keyword
https://read.qxmd.com/read/36196177/change-leadership-and-crisis-management-curriculum-transformation-before-during-and-after-a-pandemic
#1
JOURNAL ARTICLE
Eva Aagaard
Washington University School of Medicine has not undergone substantive curricular change for 25 years. In 2018, we embarked on a curriculum transformation project informed by the change leadership principles of James Kotter and William Bridges. This included developing a structured process to create a sense of urgency for why we needed to change, building coalitions to support change, and developing a compelling vision across multiple stakeholder groups. Implementation work began in 2019 with a planned curriculum start of July 2020...
2022: Transactions of the American Clinical and Climatological Association
https://read.qxmd.com/read/35476789/informal-and-incidental-learning-in-the-clinical-learning-environment-learning-through-complexity-and-uncertainty-during-covid-19
#2
JOURNAL ARTICLE
Dimitrios Papanagnou, Karen E Watkins, Henriette Lundgren, Grace A Alcid, Deborah Ziring, Victoria J Marsick
In the time of the COVID-19 pandemic, where clinical environments are plagued by both uncertainty and complexity, the importance of the informal and social aspects of learning among health care teams cannot be exaggerated. While there have been attempts to better understand the nuances of informal learning in the clinical environment through descriptions of the tacit or hidden curriculum, incidental learning in medical education has only been partially captured in the research. Understood through concepts borrowed from the Cynefin conceptual framework for sensemaking, the early stages of the pandemic immersed clinical teams in complex and chaotic situations, where there was no immediately apparent relationship between cause and effect...
May 3, 2022: Academic Medicine
https://read.qxmd.com/read/35434354/a-learning-approach-to-community-response-during-the-covid-19-pandemic-applying-the-cynefin-framework-to-guide-decision-making
#3
JOURNAL ARTICLE
Margaret Holly, Sophia Bartels, Ninon Lewis, Paul Howard, Rohit Ramaswamy
INTRODUCTION: The United States has been unsuccessful in containing the rapid spread of COVID-19. The complex epidemiology of the disease and the fragmented response to it has resulted in thousands of ways in which spread has occurred, creating a situation where each community needs to create its own local, context-specific learning model while remaining compliant to county or state mandates. METHODS: In this paper, we demonstrate how cross sector collaborations can use the Cynefin Framework, a tool for decision-making in complex systems, to guide community response to the COVID-19 pandemic...
April 2022: Learning Health Systems
https://read.qxmd.com/read/34692616/covid-19-pandemic-bureaucracy-the-crisis-inside-the-crisis
#4
JOURNAL ARTICLE
Katalyn Roßmann, Heike Wegner, Hans Stark, Gerd Großmann, Andreas Jansen, Dimitrios Frangoulidis
The Medical Intelligence and Information (MI2) Unit of the German Armed Forces (Bundeswehr) is experienced in crisis support in military missions since several years. It gained additional experiences during the current coronavirus 2019 (COVID-19) pandemic on different levels of the response to crisis and was requested to share the findings and expertise with the overloaded civil public health agencies inside Germany. Since the beginning of the pandemic, the unit is constantly developing new products for crisis communication, knowledge sharing techniques in new databases, dashboards for leadership, and training for laypersons in contact tracing...
2021: Frontiers in Public Health
https://read.qxmd.com/read/34402608/creating-a-healthcare-variant-cynefin-framework-to-improve-leadership-and-urgent-decision-making-in-times-of-crisis
#5
JOURNAL ARTICLE
Paul James Lane, Robyn Clay-Williams, Andrew Johnson, Vidula Garde, Leah Barrett-Beck
PURPOSE: The complex and occasionally chaotic nature of health care has been previously described in the literature, as has the broadening recognition that different management approaches are required for different types of problems rather than a "one size fits all" approach. The CYNEFIN framework from Snowden outlines a consistent cognitive approach that offers the leader and leadership team an ability to urgently apply the correct actions to a given situation. This paper proposes a variant CYNEFIN approach for healthcare...
