Nurse-Nurse Sphere
Through collegiality, the critical care nurse can be a
resource person to colleagues in sharing evidencedbased
practice and the literature that cites negative
consequences of saline instillation before suctioning.
The nurse also collects data from colleagues regarding
saline-associated complications such as pneumonia and
hypoxemia. He/she also discusses findings in the literature
such as those discussing the benefits of position
change and placing the good lung down to improve
oxygenation. He/she emphasizes the use, understanding,
and incorporation of research to promote evidencebased
practice and safe nursing care. The nurse functions
as a liaison between nurse-nurse to implement
better patient care using the synergy model’s nursing
characteristics centered on clinical judgment, caring
practices, advocacy/moral agency, collaboration, system
thinking, response to diversity, clinical inquiry, and
facilitation of learning.10