The Creating Collective, LLC, Rockwall, Texas; and Duke University School of Nursing, Durham, North Carolina.
Nurs Adm Q. 2024;48(3):209-217. doi: 10.1097/NAQ.0000000000000650. Epub 2024 Jun 8.
Health care is a complex and ever-changing environment for nurse leaders and other health care industry decision-makers. The prevailing leadership and decision-making models, rooted in Industrial Age principles, often struggle to adapt to the complexities of modern health care. This article explores the foundations of complexity science and its application to health care decision-making, highlighting the importance of understanding systems dynamics and embracing complexity. Drawing from systems knowledge, the Cynefin Sensemaking Framework, and understanding how to develop enabling constraints, nurse leaders can navigate the complexities of health care by identifying the nature of the problem and applying appropriate decision-making strategies, fostering agility and innovation. By embracing complexity and adopting adaptive leadership approaches, nurse leaders can pragmatically navigate the complexities of modern health care and drive transformative change. This manuscript provides methods for nurse leaders to enhance decision-making within the dynamic landscape of health care as a complex adaptive system.
医疗保健是护士领导者和其他医疗保健行业决策者面临的一个复杂且不断变化的环境。流行的领导力和决策模式根植于工业时代的原则，往往难以适应现代医疗保健的复杂性。本文探讨了复杂性科学的基础及其在医疗保健决策中的应用，强调了理解系统动态和接受复杂性的重要性。从系统知识、Cynefin 感知框架以及了解如何制定有效的约束条件中，护士领导者可以通过识别问题的性质并应用适当的决策策略来应对医疗保健的复杂性，从而培养灵活性和创新性。通过接受复杂性并采用适应性领导方法，护士领导者可以在现代医疗保健的复杂性中进行务实的决策，并推动变革。本文为护士领导者提供了一种方法，以增强作为复杂自适应系统的医疗保健领域的决策能力。
