The sheer volume and dynamics among system agents in healthcare makes decision-making a daunting task at all levels. Being clear about what leaders mean by "healthcare system" is critical in aligning system strategy and leadership decision-making. This article presents an emerging set of lenses (ideology and beliefs, rational and irrational information processing, interpersonal social dynamics, process and value creation, and context) to help frame leadership decision-making in healthcare systems.

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Awareness of conducting action research (AR) with a systems thinking orientation is increasing. We consider such orientation to be a fundamental, grounding, feature of AR. However, little exploration has occurred of how evaluation activity within AR, using a tool such as Goal Attainment Scaling (GAS), might enhance this orientation. We offer an argument for utilizing GAS to not only broaden action and deepen the research in individual AR projects, but also, for learning more about AR at a meta-level where there is the increased complexity when evaluating multiple AR projects in diverse contexts. As well as theorizing the concepts noted, an outline of the way the evaluative study of action research (ESAR) customized and deployed GAS for evaluation of AR at both individual and meta-levels is provided. The paper is a unique contribution to the domains of AR, systems thinking and evaluation methods.

At its core, this research was undertaken to explore the extent to which system optimization leadership strategies such as innovation, collaboration, and data-driven decision-making affect financial and quality performance in organizations. A quasi-experimental pretest-posttest research design was used to examine the increase or decrease in system performance as a result of treatment in the form of a systems thinking workshop and strategy discussion. The application of three-core system strategies lead to significant gains in financial performance across all teams, and an increase in quality performance in all but one team. In addition to an increase in performance, this research also revealed the tendency of social systems to reflexively sub-optimize their performance and at times lose focus on higher order system goals. Helpful recommendations for leadership practice and future research are presented with a view to helping optimize whole systems and not solely their parts.

Action research is widely acknowledged as an effective framework of empowerment and emancipation to improve a social situation or condition—an intent that appeals to leaders wishing to create improvement, particularly in low socioeconomic and disadvantaged communities. Validity of such espousals has been substantially unexplored, and where evaluations have occurred, they have been focused more on process than impact. A group of international researchers were engaged in an evaluative study of more than 100 action research initiatives, using a variety of methods, tools and conceptual frameworks. The maturity model for action research is one of the conceptual frameworks adopted in this Evaluative Study of Action Research. Maturity models have their origins in the capability maturity model developed to address the poor performance of software projects delivered to the US Department of Defence in the 1980s. The purpose of the capability maturity model was to help contractors increase capability to improve their software engineering processes from an ad hoc state to a more formal and repeatable state and, eventually, to optimize the processes to deliver consistent outcomes. Maturity models have now found their way into many other organizational contexts, such as project management, knowledge management, process management and research capability. However, the term ‘maturity model’ is usually associated with business jargon and quantitative research. Therefore, the authors of this article felt the concept could be made more palatable to action researchers by rephrasing it as ‘maturity profile’ to improve the ways in which they manage their projects to deliver sustainable outcomes. This resulted in the development of the maturity profile described in this article. Copyright © 2017 John Wiley & Sons, Ltd.