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https://www.readbyqxmd.com/read/29152819/the-application-of-systems-thinking-concepts-methods-and-tools-to-global-health-practices-an-analysis-of-case-studies
#1
Jessica Wilkinson, Morgan Goff, Evan Rusoja, Carl Hanson, Robert Chad Swanson
OBJECTIVES: This review of systems thinking (ST) case studies seeks to compile and analyse cases from ST literature and provide practitioners with a reference for ST in health practice. Particular attention was given to (1) reviewing the frequency and use of key ST terms, methods, and tools in the context of health, and (2) extracting and analysing longitudinal themes across cases. METHODS: A systematic search of databases was conducted, and a total of 36 case studies were identified...
November 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29151679/is-it-possible-to-implement-a-complex-adaptive-systems-approach-for-marine-systems-the-experience-of-italy-and-the-adriatic-sea
#2
Emanuele Bigagli
•This paper evaluates the implementation of the MSFD in the Adriatic Sea.•The MSFD is the first policy for marine complex adaptive systems in the EU.•Ecological and jurisdictional boundaries overlap and cross-border cooperation is low.•Integrative assessments of marine systems may be impossible to achieve.•Relative isolation of theoretical approaches and management practices.
November 15, 2017: Ocean & Coastal Management
https://www.readbyqxmd.com/read/29149319/from-bouncing-back-to-nurturing-emergence-reframing-the-concept-of-resilience-in-health-systems-strengthening
#3
Edwine W Barasa, Keith Cloete, Lucy Gilson
Recent health system shocks such as the Ebola disease outbreak have focused global health attention on the notion of resilient health systems. In this commentary, we reflect on the current framing of the concept of resilience in health systems discourse and propose a reframing. Specifically, we propose that: (1) in addition to sudden shocks, health systems face the ongoing strain of multiple factors. Health systems need the capacity to continue to deliver services of good quality and respond effectively to wider health challenges...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29147898/-don-t-mind-the-gap-reflections-on-improvement-science-as-a-paradigm
#4
Trenholme Junghans
Responding to this issue's invitation to bring new disciplinary insights to the field of improvement science, this article takes as its starting point one of the field's guiding metaphors: the imperative to "mind the gap". Drawing on insights from anthropology, history, and philosophy, the article reflects on the origins and implications of this metaphoric imperative, and suggests some ways in which it might be in tension with the means and ends of improvement. If the industrial origins of improvement science in the twentieth century inform a metaphor of gaps, chasms, and spaces of misalignment as invariably imperfect and potentially dangerous, and therefore requiring bridging or closure, other currents that feed the discipline of improvement science suggest the potential value and uses of spaces of openness and ambiguity...
November 17, 2017: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/29142759/forced-migrants-involved-in-setting-the-agenda-and-designing-research-to-reduce-impacts-of-complex-emergencies-combining-swarm-with-patient-and-public-involvement
#5
Julii Suzanne Brainard, Enana Al Assaf, Judith Omasete, Steve Leach, Charlotte C Hammer, Paul R Hunter
Plain English summary: The UK's National Institute for Health Research (NIHR) Health Protection Research Unit in Emergency Preparedness and Response was asked to undertake research on how to reduce the impact of complex national/international emergencies on public health. How to focus the research and decide on priority topics was challenging, given the nature of complex events. Using a type of structured brain-storming, the researchers identified the ongoing UK, European and international migration crisis as both complex and worthy of deeper research...
2017: Res Involv Engagem
https://www.readbyqxmd.com/read/29040618/securing-systems-leadership-by-local-government-through-health-and-wellbeing-strategies
#6
Alyson M Learmonth, Emily J Henderson, David J Hunter
Background: The aim of this study was to strengthen Health and Wellbeing Strategies (HWSs) by identifying potential areas for system leadership across local authorities in relation to specific aspects of health/illness, wider determinants of health and transformational change management. Method: The work involved a document analysis of strengths of the first 12 HWSs produced in the North East of England applying principles of appreciative inquiry (AI), followed by a knowledge-to-action group approach with stakeholders...
