Topic 1
How can the DNP-prepared nurse apply the concepts of a complex adaptive system to individual patient care? Provide examples.
Complex = hard to predict or comprehend; Dynamic = shifting; Adaptive = Adapting to a specific condition or environment. A complex system may be defined as a group of simple agents or units that interact within a system. It represents an extensive system with adapting, changing or evolving behaviors (Resnick & Collins, 1998).
A CAS (Complex Adaptive System) deals with management practice change and reformation of nursing leader thought, problem-solving approach, and behavior. It rejects prior beliefs and adopts the attractor (catalyst which facilitates spontaneous emergence of novel behaviors) and self-organization ideas, promoting the development of innovation and order (Penprase & Norris, 2005). Complexity science emphasizes the fact that an institution’s most powerful mechanisms commence with its workforce, and provides novel nurse leadership approaches to effectively navigate the healthcare setting’s complex, turbulent atmosphere.
One can view the nursing profession and overall healthcare system as CASs to gain fresh insights. According to McNeill and Chaffee (2007), though numerous scholars actually consider nursing a CAS, the discipline is yet to advance a relevant visual model.
DNP-prepared nursing professionals need to recognize the fact that things won’t be exactly in line with theory within actual clinical settings. A CAS is complex owing to the dynamic interactional networks, with linkages not being the sum of distinct static entities. In other words, individual elements’ behavior isn’t predictive of collective behavior. Nurses need to be quick-witted to promptly handle unforeseen events. For example, a nursing staff member may face the dilemma of dealing with a patient who is bleeding excessively and simultaneously having to meet the needs of another diverse patient population; he/she needs to decide which issue to address first. These occasions require nursing professionals to demonstrate leadership and skill. Emergency rooms commonly face such challenging...
References
Busher Betancourt, D. A. (2015). Madeleine Leininger and the Transcultural Theory of Nursing. The Downtown Review. Iss, 2(1), 1–8.
Chaffee, M. W., & McNeill, M. M. (2007). A model of nursing as a complex adaptive system. Nursing Outlook, 55(5).
Leininger, M. M., & McFarland, M. R. (2011). Transcultural nursing: Concepts, theories, research and practice. New York: McGraw Hill Professional.
Oguejiofo, N., (2018). Change Theories in Nursing. Retrieved 12, February, 2018, from https://bizfluent.com/about-5544426-change-theories-nursing.html
Peplau, H. E. (1997). Peplau’s theory of interpersonal relations. Nursing Science Quarterly, 10(4), 162–167.
Peplau, H. E., Fawcett, J., & Helene Fuld Health Trust. (2005). Hildegard Peplau: Interpersonal relations in nursing. Athens : FITNE
Penprase, B., & Norris, D. (2005). What nurse leaders should know about complex adaptive systems theory. Nursing Leadership Forum, 9(3), 127–32.
Resnick, M., & Collins, A. (1998). Adventures in Modeling: Exploring Complex Dynamic Systems with StarLogo. New York Teachers College Press National Science Education Standards A Political Document Journal of Research in Science Teaching, 35(7 SRC-GoogleScholar FG-0), 711–727.
Study.com (2018). Lewin's 3-Stage Model of Change: Unfreezing, Changing & Refreezing. Retrieved 12, February, 2018, from: https://study.com/academy/lesson/lewins-3- stage-model-of-change-unfreezing-changing-refreezing.html
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