Systems Thinking for Managing COVID-19 in Health Care Systems: Seven Key Messages – Phillips and Salter (2020)

The Journal of Continuing Education in Nursing

ORIGINAL ARTICLE 

Systems Thinking for Managing COVID-19 in Health Care Systems: Seven Key Messages

Janet M. Phillips, PhD, RN, ANEF; Ann M. Stalter, PhD, RN, MEd

 VIEW PDFABSTRACT

Abstract

This article provides the most current guidelines for nurse educators and nurses to use systems thinking to manage COVID-19 in health systems. A working definition of systems thinking is offered, with a review of basic knowledge and care in the context of the system awareness model (SAM). Seven key messages assist nurse educators and nurses in the management of COVID-19 patients culminating in leadership of complex health care systems using systems thinking. [J Contin Educ Nurs. 2020;51(9):402–411.]

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Systems Thinking for Managing COVID-19 in Health Care Systems: Seven Key Messages

Fermenting Culture – Emergence Magazine: Complexity, control, and microbial gastronomy – fermentation is culture

my favourite podcatcher: https://overcast.fm/+M3F6zE9pY

transcript: https://emergencemagazine.org/story/fermenting-culture/#:~:text=In%20this%20in%2Ddepth%20interview,culture%20on%20a%20deeper%20level.

Photo by Evan Sung

Fermenting Culture

An Interview with David Zilber

In this in-depth interview, David Zilber, director of the fermentation lab at Noma—named the best restaurant in the world—discusses how food is culture, but fermentation is culture on a deeper level.

“Culture” and “culture” mean two different things to a biologist and an anthropologist, but in fermentation, they overlap completely.

transcript and main podcast page:

Fermenting Culture – Emergence Magazine

SCiO Virtual Networking Event – 28 September 2020 18:30–20:30| SCiO

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SCiO Virtual Networking Event – September 2020 | SCiO

28 September 2020 18:30–20:30

Virtual Networking

SCiO UK

Event access:All welcome

Book now

SCiO Virtual Networking Event – September 2020

Open events and development days, in addition to the core content, provide valuable opportunities for systems practitioners to network and mingle. Since our events are now online, this will be hard – or certainly different.

Therefore we’re running virtual networking events. Hosted by SCiO director Benjamin Taylor, with deep experience of online facilitation from five to over a hundred people, this will combine some initial small group work, Open Space-style discussions, and completely open opportunities to mingle as individuals.

Please note that you will need to attend using a desktop computer (not a tablet or phone) to get the best experience.

28 September 2020 18:30–20:30

This is an online event. FREE

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SCiO Virtual Networking Event – September 2020 | SCiO

Notes on The Good Regulator Theorem:

Harish's avatarHarish's Notebook - My notes... Lean, Cybernetics, Quality & Data Science.

In today’s post, I am looking at the Conant-Ashby theorem, “The Good Regulator Theorem”, named after Roger C. Conant and W. Ross Ashby. Ashby is one of the pioneers of the Cybernetics movement. This theorem states that:

Every good regulator of a system must be a model of that system.

A really good version of this theorem comes from Daniel L. Scholten, who says – Every good key must be a model of the lock it opens. The key must match the lock in order for it to open it. As Conant and Ashby put it:

Any regulator that is maximally both successful and simple must be isomorphic with the system being regulated… Making a model is thus necessary. The theorem has the interesting corollary that the living brain, so far as it is to be successful and efficient as a regulator for survival, must proceed, in learning, by the…

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Complex systems science allows us to see new paths forward | Aeon Essays – Flack and Mitchell (2020)

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Complex systems science allows us to see new paths forward | Aeon Essays

Uncertain times

The pandemic is an unprecedented opportunity – seeing human society as a complex system opens a better future for us all

21 August 2020

Jessica Flack is a professor at the Santa Fe Institute in New Mexico and director of the Collective Computation Group at SFI.

