A Conversation with Nurse Educators: Introducing Complexity in Nursing Curricula

1. A Conversation with Nurse Educators: Introducing Complexity in Nursing Curricula Nursing Network Call, August 1 2012

2. The Care We Give • The very first requirement in a hospital is that it should do the sick no harm.Florence Nightingale, 1859 • Yet harm is done every day • We need a new paradigm of care • Changing the paradigm will require new ways of preparing the present and future generations of health care professionals

3. Nursing Education • Current research is exploring the complexity and impact of nursing care • Benner et al. (2010) have challenged nurse educators to re-invent the model of nursing education • AACN Essentials for BSN, MSN AND DNP have noted the importance of teaching complexity science

4. Where We Go From Here • Nursing Education Resources website was created to collect information • Discussion occurred June 8 to 15, 2010 • 13 participants • 47 posted entries • 100+ identified resources! • Other resources added at the conference

5. Suggested Nursing Textbooks • Lindberg, C., Nash, S., & Lindberg, C. (2008). On the edge: Nursing in the age of complexity. Bordentown, NJ: Plexus Institute Press. • Zimmerman, B., Lindberg, C., & Plsek, P. (2001). Edgeware: Lessons from complexity science for health care leaders. Dallas: VHA. • Ray, M. (2009). Transcultural caring dynamics in nursing and health care. Philadelphia: FA Davis. • Doane, G.H., & Varcoe, C. (2004). Family nursing as relational inquiry: Developing health-promoting practice. New York: Lippincott Williams Wilkins.

6. Some Newer Books • Inviting everyone: Healing healthcare through positive deviance (2010) • Complexity and the nexus of leadership: Leveraging science to create ecologies of innovation (2010) • Connected (2009)

7. Suggested Journal Articles • Organizational Complexity column in Journal of Nursing Administration • Bibliography includes topics: • Complexity science • Nursing and health care as complex systems • Leadership and organizational behavior • Social networks • Managing innovation • Diversity and cultural competence • Sensemaking • Research

8. Interesting Websites • National Patient Safety information - http://www.npsf.org/ • Redesigning Health Care with Insights from the Science of Complex Adaptive Systems - http://books.nap.edu/openbook.php?record_id=10027&page=309 • AACN Cultural Competence -http://www.aacn.nche.edu/Education/pdf/Cultural_Competency_Toolkit_Grad.pdf

9. More Websites • http://transformativelearningtheory.com/corePrinciples.html • http://www.knowledgejump.com/ • http://www.systems-thinking.org/index.htm

10. More Websites • http://www.presencing.com/node/109 • http://www.aachonline.org/ • http://www.umich.edu/~refjudg/assessingreflectivejudgment.html • http://www.chaordic.org/library.html • http://cas.psu.edu/docs/CASPROF/keystone21/uniscope/default.htm • http://www.ewenger.com/theory/index.htm • http://www.carnegiefoundation.org/nursing-education • http://www.beyondintractability.org/essay/framing/ • http://www.ebnp.org/ • http://www.youtube.com/watch?v=IVHbty3iI9k

11. And More Websites • http://www.meta-reflections.blogspot.com • http://www.drdansiegel.com/ • http://books.nap.edu/openbook.php?isbn=0309063639 • http://theleadershipcircle.com/ • http://www.criticalthinking.org/ • http://sites.google.com/site/creativepowersite/about-dr-william-e-smith-phd • http://www.wisc-online.com/ • http://www.qualitymatters.org/

12. Complexity Science Courses Applications of CAS Principles • Ruth Anderson • Managing Complex Systems in Health Care • Joan Engebretson • Complexity Applied to Health Care • Lois Hamel • 3rd On The Edge Conference taken for course credit • Beth Boynton • Complexity science principles in communication and collaboration • Sheila Ryan • Transformational Leadership • Sue Nash • Family Nursing • Tom Clancy • System Design and Analysis Teaching Strategies

13. Powerpoint Presentations • Clinical Reasoning • Creating Change in Complex Systems

14. Ways to Understand • Recreating conversation with liberating structures • Personal case studies • Reflection - “Befuddlement” paper • Short stories, such as Visit from the Footbinder by Emily Prager • Videos, such as New Year Baby by Socheata Poeuv, at: http://www.youtube.com/watch?v=ClQWNLeXFGo

15. Simulations • Boids, Craig Reynolds - http://www.red3d.com/cwr/boids/, http://www.navgen.com/3d_boids/ • NetLogo website - http://ccl.northwestern.edu/netlogo/

16. Great Videos and Movies • Emergence - Complexity from Simplicity, Order from Chaos, John Holland • http://www.youtube.com/watch?v=gdQgoNitl1g • http://www.youtube.com/watch?v=S5NRNG1r_jI&NR=1 • What the Bleep Do We Know? • The Elegant Universe • Interviews of Complexity Experts • Gonzaga University School of Nursing

17. Specific Topics • Principles of complex adaptive systems • Positive deviance • Appreciative inquiry • Interdisciplinary collaboration/relationship • Social networks • Transcultural caring • Leadership – generative, transformational, dialogic

18. Other Ideas • Newsletters • Confident Voices for Nurses: The Resource for Creating Positive Workplaces, http://confidentvoices.com/www.confidentvoices.com/eNewsletter_Archives.html • Use of Wiki for sharing • Other – • Doctoral Dissertation of Kristen Crusoe • Podcast on horizontal violence in nursing

19. We Need Your Ideas! • During this session, we ask you to share what youhave found useful in teaching and learning about complexity • We will then continue to add to this list and post to the Plexus Nursing Network website