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https://www.readbyqxmd.com/read/28804466/interpersonal-movement-synchrony-responds-to-high-and-low-level-conversational-constraints
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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...
June 27, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28670339/mental-health-services-conceptualised-as-complex-adaptive-systems-what-can-be-learned
#8
Louise A Ellis, Kate Churruca, Jeffrey Braithwaite
Despite many attempts at promoting systems integration, seamless care, and partnerships among service providers and users, mental health services internationally continue to be fragmented and piecemeal. We exploit recent ideas from complexity science to conceptualise mental health services as complex adaptive systems (CASs). The core features of CASs are described and Australia's headspace initiative is used as an example of the kinds of problems currently being faced. We argue that adopting a CAS lens can transform services, creating more connected care for service users with mental health conditions...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28628265/improving-preventive-locust-management-insights-from-a-multi-agent-model
#9
Pierre-Emmanuel Gay, Michel Lecoq, Cyril Piou
BACKGROUND: Preventive management of locust plagues works in some cases but still fails frequently. The role of funding institution awareness was suggested as a potential facilitating factor for cyclic locust plagues. We designed a multi-agent system to represent the events of locust plague development and a management system with three levels: funding institution, national control unit and field teams. A sensitivity analysis identified the limits and improvements of the management system...
June 19, 2017: Pest Management Science
https://www.readbyqxmd.com/read/28614127/a-hospital-is-not-just-a-factory-but-a-complex-adaptive-system-implications-for-perioperative-care
#10
Aman Mahajan, Salim D Islam, Michael J Schwartz, Maxime Cannesson
Many methods used to improve hospital and perioperative services productivity and quality of care have assumed that the hospital is essentially a factory, and therefore, that industrial engineering and manufacturing-derived redesign approaches such as Six Sigma and Lean can be applied to hospitals and perioperative services just as they have been applied in factories. However, a hospital is not merely a factory but also a complex adaptive system (CAS). The hospital CAS has many subsystems, with perioperative care being an important one for which concepts of factory redesign are frequently advocated...
July 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28499742/understanding-constraints-on-sport-performance-from-the-complexity-sciences-paradigm-an-ecological-dynamics-framework
#11
Ludovic Seifert, Duarte Araújo, John Komar, Keith Davids
Glazier's suggestion for the constraints-led approach as a GUT for sport performance is a worthy proposal. What is missing from these preliminary insights is a principled basis, in the form of pillars, for understanding the cornerstones of the sports medicine profession, and this lack of an overarching theoretical framework is also somewhat of a limitation in Glazier's initial ideas, as we argue later. Here we suggest that his preliminary proposal would benefit from considering a more comprehensive ontological positioning within the complexity sciences paradigm to benefit from conceptualising athletes and sports teams as complex adaptive systems...
May 9, 2017: Human Movement Science
https://www.readbyqxmd.com/read/28405531/will-the-meikirch-model-a-new-framework-for-health-induce-a-paradigm-shift-in-healthcare
#12
REVIEW
Johannes Bircher, Eckhart G Hahn
Over the past decades, scientific medicine has realized tremendous advances. Yet, it is felt that the quality, costs, and equity of medicine and public health have not improved correspondingly and, both inside and outside the USA, may even have changed for the worse. An initiative for improving this situation is value-based healthcare, in which value is defined as health outcomes relative to the cost of achieving them. Value-based healthcare was advocated in order to stimulate competition among healthcare providers and thereby reduce costs...
March 6, 2017: Curēus
https://www.readbyqxmd.com/read/28342621/how-nurse-led-practices-perceive-implementation-of-the-patient-centered-medical-home
#13
Rosemary Frasso, A Golinkoff, Heather Klusaritz, Katherine Kellom, Helen Kollar-McArthur, Michelle Miller-Day, Robert Gabbay, Peter F Cronholm
PURPOSE: The Affordable Care Act (ACA) promotes the Patient-Centered Medical Home (PCMH) model as a way to improve healthcare quality, the patient experience, and has identified nurse-led primary care as a mechanism meeting the increasing demand for quality primary care. The purpose of this study was to investigate the implementation of a PCMH model in nurse-led primary care practices and to identify facilitators and barriers to the implementation of this model. METHODS: Data were collected through in-depth interviews with providers and staff in nurse-led practices...
April 2017: Applied Nursing Research: ANR
https://www.readbyqxmd.com/read/28340346/the-upsides-and-downsides-of-organelle-interconnectivity
#14
REVIEW
Daniel E Gottschling, Thomas Nyström
Interconnectivity and feedback control are hallmarks of biological systems. This includes communication between organelles, which allows them to function and adapt to changing cellular environments. While the specific mechanisms for all communications remain opaque, unraveling the wiring of organelle networks is critical to understand how biological systems are built and why they might collapse, as occurs in aging. A comprehensive understanding of all the routes involved in inter-organelle communication is still lacking, but important themes are beginning to emerge, primarily in budding yeast...
