2.50
Hdl Handle:
http://hdl.handle.net/10755/159259
Type:
Presentation
Title:
Nursing Management through the Lenses of CAS
Abstract:
Nursing Management through the Lenses of CAS
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Penprase, Barbara, PhD, RN, CNOR
Title:Assistant Professor
Contact Address:SON, 3500 Eagle, Troy, MI, 48083, USA
The purpose of this study is an ethnographic portrayal of nursing leadership’s ability to adapt during hospital change through the lenses of complex adaptive system’s theory (CAS). CAS is a new approach to understanding many new, insightful and dynamic adaptive behaviors not identified using traditional management theoretical frameworks. The presentation will discuss the author’s qualitative research findings from a three-year study using a participant observation methodology. A comparative analysis between two different hospitals was done. Data was coded for content analysis exploring patterns. Next cross coding was accomplished to examine phrases, and finally relationships were identified. Data was collected from seven focus groups as well as 39 managers were interviewed. Approximately 150 meetings were attended that observed managers interacting with over 1000 pages of fieldnotes were obtained. One specific finding was attractors and how attractors influenced nurses according to CAS. Attractors act as magnets and can draw individuals in different directions. Attractors had significant influence on individuals and determined if staff would adopt the change process. Once an attractor draws an individual, the author’s research indicates it is very difficult to change the directional pull to a different direction. Thus, if nursing managers can identify strong attractors before a change is proposed, there is a higher likelihood of the change being successful. This research explores behavioral responses during changing environmental pressures within health care settings and contributes to nursing and hospital management understanding of how attractors influence behaviors. Specifically, this research identified key attractors that act as foundations to behavioral patterns as well as serve as magnets for spontaneous regrouping of individuals. For example, relationships centered upon attractors that are fragile and loosely connected, are easily influenced by other attractors The research illustrates how individuals reorganize around attractors of trust/distrust, and resistance, illuminating patterns which emerge from chaotic systems.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Management through the Lenses of CASen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159259-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Management through the Lenses of CAS </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Penprase, Barbara, PhD, RN, CNOR</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 3500 Eagle, Troy, MI, 48083, USA</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study is an ethnographic portrayal of nursing leadership&rsquo;s ability to adapt during hospital change through the lenses of complex adaptive system&rsquo;s theory (CAS). CAS is a new approach to understanding many new, insightful and dynamic adaptive behaviors not identified using traditional management theoretical frameworks. The presentation will discuss the author&rsquo;s qualitative research findings from a three-year study using a participant observation methodology. A comparative analysis between two different hospitals was done. Data was coded for content analysis exploring patterns. Next cross coding was accomplished to examine phrases, and finally relationships were identified. Data was collected from seven focus groups as well as 39 managers were interviewed. Approximately 150 meetings were attended that observed managers interacting with over 1000 pages of fieldnotes were obtained. One specific finding was attractors and how attractors influenced nurses according to CAS. Attractors act as magnets and can draw individuals in different directions. Attractors had significant influence on individuals and determined if staff would adopt the change process. Once an attractor draws an individual, the author&rsquo;s research indicates it is very difficult to change the directional pull to a different direction. Thus, if nursing managers can identify strong attractors before a change is proposed, there is a higher likelihood of the change being successful. This research explores behavioral responses during changing environmental pressures within health care settings and contributes to nursing and hospital management understanding of how attractors influence behaviors. Specifically, this research identified key attractors that act as foundations to behavioral patterns as well as serve as magnets for spontaneous regrouping of individuals. For example, relationships centered upon attractors that are fragile and loosely connected, are easily influenced by other attractors The research illustrates how individuals reorganize around attractors of trust/distrust, and resistance, illuminating patterns which emerge from chaotic systems.</td></tr></table>en_GB
dc.date.available2011-10-26T21:51:06Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:51:06Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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