Melanie Mitchell is the Davis Professor of Complexity at the Santa Fe Institute in New Mexico and professor of computer science at Portland State University. She is the author of Complexity: A Guided Tour (2009) and Artificial Intelligence: A Guide for Thinking Humans (2019).

Published in association with Santa Fe Institute an Aeon Strategic Partner

Brought to you by Curio, an Aeon partner

4,400 words

Edited by Sally Davies

We’re at a unique moment in the 200,000 years or so that Homo sapiens have walked the Earth. For the first time in that long history, humans are capable of coordinating on a global scale, using fine-grained data on individual behaviour, to design robust and adaptable social systems. The pandemic of 2019-20 has brought home this potential. Never before has there been a collective, empirically informed response of the magnitude that COVID-19 has demanded. Yes, the response has been ambivalent, uneven and chaotic – we are fumbling in low light, but it’s the low light of dawn.

At this historical juncture, we should acknowledge and exploit the fact we live in a complex system – a system with many interacting agents, whose collective behaviour is usually hard to predict. Understanding the key properties of complex systems can help us clarify and deal with many new and existing global challenges, from pandemics to poverty and ecological collapse.

In complex systems, the last thing that happened is almost never informative about what’s coming next. The world is always changing – partly due to factors outside our control and partly due to our own interventions…

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Complex systems science allows us to see new paths forward | Aeon Essays

Scrum is based on complex adaptive systems – Jeff Sutherland

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Scrum is based on complex adaptive systems – Scrum Inc.

Scrum is based on complex adaptive systems and emergent behavior

by Jeff Sutherland | Aug 26, 2010 | Blog | 1 commentScrum is based on complex adaptive systems and emergent behavior

In the early days of Scrum we were steeped in complex adaptive systems theory and autonomous intelligent systems. This area of research is emerging in a new form called Ambient Intelligence (AmI) due to the proliferation of intelligent devices on the internet. This proliferation and the applications we use with them caused Wired Magazine to declare “The Web is dead” in September 2010.

Work in this area can help us understand Scrum better and ensure that basic collaboration mechanisms are in place to make Scrum work. The environment must be set up so that people have an incentive to help one another in order to optimize the whole, rather than optimizing their individual niche at the expense of the larger community. Failure to do this will prevent individuals and companies achieving the full benefits of Scrum.

ACM Transactions on Autonomous Adaptive Systems has many articles worth reading to understand the issues in more depth. In particular, the article below reviews much of the literature upon which Scrum is based and proposes a better approach to achieve cooperation among networked systems.

Cooperation through Self-Similar Social Networks
STUART M. ALLEN, GUALTIERO COLOMBO, and ROGER M. WHITAKER
Cardiff University
DOI = 10.1145/1671948.1671952 http://doi.acm.org/10.1145/1671948.1671952

We address the problem of cooperation in decentralized systems, specifically looking at interactions between independent pairs of peers where mutual exchange of resources (e.g., updating or sharing content) is required. In the absence of any enforcement mechanism or protocol, there is no incentive for one party to directly reciprocate during a transaction with another. Consequently, for such decentralized systems to function, protocols for self-organization need to explicitly promote cooperation in a manner where adherence to the protocol is incentivized.

In this article we introduce a new generic model to achieve this. The model is based on peers repeatedly interacting to build up and maintain a dynamic social network of others that they can trust based on similarity of cooperation. This mechanism effectively incentivizes unselfish behavior, where peers with higher levels of cooperation gain higher payoff.We examine the model’s behavior and robustness in detail. This includes the effect of peers self-adapting their cooperation level in response to maximizing their payoff, representing a Nash-equilibrium of the system. The study shows that the formation of a social network based on reflexive cooperation levels can be a highly effective and robust incentive mechanism for autonomous decentralized systems.

