, vision and values of UCSF Medical Center and UCSF Benioff Children's Hospital. Nursing's primary focus is the delivery of high quality comprehensive professional nursing care. The California Nursing Practice Act and the American Nurses Association Nursing Scope and Standards of Practice provide the framework for UCSF's Nursing practice. The professional practice model (PPM), Synergy, provides the framework for nursing excellence at UCSF, guides our polices and procedures and influences every element of the care delivered by UCSF Nurses.

The Synergy Model 

A professional practice model (PPM) is a framework for nursing excellence.  A PPM touches every domain of our practice……from the art and science of nursing, to future planning for the Department of Nursing. The American Association of Critical-Care Nurses (AACN) Synergy Model is the name of the PPM chosen by the Clinical Practice Council and vetted through the Coordinating Council.  The model was developed by nurses and for nurses.  The underlying premise to the Synergy Model is that synergy--or optimal outcomes--is achieved when the needs and characteristics of a patient/family or clinical unit are matched with a nurse’s competencies. There are eight nurse competencies and eight patient/family characteristics that comprise the Synergy model as listed below.

Patient Characteristics

  • Stability
  • Predictability
  • Resiliency
  • Vulnerability
  • Participation in decision-making
  • Participation in care
  • Complexity
  • Resource availability

Nurse Competencies

  • Clinical judgment
  • Caring practices
  • Response to diversity
  • Advocacy and moral agency
  • Facilitation of learning
  • Collaboration
  • Clinical Inquiry
  • Systems thinking