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 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

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

A Concept Analysis of Systems Thinking

PURPOSE This concept analysis, written by the National Quality and Safety Education for Nurses (QSEN) RN-BSN Task Force, defines systems thinking in relation to healthcare delivery. METHODS A review of the literature was conducted using five databases with the keywords “systems thinking” as well as “nursing education,” “nursing curriculum,” “online,” “capstone,” “practicum,” “RN-BSN/RN to BSN,” “healthcare organizations,” “hospitals,” and “clinical agencies.” Only articles that focused on systems thinking in health care were used. The authors identified defining attributes, antecedents, consequences, and empirical referents of systems thinking. FINDINGS Systems thinking was defined as a process applied to individuals, teams, and organizations to impact cause and effect where solutions to complex problems are accomplished through collaborative effort according to personal ability with respect to improving components and the greater whole. Four primary attributes characterized systems thinking: dynamic system, holistic perspective, pattern identification, and transformation. CONCLUSION Using the platform provided in this concept analysis, interprofessional practice has the ability to embrace planned efforts to improve critically needed quality and safety initiatives across patients’ lifespans and all healthcare settings

Using Systems Thinking to Implement the QSEN Informatics Competency

There is an urgent need to improve the use and usability of the electronic health record (EHR) in health care to prevent undue patient harm. Professional development educators can use systems thinking and the QSEN competency, Informatics, to educate nurses about such things as nurse-sensitive indicators in preventing medical errors. This article presents teaching tips in using systems thinking to champion communication technologies that support error prevention (betterment)

Teaching Innovations Using Systems Thinking to Guide Fieldwork Projects in RN-to-BSN Education

Background: A critical need exists to improve quality and safety within RN-to-BSN education through innovative teaching strategies. RN-to-BSN students are poised to improve patient outcomes through system-level awareness by use of scholarly fieldwork projects within practice settings. The purpose of this scholarship of teaching project was to use an adapted version of the Systems Awareness Model to develop and categorize RN-to-BSN students’ learning experiences and capstone-type fieldwork projects guided by systems thinking. Faculty members of the Catalysts for Change Community led this project. Methods: A modified Delphi technique using multiple iterations to reach consensus by faculty experts was used in the design of this scholarship of teaching project. The philosophical underpinning guiding this project was collaborative scholarship. The seven steps of the System Awareness Model adapted for leadership and management were used to guide faculty championing quality and safety of innovative teaching strategies in face-to-face, hybrid, or online teaching-learning environments. Results: Faculty described examples of evidence-based practice (EBP), change, and practice projects including ideas, titles, and descriptions in alignment with Quality and Safety Education for Nurses (QSEN) competencies and with newly adopted American Association of Colleges of Nursing Education Essentials. A grading rubric is provided for evaluating fieldwork student project outcomes. Conclusions: The teaching strategies and fieldwork projects described in this paper reinforce the American Association of Colleges of Nursing (AACN) RN-to-BSN White Paper and the Commission on Collegiate Nursing Education (CCNE) Teaching Standards. Suggestions for future research are offered

Using Systems Thinking to Implement the QSEN Informatics Competency

There is an urgent need to improve the use and usability of the electronic health record (EHR) in health care to prevent undue patient harm. Professional development educators can use systems thinking and the QSEN competency, Informatics, to educate nurses about such things as nurse-sensitive indicators in preventing medical errors. This article presents teaching tips in using systems thinking to champion communication technologies that support error prevention (betterment)