title: Does Synergy Exist in Nursing? A Concept Analysis.
abstract: OBJECTIVE
  The aim is to analyze the concept of synergy, particularly as the concept applies to teamwork, and determine if the concept has utility in improving the work environment for nurses. Tackling nursing shortages that result from a poor work environment is a priority for many nurse leaders. Producing synergy among teams may be an effective strategy in enhancing the work environment. However, the understanding of synergy and the ability to produce synergy among teams has been seldom highlighted or discussed within nursing literature. Walker and Avant's approach was used to guide this concept analysis of synergy.
  
  
  METHODS
  Literature searches involved databases (PsycInfo, Medline, Cumulative Index for Nursing and Allied Health Literature [CINAHL], and Scopus), Internet search engines (Google), and hand searches.
  
  
  CONCLUSIONS
  The analysis suggests that synergy is an outcome of the successful collaboration of the following three attributes: group cohesion, the pursuit of a common goal, and the achievement of a positive gain, considerably more than what was thought possible by the group. The foundation for this accomplishment requires an underlying feeling of special importance, the acknowledgment of each member's role, and open communication and dialogue among members. Nursing leaders would benefit from a broader understanding of synergy, and the mindful application and utility of synergy as an outcome of effective teamwork among nurses.
authors.affiliation: Winnipeg Regional Health Authority, Winnipeg, MB, Canada.
authors.forename: Kim A
authors.initials: KA
authors.lastname: Witges
authors.affiliation: Helen Glass Center for Nursing, University of Manitoba, Winnipeg, MB, Canada.
authors.forename: Judith M
authors.initials: JM
authors.lastname: Scanlan
mesh_terms: D003142:Communication; D003210:Concept Formation; D003299:Cooperative Behavior; D006801:Humans; D007400:Interprofessional Relations; D015279:Organizational Culture; D010348:Patient Care Team / Q000592:standards; D017132:Workplace / Q000592:standards*
keywords: Concept analysis; leadership; nursing shortage; professional issue