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

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

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

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

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.

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)

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

Interesting Websites National Patient Safety information - Redesigning Health Care with Insights from the Science of Complex Adaptive Systems - d_id=10027&page=309 d_id=10027&page=309 AACN Cultural Competence - Cultural_Competency_Toolkit_Grad.pdf Cultural_Competency_Toolkit_Grad.pdf

More Websites orePrinciples.htmlhttp://transformativelearningtheory.com/c orePrinciples.html thinking.org/index.htmhttp:// thinking.org/index.htm

More Websites /node/109 /node/ udg/assessingreflectivejudg ment.html udg/assessingreflectivejudg ment.html rary.html rary.html SPROF/keystone21/uniscop e/default.htm SPROF/keystone21/uniscop e/default.htm /theory/index.htm /theory/index.htm dation.org/nursing- education dation.org/nursing- education tability.org/essay/framing/ tability.org/essay/framing/ /watch?v=IVHbty3iI9k /watch?v=IVHbty3iI9k

And More Websites reflections.blogspot.com reflections.blogspot.com ok.php?isbn= ok.php?isbn= m/ m/ g/ g/ e/creativepowersite/about -dr-william-e-smith-phd e/creativepowersite/about -dr-william-e-smith-phd online.com/ online.com/ org/ org/

Teaching Strategies Complexity Science CoursesApplications 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 Presentations Clinical Reasoning Creating Change in Complex Systems

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: NLeXFGo NLeXFGo

Simulations Boids, Craig Reynolds NetLogo website -

Great Videos and Movies Emergence - Complexity from Simplicity, Order from Chaos, John Holland ◦ ◦ =1 =1 What the Bleep Do We Know? The Elegant Universe Interviews of Complexity Experts ◦ Gonzaga University School of Nursing

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

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

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