A scoping review of complexity science in nursing

Olsson, Anna-Karin; Thunborg, Charlotta; Björkman, Annica; Blom, Anneli; Sjöberg, Fredric; Salzmann‐Erikson, Martin

doi:10.1111/jan.14382

Cited by 13 publications

(9 citation statements)

References 131 publications

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“…The final contributing factor to complex student perceptions that was identified through the research was a misunderstanding of the purpose and potential of innovation within nursing education. Exposing students to complex learning environments—ones in which there are multiple professionals working to find solutions for changing patient situations—can assist students in understanding the dynamic nature of nursing (Olsson et al., 2020). The PHI seeks to create such an environment by allowing students to learn about population health by working alongside agency partners throughout Western Washington.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive initial evaluation of an innovative yearlong population health internship for undergraduates

Knott

Fricas

2022

Public Health Nursing

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Background The innovative Population Health Internship (PHI) addresses the evolving need for baccalaureate‐prepared nurses to achieve population health competency. A comprehensive evaluation of the inaugural year of the PHI was conducted using the Centers for Disease Control and Prevention (CDC) Framework for Program Evaluation in Public Health and the Context, Input, Process, Product (CIPP) curricular evaluation model. Students and community agency partners—both key stakeholders—contributed to the evaluation. Methods and results Quantitative data were used to address functional and outcome areas of the PHI for purposes of PHI logistics, student learning gains, and program impact and sustainability. Qualitative data were used to provide insights into challenges in instituting curricular change, complexity in student–agency communications, importance of student preparedness/attitude, issues of role confusion, misperceptions about the population health nursing role, student learning, and impacts on partner agencies and their populations. Implications Educational implications include the importance of assessing both learning gains and student buy‐in, the need for a long‐term evaluation approach to accommodate for challenges related to radical curriculum change, and the importance of strong stakeholder support to facilitate mutually beneficial relationships and a positive learning experience.

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Section: Discussionmentioning

confidence: 99%

Comprehensive initial evaluation of an innovative yearlong population health internship for undergraduates

Knott

Fricas

2022

Public Health Nursing

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“…This is because both are known to be rooted in structural systems where outcomes are often the result of multilevel, nonlinear, and diverse factors that intersect over time in relational encounters between clinicians and patients. 33,34,49…”

Section: Evaluation Of the Theory Of Social Justice In Nursing By Waltermentioning

confidence: 99%

Theory analysis of social justice in nursing: Applications to obstetric violence research

Garcia

2021

Nurs Ethics

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The dual purpose of this article is to present a formal theory analysis combined with recommendations for the use of social justice in nursing as a framework for the study of obstetric violence in US hospitals. A theory analysis of emancipatory nursing praxis as a middle-range theory of social justice in nursing was conducted using the strategy by Walker and Avant. The theory of social justice in nursing was determined to be logical, useful, and generalizable. The soundness and usability of the theory support the recommendations made for it to be applied to the study of obstetric violence, plus quality and outcome problems in maternity care that have been resistant to sustained progress and may benefit from a new paradigm for continued study. The alignment for obstetric violence to be studied with a social justice framework is linked to the theory’s origins in critical social theory and the evolving concept of obstetric violence as a sex-specific form of violence against women that is a violation of human rights. The postmodern expansion of the body of work based on critical theory provides examples from emancipatory and feminist researchers for recognizing how the study of obstetric violence is compatible with a theoretical framework for social justice in nursing. The suitability of this framework to guide the further research needed to better understand, identify, and minimize harms from the occurrence of obstetric violence is argued. In addition, “The Code” for the American Nurses Association (ANA) is cited as a professional reference that outlines nurses’ responsibilities for practice based on ethics, human rights, and social justice that are antithetical to the occurrence of obstetric violence.

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“…Though complicated systems may be difficult to understand, their mechanistic nature means we are able to predict what will happen (Braithwaite et al, 2017). Use of complexity theory is now commonly used to understand health systems and organisations (Olsson et al, 2020; Thompson et al, 2016). Complexity theory offers a way to conduct research that privileges the relationships between system elements, including the seemingly insignificant, and how this influences what emerges from the system.…”

Section: Introductionmentioning

confidence: 99%

If we can imagine it, we can build it: Developing Complexity Theory-Informed Methodologies

Gear

Eppel

Koziol‐McLain

2022

International Journal of Qualitative Methods

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Seemingly intractable or ‘wicked’ problems are often characterised by the complexity and uncertainty involved. However, these characteristics are not always accounted for within research design. How health care systems may effectively respond to intimate partner violence presents a complex research problem. Researchers have been challenged to account for contextual influences when responding to intimate partner violence. However, theoretical perspectives and methodologies have not sufficiently evolved to account for the multi-layered complexity and uncertainty involved. Recognising and responding to this challenge offers opportunities to innovate methodologies and methods capable of evolving alongside learning. We present a complexity-led research design to study improving primary care service delivery to those impacted by intimate partner violence in Aotearoa New Zealand.

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A scoping review of complexity science in nursing

Abstract: Aim: To describe how complexity science has been integrated into nursing.

Cited by 13 publications

References 131 publications

Comprehensive initial evaluation of an innovative yearlong population health internship for undergraduates

Comprehensive initial evaluation of an innovative yearlong population health internship for undergraduates

Theory analysis of social justice in nursing: Applications to obstetric violence research

If we can imagine it, we can build it: Developing Complexity Theory-Informed Methodologies

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