August 16, 2021: Leadership in Health Services
https://read.qxmd.com/read/34146053/leveraging-big-data-for-pattern-recognition-of-socio-demographic-and-climatic-factors-in-correlation-with-eye-disorders-in-telangana-state-india
#6
JOURNAL ARTICLE
Amna Alalawi, Les Sztandera, Parth Lalakia, Anthony Vipin Das, Sai Prashanthi Gumpili, Richard Derman
Purpose: Big data is the new gold, especially in health care. Advances in collecting and processing electronic medical records (EMR) coupled with increasing computer capabilities have resulted in an increased interest in the use of big data in health care. Ophthalmology has been an area of focus where results have shown to be promising. The objective of this study was to determine whether the EMR at a multi-tier ophthalmology network in India can contribute to the management of patient care, through studying how climatic and socio-demographic factors relate to eye disorders and visual impairment in the State of Telangana...
July 2021: Indian Journal of Ophthalmology
https://read.qxmd.com/read/33968954/diagnostic-reasoning-in-internal-medicine-cynefin-framework-makes-sense-of-clinical-complexity
#7
JOURNAL ARTICLE
Gino Roberto Corazza, Marco Vincenzo Lenti
No abstract text is available yet for this article.
2021: Frontiers in Medicine
https://read.qxmd.com/read/31034069/cynefin-framework-for-evidence-informed-clinical-reasoning-and-decision-making
#8
REVIEW
Christian Lunghi, Francesca Baroni
Osteopathy (manipulative care provided by foreign-trained osteopaths) emphasizes manual techniques as the cornerstone of patient care. Although osteopathic medicine has been well integrated into traditional health care systems in the United States, little is known about the role of osteopathy in traditional health care systems outside the United States. Therefore, it is incumbent on the osteopathy community to gather evidence in order to practice scientifically informed effective methods. This narrative review outlines the Cynefin framework for clinical reasoning and decision-making and encourages a broadening of the evidence base among osteopaths to promote health in an interdisciplinary care setting...
May 1, 2019: Journal of the American Osteopathic Association
https://read.qxmd.com/read/29530136/the-cynefin-framework-applying-an-understanding-of-complexity-to-medicine
#9
JOURNAL ARTICLE
Ben Gray
No abstract text is available yet for this article.
December 2017: Journal of Primary Health Care
https://read.qxmd.com/read/29462325/unpacking-the-black-box-of-improvement
#10
JOURNAL ARTICLE
Rohit Ramaswamy, Julie Reed, Nigel Livesley, Victor Boguslavsky, Ezequiel Garcia-Elorrio, Sylvia Sax, Diarra Houleymata, Leighann Kimble, Gareth Parry
During the Salzburg Global Seminar Session 565-'Better Health Care: How do we learn about improvement?', participants discussed the need to unpack the 'black box' of improvement. The 'black box' refers to the fact that when quality improvement interventions are described or evaluated, there is a tendency to assume a simple, linear path between the intervention and the outcomes it yields. It is also assumed that it is enough to evaluate the results without understanding the process of by which the improvement took place...
April 20, 2018: International Journal for Quality in Health Care
https://read.qxmd.com/read/29184481/-cynefin-as-reference-framework-to-facilitate-insight-and-decision-making-in-complex-contexts-of-biomedical-research
#11
JOURNAL ARTICLE
Gerd Kempermann
The Cynefin scheme is a concept of knowledge management, originally devised to support decision making in management, but more generally applicable to situations, in which complexity challenges the quality of insight, prediction, and decision. Despite the fact that life itself, and especially the brain and its diseases, are complex to the extent that complexity could be considered their cardinal feature, complex problems in biomedicine are often treated as if they were actually not more than the complicated sum of solvable sub-problems...
2017: Frontiers in Neuroscience
https://read.qxmd.com/read/27681149/leadership-emergence-the-application-of-the-cynefin-framework-during-a-bio-social-hiv-aids-risk-reduction-pilot
#12
JOURNAL ARTICLE
Christopher J Burman, Marota A Aphane
This article focuses on the utility of a knowledge management heuristic called the Cynefin framework, which was applied during an ongoing pilot intervention in the Limpopo province, South Africa. The intervention aimed to identify and then consolidate low-cost, innovative bio-social responses to reinforce the biomedical opportunities that now have the potential to "end AIDS by 2030″. The Cynefin framework is designed to enable leaders to identify specific decision-making domain typologies as a mechanism to maximise the effectiveness of leadership responses to both opportunities and challenges that emerge during interventions...
