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https://www.readbyqxmd.com/read/29290018/beyond-icom8-perspectives-on-advances-in-mycorrhizal-research-from-2015-to-2017
#1
Catherine A Gehring, Nancy C Johnson
This report reviews important advances in mycorrhizal research that occurred during the past 2 years. We highlight major advancements both within and across levels of biological organization and describe areas where greater integration has led to unique insights. Particularly active areas of research include exploration of the mechanisms underpinning the development of the mycorrhizal symbiosis, the mycorrhizal microbiome, comparisons among types of mycorrhizas from molecular to ecosystem scales, the extent and function of mycorrhizal networks and enhanced understanding of the role of mycorrhizas in carbon dynamics from local to global scales...
December 30, 2017: Mycorrhiza
https://www.readbyqxmd.com/read/29278223/understanding-the-system-you-are-in-is-key-to-improving-it
#2
Paul Plsek
Front-line ownership (FLO) is an approach to change that is consistent with what we know about complex adaptive systems (CAS), such as a healthcare organization. Traditional change approaches can fail because they are based in the "organization as a machine" metaphor of traditional, scientific management. Both metaphors have their application. It depends on how closely the work naturally resembles a predictable machine. Often, the drive for detailed standardization is a misguided effort to make a human CAS behave more like a machine, so that our traditional approaches to change will work...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/29277942/psychometric-analysis-of-the-leadership-environment-scale-lens-outcome-from-the-oregon-research-initiative-on-the-organisation-of-nursing-orion
#3
Amy M Ross, Kelley Ilic, Hiroko Kiyoshi-Teo, Christopher S Lee
AIM: The purpose of this study was to establish the psychometric properties of the new 16-item leadership environment scale. BACKGROUND: The leadership environment scale was based on complexity science concepts relevant to complex adaptive health care systems. METHODS: A workforce survey of direct-care nurses was conducted (n = 1,443) in Oregon. Confirmatory factor analysis, exploratory factor analysis, concordant validity test and reliability tests were conducted to establish the structure and internal consistency of the leadership environment scale...
December 26, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29235170/scaling-up-integrated-early-childhood-development-programs-lessons-from-four-countries
#4
R Pérez-Escamilla, V Cavallera, M Tomlinson, T Dua
BACKGROUND: There is still limited knowledge regarding the translation of early child development (ECD) knowledge into effective policies and large-scale programmes. A variety of frameworks that outline the key steps in scaling up exist, but we argue that taking a complex adaptive systems (CAS) approach assists in understanding the complex, dynamic processes that result in programmes being taken to scale. OBJECTIVES: The objective of this study is to examine the process of scaling up four major country-level ECD programmes through the application of a CAS framework...
January 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29235169/chile-crece-contigo-implementation-results-and-scaling-up-lessons
#5
A Torres, F Lopez Boo, V Parra, C Vazquez, S Segura-Pérez, Z Cetin, R Pérez-Escamilla
BACKGROUND: Chile Crece Contigo (ChCC) is defined as a comprehensive, intersectoral, and multicomponent policy that aims to help all children reach their full potential for development, regardless of their socio-economic status. METHODS: This case study was developed on the basis of grey literature review and key informants' interviews. RESULTS: ChCC behaves as a complex adaptive system that combines universal and targeted benefits for the more vulnerable starting since gestation and until the children are 4 years old...
January 2018: Child: Care, Health and Development
https://www.readbyqxmd.com/read/29208000/dynamics-behind-the-scale-up-of-evidence-based-obesity-prevention-protocol-for-a-multi-site-case-study-of-an-electronic-implementation-monitoring-system-in-health-promotion-practice
#6
Kathleen P Conte, Sisse Groen, Victoria Loblay, Amanda Green, Andrew Milat, Lina Persson, Christine Innes-Hughes, Jo Mitchell, Sarah Thackway, Mandy Williams, Penelope Hawe
BACKGROUND: The effectiveness of many interventions to promote health and prevent disease has been well established. The imperative has therefore shifted from amassing evidence about efficacy to scale-up to maximise population-level health gains. Electronic implementation monitoring, or 'e-monitoring', systems have been designed to assist and track the delivery of preventive policies and programs. However, there is little evidence on whether e-monitoring systems improve the dissemination, adoption, and ongoing delivery of evidence-based preventive programs...
December 6, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29194328/the-power-of-the-frame-systems-transformation-framework-for-health-care-leaders
#7
Kathy A Scott, Janice Pringle
Health care leaders are responsible for oversight of multiple and competing change interventions. These interventions regularly fail to achieve the desired outcomes and/or sustainable results. This often occurs because of the mental models and approaches that are used to plan, design, implement, and evaluate the system. These do not account for inherent characteristics that determine the system's likely ability to innovate while maintaining operational effectiveness. Theories exist on how to assess a system's readiness to change, but the definitions, constructs, and assessments are diverse and often look at facets of systems in isolation...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29152819/the-application-of-systems-thinking-concepts-methods-and-tools-to-global-health-practices-an-analysis-of-case-studies
#8
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
#9
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
#10
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
#11
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
#12
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: Research Involvement and Engagement
https://www.readbyqxmd.com/read/29040618/securing-systems-leadership-by-local-government-through-health-and-wellbeing-strategies
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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