Categories and Subject Descriptors: I.2.11 [Artificial Intelligence]: Distributed Artificial Intelligence— Multiagent systems; C.2.1 [Computer-Communication Networks]: Network Architecture and Design—Distributed networks

General Terms: Algorithms
Additional Key Words and Phrases: Cooperation, decentralized systems, self-organization
ACM Reference Format: Allen, S. M., Colombo, G., and Whitaker, R. M. 2010. Cooperation through self-similar social networks. ACM Trans. Autonom. Adapt. Syst. 5, 1, Article 4 (February 2010), 29 pages.Comments are moderated and may take up to 24 hours to appear.

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Scrum is based on complex adaptive systems – Scrum Inc.

Covid-19: why did the virus take us by surprise? What we can learn from Covid-19 about the control of systems and organizations based on the Viable System Model – Wolfgang Lassl

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(PDF) Covid-19: why did the virus take us by surprise? What we can learn from Covid-19 about the control of systems and organizations based on the Viable System Model

Article (PDF Available) · July 2020

Abstract

The Covid-19 crisis is a cataclysmic event and caught us all by surprise. It is considered a health and economic crisis, but at the same time and rarely discussed, it also reveals the weaknesses in the systemic processes in our society and organizations. The Viable System Model (VSM) by Stafford Beer allows us to structure the various weaknesses and to put them into a coherent framework. The VSM postulates that all social systems need a minimum set of systemic functions to become viable. This article explains the vital role of these systemic functions during the Covid 19 crisis. It discusses how their (in)adequate functioning decides about the prevention and mastery of the crisis. The VSM offers thus a formal framework to better understand the systemic processes needed for the prevention and mastery of crisis.

source:

(PDF) Covid-19: why did the virus take us by surprise? What we can learn from Covid-19 about the control of systems and organizations based on the Viable System Model

Good thread from Jessica Flack on Twitter on complexity, collective computation, nature, scale

Have a look at the whole thread.

The Systems School. Launch: Decision Support Tool for Systems Thinking, Tue 01/09/2020 at 9:30 am Australian Eastern Standard Time (AEST)

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Launch: Decision Support Tool for Systems Thinking Tickets, Tue 01/09/2020 at 9:30 am | Eventbrite

SEP 01

Launch: Decision Support Tool for Systems Thinking

by the systems school Free

Launching the Decision Support Tool for Systems Thinking

The Systems School presents a new online, open access Decision Support Tool for Systems Thinking.

In our work building capacity for systems thinking with individuals, teams, and collaborations , we have found that the greatest hurdles to application are:

  • understanding which systems method to use and when
  • access to clear instructions on how to apply the method
  • indications of potential outcomes from application
  • analytical questions to reflect and makes sense of the new insights gained

Our development of the Tool aims to support these systems learning and application needs.

In this event we will share what the Tool is and how it works, followed by an opportunity for questions.

Skoll Centre for Social Entrepreneurship | Everywhere is Different and Everywhere is the Same – Ed Straw

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Skoll Centre for Social Entrepreneurship | Everywhere is Different and Everywhere is the Same

MAP THE SYSTEM

Everywhere is Different and Everywhere is the Same

On 15-17 June 2020, the Skoll Centre’s Map the System competition held its Global Final virtually. As a member of this year’s judging panel, Ed Straw shares his insights.

The more researchers are conscious of their ‘traditions of understanding’ in relation to the subject, the less biased will be the output. Through culture, education and experiences of many forms, everyone holds preconceptions about their field of study – their ‘positionality’. The tendency for many is for US-European norms in economics, democracy, science and so on to be the starting point. As a judge for the Map the System competition, surfacing my own inbuilt assumptions in relation to each of the 31 finalists is a tenet of systems thinking. This was not easy. The entries ranged from the Youth Suicide Crisis in India to Why Women-Owned Businesses in South African Townships Fail, from Consumer Food Waste in Navarre to Affordable Housing in Utah. Everywhere is different.

