SU_NSG6601_W2_A3_Sornoza_S

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WEEK 2 PROJECT 1 Week 2 Project Sharon Sornoza South University NSG6601 Managing Complex Healthcare Systems Dr. Cheryl DeHart November 6, 2023

WEEK 2 PROJECT 2 Week 2 Project Leading and managing in an ever-changing environment such as healthcare requires flexibility and resiliency. Complexity science allows leaders to be fluid throughout change while maintaining the ability to lead. Complexity theory, inspired by the works of Prigogine’s dissipative structures in non-equilibrium thermodynamics, Lorenz’s butterfly effect theory, the Chaos theory by Lamarck came to fruition in the mid-late 20 th century (Park, 2017). Complexity science does not have one specific definition, instead it is a descriptor of how organizations, with their many pieces, are able to work together effectively. It is called “complex” because of the diversity, interdependent, and autonomous parts that are involved (Goulielmos, 2005). As stated by Goulielmos (2005), “Complexity is also the quantity of information needed to describe a system and that theory that processes with a large number of seemingly independent agents that can spontaneously organize themselves into coherent system”. This theory is very useful in the workforce due to its fluidity principles and the adaptation one must take to meet the goals of the organization. “Leaders can use error, as a constituent of change, to evaluate a change process and determine the best activities for advancing the system and preventing the same mistakes or flaws from recurring” (Albert et al., 2020, p. 74). Examples of utilization of complexity theory are seen with our problem with the Hill-Rom call system and how to improve our response times. While you might think it is just dependent on answering the call light at the nurse station, it relies on so much more. When a patient pushes on the call light, it activates the call system at the nurse

WEEK 2 PROJECT 3 station to alert the staff there is a patient in need. The call is answered and then routed to the correct staff member; nurse/certified nurse assistant (CNA). Once the staff member is alerted, they go to the patient room and see what the patient needs and assists them. If they only do that it does not count as being responsive. The staff member must turn off the call light in the room to show the call is being addressed, otherwise, it appears the patient’s call has not been answered. In this example we have technology, and human behavior that affects the outcome of our measurement. When looking at how to improve, we realized that the time stamp was not only dependent on answering the call light at the nurse station and room, but it also depended on the alert you received on your phone. Once we realized all three factors had to be addressed our call times drastically improved. I chose this theory for my issue because I felt it applied since the system we were looking at involved different factors and the ability to learn how the system worked, how to demonstrate responsiveness, ultimately showed our team was in fact responding to patient needs in a timely manner. In conclusion, complexity theory emerged in the mid-late 20 th century, and it is useful as its applicability is to the organization, no matter what area or department is involved. The value of this theory is that just as organizations can be affected by different changes, being able to adapt to the changes to continue to meet the goals of the organization is still achieved. Applying this theory to the Hill-Rom call system allowed my team to go from an average response time of over 30 minutes to just under 4 minutes.

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WEEK 2 PROJECT 4 References Albert, N. M., Pappas, S., Porter-O'Grady, T., & Malloch, K. (2020). Quantum Leadership (6th ed.). https://digitalbookshelf.southuniversity.edu/books/9781284229066 Goulielmos, A. M. (2005). Complexity theory: A science where historical accidents matter. Disaster Prevention and Management: An International Journal , 14 (4), 533–547. https://doi.org/10.1108/09653560510618366 Park, J. (2017, October 8). An introduction to complexity theory . Medium. https://medium.com/@junp01/an-introduction-to-complexity-theory- 3c20695725f8#:~:text=Complexity%20Theory%20and%20its%20related,i.e.%20the %20butterfly%20effect)%2C%20Chaos

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