October 11, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/29028235/how-to-include-public-health-practice-and-practitioners-in-a-european-network
#7
Silvio Brusaferro, Pierfrancesco Tricarico
There is a wide range of different Public Health (PH) activities and programs running in Europe. Besides the richness of national traditions, differences exist in numbers of programs, methods adopted, types of engaged professionals, available resources (including public investments), awareness to the problem and finally in health indicators among and within countries. Promoting networks of PH practices and practitioners strengthens the possibility to share knowledge across organizational, sectorial and geographic boundaries, promotes adaptation and local implementation, fosters innovation in the form of knowledge creation by developing more efficient new services and by sharing effective practices within and between organizations and sectors...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29024002/boundary-spanning-actors-in-complex-adaptive-governance-systems-the-case-of-multisectoral-nutrition
#8
David Pelletier, Suzanne Gervais, Hajra Hafeez-Ur-Rehman, Dia Sanou, Jackson Tumwine
A growing literature highlights complexity of policy implementation and governance in global health and argues that the processes and outcomes of policies could be improved by explicitly taking this complexity into account. Yet there is a paucity of studies exploring how this can be achieved in everyday practice. This study documents the strategies, tactics, and challenges of boundary-spanning actors working in 4 Sub-Saharan Africa countries who supported the implementation of multisectoral nutrition as part of the African Nutrition Security Partnership in Burkina Faso, Mali, Ethiopia, and Uganda...
October 10, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28992142/researching-safety-culture-deliberative-dialogue-with-a-restorative-lens
#9
Elisiane Lorenzini, Nelly D Oelke, Patricia Beryl Marck, Clarice Maria Dall'agnol
Safety culture is a key component of patient safety. Many patient safety strategies in health care have been adapted from high-reliability organizations (HRO) such as aviation. However, to date, attempts to transform the cultures of health care settings through HRO approaches have had mixed results. We propose a methodological approach for safety culture research, which integrates the theory and practice of restoration science with the principles and methods of deliberative dialogue to support active engagement in critical reflection and collective debate...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28970744/analysing-a-chinese-regional-integrated-healthcare-organisation-reform-failure-using-a-complex-adaptive-system-approach
#10
Wenxi Tang, Lai Wei, Liang Zhang
INTRODUCTION: China's organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS) provides a new perspective and methodology for analysing the health system and policy implementation...
June 19, 2017: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28923155/modeling-stochastic-complexity-in-complex-adaptive-systems-non-kolmogorov-probability-and-the-process-algebra-approach
#11
William H Sulis
Walter Freeman III pioneered the application of nonlinear dynamical systems theories and methodologies in his work on mesoscopic brain dynamics.Sadly, mainstream psychology and psychiatry still cling to linear correlation based data analysis techniques, which threaten to subvert the process of experimentation and theory building. In order to progress, it is necessary to develop tools capable of managing the stochastic complexity of complex biopsychosocial systems, which includes multilevel feedback relationships, nonlinear interactions, chaotic dynamics and adaptability...
October 2017: Nonlinear Dynamics, Psychology, and Life Sciences
https://www.readbyqxmd.com/read/28890590/in-migration-customary-land-tenure-and-complexity-exploring-the-relationship-between-changing-land-tenure-norms-and-differentiated-migrant-livelihoods-in-brong-ahafo-ghana
#12
Jon Sward
This article focuses on the relationship between in-migration from Northern Ghana and changing land tenure norms in Ghana's central "transition zone" in Brong Ahafo Region. Using the complex adaptive systems (CAS) theoretical framework, it theorizes this relationship as part of a wider set of "co-evolving" social and environmental conditions across Brong Ahafo. It presents new qualitative research findings which show differentiated livelihood trajectories for Northern Ghanaian migrant farmers in Brong Ahafo in three case study sites in different districts and links these to migrants' diverse land tenure arrangements under customary tenure regimes in Brong Ahafo...
2017: Population and Environment
https://www.readbyqxmd.com/read/28865753/developing-an-emergency-department-crowding-dashboard-a-design-science-approach
#13
Niels Martin, Jochen Bergs, Dorien Eerdekens, Benoît Depaire, Sandra Verelst
BACKGROUND: As an emergency department (ED) is a complex adaptive system, the analysis of continuously gathered data is valuable to gain insight in the real-time patient flow. To support the analysis and management of ED operations, relevant data should be provided in an intuitive way. AIM: Within this context, this paper outlines the development of a dashboard which provides real-time information regarding ED crowding. METHODS: The research project underlying this paper follows the principles of design science research, which involves the development and study of artifacts which aim to solve a generic problem...