September 2016: African Journal of AIDS Research: AJAR
https://read.qxmd.com/read/23047746/thinking-through-health-capacity-development-for-fragile-states
#13
JOURNAL ARTICLE
Annabelle Mark, Mike Jones
The purpose of this paper is to consider capacity development for healthcare in Fragile States and its roles, for example, in securing civil and political stability, as well as improved health, within the various contexts prevailing in fragile settings across the world. As a precursor to this, however, it is important to understand how, in rapidly changing environments, the role and contribution of different donors will have an impact in different ways. This paper sets out to interpret these issues, and what becomes apparent is the need to develop an understanding of the value base of donors, which we demonstrate through the development of a value-based framework...
July 2013: International Journal of Health Planning and Management
https://read.qxmd.com/read/22316821/a-multi-ontology-view-of-ergonomics-applying-the-cynefin-framework-to-improve-theory-and-practice
#14
JOURNAL ARTICLE
Wendy Elford
Ergonomics literature has often identified concerns about the difficulty of gaining support for ergonomics interventions. There appears to be a shift from the view that ergonomics issues can be made to be simple, towards a wider appreciation of the complexity of ergonomics problems in the real world. A framework from knowledge management--the Cynefin Framework--is recommended as providing a way of re-perceiving situations where ergonomics problems may be present or have already been identified. The framework uses multiple ontologies and indicates appropriate courses of investigation and action for each of four domains--the simple, the complex, the complicated and the chaotic...
2012: Work: a Journal of Prevention, Assessment, and Rehabilitation
https://read.qxmd.com/read/22128193/making-sense-in-a-complex-landscape-how-the-cynefin-framework-from-complex-adaptive-systems-theory-can-inform-health-promotion-practice
#15
JOURNAL ARTICLE
Eric K Van Beurden, Annie M Kia, Avigdor Zask, Uta Dietrich, Lauren Rose
Health promotion addresses issues from the simple (with well-known cause/effect links) to the highly complex (webs and loops of cause/effect with unpredictable, emergent properties). Yet there is no conceptual framework within its theory base to help identify approaches appropriate to the level of complexity. The default approach favours reductionism--the assumption that reducing a system to its parts will inform whole system behaviour. Such an approach can yield useful knowledge, yet is inadequate where issues have multiple interacting causes, such as social determinants of health...
March 2013: Health Promotion International
https://read.qxmd.com/read/19018908/knowing-in-medicine
#16
REVIEW
Joachim P Sturmberg, Carmel M Martin
In this paper we argue that knowledge in health care is a multidimensional dynamic construct, in contrast to the prevailing idea of knowledge being an objective state. Polanyi demonstrated that knowledge is personal, that knowledge is discovered, and that knowledge has explicit and tacit dimensions. Complex adaptive systems science views knowledge simultaneously as a thing and a flow, constructed as well as in constant flux. The Cynefin framework is one model to help our understanding of knowledge as a personal construct achieved through sense making...
October 2008: Journal of Evaluation in Clinical Practice
https://read.qxmd.com/read/18159787/a-leader-s-framework-for-decision-making-a-leader-s-framework-for-decision-making
#17
JOURNAL ARTICLE
David J Snowden, Mary E Boone
Many executives are surprised when previously successful leadership approaches fail in new situations, but different contexts call for different kinds of responses. Before addressing a situation, leaders need to recognize which context governs it -and tailor their actions accordingly. Snowden and Boone have formed a new perspective on leadership and decision making that's based on complexity science. The result is the Cynefin framework, which helps executives sort issues into five contexts: Simple contexts are characterized by stability and cause-and-effect relationships that are clear to everyone...
November 2007: Harvard Business Review
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