March 23, 2017: Cell
https://www.readbyqxmd.com/read/28329638/developing-a-continuous-quality-improvement-assessment-using-a-patient-centered-approach-in-optimizing-sle-disease-control
#15
Katelyn Updyke, Brittany Urso, James A Solomon
Systemic lupus erythematous is a multi-organ autoimmune disease in which the patient has "lost" self- tolerance and developed immune-complexes containing self-antigen that cause disease through tissue inflammation and multi-organ damage. Patients often have unpredictable flares in symptoms with poorly identified triggers. However, it has been suggested in other literature that exogenous exposures, including ingested beef, cigarette smoke, UV radiation, metal-complexing agents, and infections can contribute to exacerbations and improvements in SLE symptoms...
September 15, 2016: Dermatology Online Journal
https://www.readbyqxmd.com/read/28289120/the-challenges-of-measuring-improving-and-reporting-quality-in-primary-care
#16
Richard A Young, Richard G Roberts, Richard J Holden
We propose a new set of priorities for quality management in primary care, acknowledging that payers and regulators likely will continue to insist on reporting numerical quality metrics. Primary care practices have been described as complex adaptive systems. Traditional quality improvement processes applied to linear mechanical systems, such as isolated single-disease care, are inappropriate for nonlinear, complex adaptive systems, such as primary care, because of differences in care processes, outcome goals, and the validity of summative quality scorecards...
March 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28196372/resilience-through-adaptation
#17
Guus A Ten Broeke, George A K van Voorn, Arend Ligtenberg, Jaap Molenaar
Adaptation of agents through learning or evolution is an important component of the resilience of Complex Adaptive Systems (CAS). Without adaptation, the flexibility of such systems to cope with outside pressures would be much lower. To study the capabilities of CAS to adapt, social simulations with agent-based models (ABMs) provide a helpful tool. However, the value of ABMs for studying adaptation depends on the availability of methodologies for sensitivity analysis that can quantify resilience and adaptation in ABMs...
2017: PloS One
https://www.readbyqxmd.com/read/28177175/complex-adaptive-systems-and-their-relevance-for-nursing-an-evolutionary-concept-analysis
#18
Ippolito Notarnicola, Cristina Petrucci, Maria Rosimar De Jesus Barbosa, Fabio Giorgi, Alessandro Stievano, Gennaro Rocco, Loreto Lancia
This study aimed to analyze the concept of "complex adaptive systems." The construct is still nebulous in the literature, and a further explanation of the idea is needed to have a shared knowledge of it. A concept analysis was conducted utilizing Rodgers evolutionary method. The inclusive years of bibliographic search started from 2005 to 2015. The search was conducted at PubMed©, CINAHL© 2017 John Wiley & Sons Australia, Ltd Nursing is a complex adaptive system, and the nursing profession in practice exhibits complex adaptive system characteristics...
February 8, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/28167863/biomechanical-cell-regulatory-networks-as-complex-adaptive-systems-in-relation-to-cancer
#19
REVIEW
Liviu Feller, Razia Abdool Gafaar Khammissa, Johan Lemmer
Physiological structure and function of cells are maintained by ongoing complex dynamic adaptive processes in the intracellular molecular pathways controlling the overall profile of gene expression, and by genes in cellular gene regulatory circuits. Cytogenetic mutations and non-genetic factors such as chronic inflammation or repetitive trauma, intrinsic mechanical stresses within extracellular matrix may induce redirection of gene regulatory circuits with abnormal reactivation of embryonic developmental programmes which can now drive cell transformation and cancer initiation, and later cancer progression and metastasis...
2017: Cancer Cell International
https://www.readbyqxmd.com/read/28166826/socio-ecological-dynamics-and-challenges-to-the-governance-of-neglected-tropical-disease-control
#20
REVIEW
Edwin Michael, Shirin Madon
The current global attempts to control the so-called "Neglected Tropical Diseases (NTDs)" have the potential to significantly reduce the morbidity suffered by some of the world's poorest communities. However, the governance of these control programmes is driven by a managerial rationality that assumes predictability of proposed interventions, and which thus primarily seeks to improve the cost-effectiveness of implementation by measuring performance in terms of pre-determined outputs. Here, we argue that this approach has reinforced the narrow normal-science model for controlling parasitic diseases, and in doing so fails to address the complex dynamics, uncertainty and socio-ecological context-specificity that invariably underlie parasite transmission...
February 6, 2017: Infectious Diseases of Poverty
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