August 30, 2017: International Emergency Nursing
https://www.readbyqxmd.com/read/28804466/interpersonal-movement-synchrony-responds-to-high-and-low-level-conversational-constraints
#14
Alexandra Paxton, Rick Dale
Much work on communication and joint action conceptualizes interaction as a dynamical system. Under this view, dynamic properties of interaction should be shaped by the context in which the interaction is taking place. Here we explore interpersonal movement coordination or synchrony-the degree to which individuals move in similar ways over time-as one such context-sensitive property. Studies of coordination have typically investigated how these dynamics are influenced by either high-level constraints (i.e., slow-changing factors) or low-level constraints (i...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28767467/innovative-approach-to-reconstruct-bedside-handoff-using-simple-rules-of-complexity-science-to-promote-partnership-with-patients
#15
Mary K Anthony, Janet Kloos, Patricia Beam, Kathleen Vidal
When nurses integrate patient expertise, nurse-to-nurse handoff becomes patient-centered (nurse and patient), and the weak link between quality and safety is mitigated. The existing paradigm for handoff is an ineffective measure to minimize errors. This article describes a reimagined bedside handoff-transitioning handoff from its prescriptive nurse-centered interaction to a patient-centered partnership using the principles of complex adaptive systems, simple rules, and partnerships that address the uniqueness of each patient and nurse interaction...
August 1, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/28742460/resistance-genes-in-global-crop-breeding-networks
#16
Karen A Garrett, Kelsey F Andersen, Frank Asche, Robert Bowden, Greg Forbes, Peter Kulakow, Bo Zhou
Resistance genes are a major tool for managing crop diseases. The networks of crop breeders who exchange resistance genes and deploy them in varieties help to determine the global landscape of resistance and epidemics, an important system for maintaining food security. These networks function as a complex adaptive system, with associated strengths and vulnerabilities, and implications for policies to support resistance gene deployment strategies. Extensions of epidemic network analysis can be used to evaluate the multilayer agricultural networks that support and influence crop breeding networks...
July 25, 2017: Phytopathology
https://www.readbyqxmd.com/read/28734094/moving-alcohol-prevention-research-forward-part-i-introducing-a-complex-systems-paradigm
#17
Yorghos Apostolopoulos, Michael K Lemke, Adam E Barry, Kristen Hassmiller Lich
BACKGROUND AND AIMS: The drinking environment is a complex system consisting of a number of heterogeneous, evolving, and interacting components, which exhibit circular causality and emergent properties. These characteristics reduce the efficacy of commonly used research approaches, which typically do not account for the underlying dynamic complexity of alcohol consumption and the interdependent nature of diverse factors influencing misuse over time. We use alcohol misuse among college students in the United States as an example for framing our argument for a complex systems paradigm...
July 22, 2017: Addiction
https://www.readbyqxmd.com/read/28714561/service-quality-and-maturity-of-health-care-organizations-through-the-lens-of-complexity-leadership-theory
#18
Ana Horvat, Jovan Filipovic
RATIONALE, AIMS AND OBJECTIVES: This research focuses on Complexity Leadership Theory and the relationship between leadership-examined through the lens of Complexity Leadership Theory-and organizational maturity as an indicator of the performance of health organizations. METHODS: The research adopts a perspective that conceptualizes organizations as complex adaptive systems and draws upon a survey of opinion of 189 managers working in Serbian health organizations...
July 17, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28691572/using-systems-thinking-to-train-future-leaders-in-global-health
#19
Anne Paxton, Laura J Frost
Systems Thinking provides a useful set of concepts and tools that can be used to train students to be effective and innovative global health leaders in an ever-changing and often chaotic world. This paper describes an experiential, multi-disciplinary curriculum that uses Systems Thinking to frame and analyse global health policies and practices. The curriculum uses case studies and hands-on activities to deepen students' understanding of the following concepts: complex adaptive systems, dynamic complexity, inter-relationships, feedback loops, policy resistance, mental models, boundary critique, leverage points, and multi-disciplinary, multi-sectoral, and multi-stakeholder thinking and action...
July 9, 2017: Global Public Health
https://www.readbyqxmd.com/read/28687278/healthcare-teams-as-complex-adaptive-systems-focus-on-interpersonal-interaction
#20
Peter Pype, Demi Krystallidou, Myriam Deveugele, Fien Mertens, Sara Rubinelli, Ignaas Devisch
OBJECTIVE: The aim of this study is to test the feasibility of a tool to objectify the functioning of healthcare teams operating in the complexity zone, and to evaluate its usefulness in identifying areas for team quality improvement. METHODS: We distributed The Complex Adaptive Leadership (CAL™) Organisational Capability Questionnaire (OCQ) to all members of one palliative care team (n=15) and to palliative care physicians in Flanders, Belgium (n=15). Group discussions were held on feasibility aspects and on the low scoring topics...
November 2017: Patient Education and Counseling
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