a conversation with nurse educators: introducing complexity in nursing curricula

A Conversation with Nurse A Conversation with Nurse Educators: Introducing Educators: Introducing Complexity in Nursing Complexity in Nursing CurriculaCurricula

Nursing Network Call, August 1 2012

The Care We GiveThe Care We GiveThe very first requirement in a hospital

is that it should do the sick no harm.Florence Nightingale, 1859

Yet harm is done every dayWe need a new paradigm of care Changing the paradigm will require new

ways of preparing the present and future generations of health care professionals

Nursing EducationNursing EducationCurrent 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

Where We Go From HereWhere We Go From HereNursing 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

Suggested Nursing Suggested Nursing TextbooksTextbooksLindberg, 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.

Some Newer BooksSome Newer BooksInviting everyone: Healing

healthcare through positive deviance (2010)

Complexity and the nexus of leadership: Leveraging science to create ecologies of innovation (2010)

Connected (2009)

Suggested Journal ArticlesSuggested Journal ArticlesOrganizational Complexity column

in Journal of Nursing AdministrationBibliography 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

Interesting WebsitesInteresting WebsitesNational 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

More WebsitesMore Websiteshttp://transformativelearningtheo

ry.com/corePrinciples.html

http://www.knowledgejump.com/http://www.systems-thinking.org/i

ndex.htm

More WebsitesMore Websiteshttp://www.presencin

g.com/node/109http://www.aachonlin

e.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

And More WebsitesAnd 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/

Teaching StrategiesTeaching Strategies

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

Powerpoint PresentationsPowerpoint PresentationsClinical ReasoningCreating Change in Complex

Systems

Ways to UnderstandWays to UnderstandRecreating conversation with

liberating structuresPersonal case studiesReflection - “Befuddlement” paperShort stories, such as Visit from the

Footbinder by Emily PragerVideos, such as New Year Baby by

Socheata Poeuv, at: http://www.youtube.com/watch?v=ClQWNLeXFGo

SimulationsSimulationsBoids, Craig Reynolds -

http://www.red3d.com/cwr/boids/, http://www.navgen.com/3d_boids/

NetLogo website - http://ccl.northwestern.edu/netlogo/

Great Videos and MoviesGreat Videos and MoviesEmergence - 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 UniverseInterviews of Complexity Experts

◦Gonzaga University School of Nursing

Specific TopicsSpecific TopicsPrinciples of complex adaptive

systemsPositive devianceAppreciative inquiryInterdisciplinary

collaboration/relationshipSocial networksTranscultural caringLeadership – generative,

transformational, dialogic

Other IdeasOther IdeasNewsletters

◦Confident Voices for Nurses: The Resource for Creating Positive Workplaces, http://confidentvoices.com/www.confidentvoices.com/eNewsletter_Archives.html

Use of Wiki for sharingOther –

◦Doctoral Dissertation of Kristen Crusoe◦Podcast on horizontal violence in nursing

We Need Your Ideas!We Need Your Ideas!During this session, we ask you

to share what you have 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