Use of an Instructional Design Model in Validating an Online Animated Case-Based Systems Thinking Module

A critical need for error prevention instruction exists. Systems thinking emphasizes how nursing actions impact systems. This presentation focuses on the designing process of an online animated systems thinking module. Virtual nurse learner test scores validated that gaming was engaging for effective learning. Recommendations were primarily technology-related

Systems Perspective for Incivility in Academia: An Integrative Review

AIM: The purpose of this integrative review was to identify evidence of systems thinking on civility in academic settings. BACKGROUND: Incivility is present in academic systems, including nursing education. What is learned in academia translates to the workplace. Systems-based solutions may promote quality and safety in health care. METHOD: Whittemore and Knafl’s integrative approach guided this study. RESULTS: Forty-nine articles were reviewed. Themes emerged describing incivility in nursing as embedded within layers of a performance-driven, oppressive hostile bureaucracy, trickling down, instilling fear, and reinforcing uncivil behavior among and between members. Other themes defined faculty-to-faculty and faculty-to-student incivilities, reasons for it, reactions to it, and suggestions for improved civility. CONCLUSION: The systems awareness model is offered as a means of promoting civility in nursing education. A lack of evidence to support how incivility in academia transfers to quality and safety in practice settings is identified as a gap for future study

Systems Perspective for Incivility in Academia: An Integrative Review

AIM: The purpose of this integrative review was to identify evidence of systems thinking on civility in academic settings. BACKGROUND: Incivility is present in academic systems, including nursing education. What is learned in academia translates to the workplace. Systems-based solutions may promote quality and safety in health care. METHOD: Whittemore and Knafl’s integrative approach guided this study. RESULTS: Forty-nine articles were reviewed. Themes emerged describing incivility in nursing as embedded within layers of a performance-driven, oppressive hostile bureaucracy, trickling down, instilling fear, and reinforcing uncivil behavior among and between members. Other themes defined faculty-to-faculty and faculty-to-student incivilities, reasons for it, reactions to it, and suggestions for improved civility. CONCLUSION: The systems awareness model is offered as a means of promoting civility in nursing education. A lack of evidence to support how incivility in academia transfers to quality and safety in practice settings is identified as a gap for future study

Systems Thinking and Incivility in Nursing Practice: An Integrative Review

Background and Purpose There is a critical need for nurses and interprofessional healthcare providers to implement systems thinking (ST) across international borders, addressing incivility and its perilous effects on patient quality and safety. An estimated one million patients die in hospitals worldwide due to avoidable patient‐related errors. Establishing safe and civil workplaces using ST is paramount to promoting clear, level‐headed thinking from which patient‐centered nursing actions can impact health systems. The purpose of the paper is to answer the research question, What ST evidence fosters the effect of workplace civility in practice settings? Methods Whittemore and Knafl\u27s integrative review method guided this study. The quality of articles was determined using Chu et al.’s Mixed Methods Assessment Tool. Results Thirty‐eight studies were reviewed. Themes emerged describing antecedents and consequences of incivility as embedded within complex systems, suggesting improvements for civility and systems/ST in nursing practice. Implications for Practice This integrative review provides information about worldwide incivility in nursing practice from a systems perspective. Several models are offered as a means of promoting civility in nursing practice to improve patient quality and safety. Further study is needed regarding incivility and resultant effects on patient quality and safety

Systems Thinking and Incivility in Nursing Practice: An Integrative Review

Background and Purpose There is a critical need for nurses and interprofessional healthcare providers to implement systems thinking (ST) across international borders, addressing incivility and its perilous effects on patient quality and safety. An estimated one million patients die in hospitals worldwide due to avoidable patient‐related errors. Establishing safe and civil workplaces using ST is paramount to promoting clear, level‐headed thinking from which patient‐centered nursing actions can impact health systems. The purpose of the paper is to answer the research question, What ST evidence fosters the effect of workplace civility in practice settings? Methods Whittemore and Knafl\u27s integrative review method guided this study. The quality of articles was determined using Chu et al.’s Mixed Methods Assessment Tool. Results Thirty‐eight studies were reviewed. Themes emerged describing antecedents and consequences of incivility as embedded within complex systems, suggesting improvements for civility and systems/ST in nursing practice. Implications for Practice This integrative review provides information about worldwide incivility in nursing practice from a systems perspective. Several models are offered as a means of promoting civility in nursing practice to improve patient quality and safety. Further study is needed regarding incivility and resultant effects on patient quality and safety

Incivility and the use of systems thinking to promote healthy voluntary organisations

© Policy Press 2019 Incivility in voluntary organisations is critically burdensome on a global level, but there is a dearth of literature on how to contend with the problem. This paper provides a description and an evaluation of and reflection on a workshop conducted to propose an evidence-based systems awareness model (SAM) for volunteers in professional organisations to use in mitigating incivility. Implications of the SAM model for a culture of caring in the voluntary sector are described

Concept Analysis of Systems Thinking in the Context of Interprofessional Practice and Improved Patient Outcomes

Aim: The purpose of this study was to explore the definition and application of systems thinking (ST) in interprofessional practice and improved patient outcomes. Background: Nurse educators need a universal definition of ST to implement in curricula to foster quality and safety while enhancing outcomes for nursing students. Method: The QSEN RN-BSN Task Force used the hybrid model of concept analysis to identify the process of fostering ST in clinical and didactic learning experiences and how ST changed over time from the perspective of educators. Results: The definition of ST in the context of interprofessional practice and outcomes was a dynamic, analytical process that looks at complex patterns, relationships, and connections within elements and structures, resulting in the ability to recognize the whole picture. Conclusion: The concept of ST in the context of interprofessional practice and improved patient outcomes may be integrated within nursing curricula

La lutte contre la tique du bétail en Nouvelle Calédonie : quelle stratégie pour l'an 2000 ? Rapport de mission en Nouvelle Calédonie du 15 au 22 janvier 1996

La tique Boophilus microplus est un des obstacles au développement de l'élevage bovin en Nouvelle Calédonie. L'apparition de résistances à la deltaméthrine dans quelques élevages est l'occasion de réfléchir à une meilleure stratégie à mettre en place. Un suivi du développement de la résistance dans des élevages représentatifs selon les protocoles standards doit être instauré, et la deltaméthrine remplacée par l'amitraze là où cette résistance est confirmée. Un effort de communication et d'information doit être fait auprès des éleveurs pour restreindre l'usage des acaricides, les initier à la biologie des tiques et aux principes de lutte, éviter les erreurs dans l'utilisation des systèmes de détiquage. Des méthodes de lutte complémentaire (vaccin, lutte génétique et agronomique) devront être vulgarisées. L'éradication ne semble pas réalisable dans la situation actuell

Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric

Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists. Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice. Methods: Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach’s α and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric. Results: Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability (α = 0.99), and sections of the rubric showed a strong degree of reliability with α’s ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section. Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care

Incivility and the Use of Systems Thinking To Promote Healthy Voluntary Organisations

Incivility in voluntary organisations is critically burdensome on a global level, but there is a dearth of literature on how to contend with the problem. This paper provides a description and an evaluation of and reflection on a workshop conducted to propose an evidence-based systems awareness model (SAM) for volunteers in professional organisations to use in mitigating incivility. Implications of the SAM model for a culture of caring in the voluntary sector are described