The synergy model describes nurse/patient interre-latedness.10 It is a model of certified practice that proposes that the needs or characteristics of patients and families will influence and drive the characteristics and competencies of critical care nurse. The model can be compared to a mirror that helps the nurse to see a clear picture of a patient’s present condition and also helps the nurse provide individualized patient care. This model is based on both patient and nurse characteristics and links certified practice with patient outcomes. The concepts of the synergy model include 8 patient needs and 8 nurse characteristics. The patient characteristics are based on universal patient needs, which include