Yet, I came away with the sense of ‘Yes, and Everywhere is the Same.’ What struck me most was the commonalities in many of the entries. The most obvious example is menstruation. This is actually an issue that affects over 3.5bn people for long parts for their lives. Normalising periods, treating them as just another bodily function requiring proper facilities and materials to be readily available in every institution, being able to talk about them in an understanding and knowledgeable way, not stigmatizing and so on would benefit so many lives. It is a common global issue. ‘There will be blood’ as one entry put it so succinctly. At its root, it is about shifting social norms.

This theme extended to several other entries where appalling norms in the treatment of women are underlying high adolescent pregnancy in Peru, female genital mutilation in Somalia and modern slavery in Papua New Guinea. But where is the global learning in shifting social norms?

Youth homelessness in Vancouver brought out another commonality – the lack of coordination and integration by public and third sector agencies. Funding is not the issue: masses of it appear to be available. As so often, it is poor overall governance leaving lots of intermediate interventions with few aimed at the whole person and the purpose of the funding. How often have I seen that. At what point will the world of government know instinctively that sound governance is where any solution has to start?

Poor plastic waste disposal in Accra Ghana, fake news in Germany, systemic barriers to public transportation in Boston US, the flooding crisis in Canada, type 2 diabetes in Latino-American communities, and depression in China are all entries with universal insights. Yet few of them get transported around the world, as a matter of course.

This led me on to thinking about the sort of ‘global learning engine’ that has been so effective in developing world class manufacturing from Japanese practice in automotive and consumer electronics from the 80s onwards, which is now almost universal in its application. It is the reason we can buy products of such extraordinary complexity, use and reliability, and at such comparatively low cost. These learning engines consist of management gurus, consultants, trade and specialist journals and news media, design authorities, business schools, industry analytics, trade associations, professional institutes, software developers, state funded R&D institutions and more. All of them are intent on scouring the world for what works best, why, and how, and transferring this knowledge.  

Could world class governing and government be developed through a global learning engine? Bits and pieces of knowledge transfer do happen. The OECD’s Observatory of Public Sector Innovation is working hard in this direction. A few university departments are active (e.g. Arend Lijphart at the University of California). This competition is a fine example. But the total is tiny compared to the billions spent on knowledge acquisition and application in the commercial world. And typically governments are spending 40% of a country’s GDP, a vast sum that would be spent so much better stimulated by universal knowledge transfer and application.

The faster this learning platform can be activated and institutionalized, the faster governments will improve. None of the situations of concern analysed by the entrants would be solved through the application of today’s, often ramshackle political processes. Politics is more often an obstacle than an answer. Systems thinking works. In 2017 the UN, the WHO and OECD all called for the use of systems thinking to deal with highly complex problems. Which issue in government these days is not? Rise up systems thinkers – our time has come.


Author:

Ed Straw, Visiting Research Fellow at the Open University’s Applied Systems Thinking in Practice unit, headed by Professor Ray Ison, with whom he recently co-authored a book on The Hidden Power of Systems Thinking, and its application to governments and governance.

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Skoll Centre for Social Entrepreneurship | Everywhere is Different and Everywhere is the Same

The Security & Sustainability Guide (and Covid-19 links)

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The Security & Sustainability Guide

Statement of Purpose

The SSG is closely following the evolution of the global Covid-19 pandemic. We will identify important reports on understanding and coping with this dangerous virus, as well as plans for less-restricted post-Covid-19 futures. Our focus will be on economic and social impacts, especially concerning health security and the Sustainable Development Goals.

The Security and Sustainability Guide seeks to identify and briefly describe international organizations, and nation-oriented organizations of possible international interest, that are focused on the two basic human goals of Security and Sustainability–both broadly defined.

Security Organizations are concerned with human security, human rights, peacekeeping, conflict prevention, terrorism, nuclear issues, weapons, cyber-security, military organizations, etc. Sustainability Organizations focus on climate change mitigation and adaptation, sustainable development, food security, water security, energy security, economic security, oceans, biodiversity, human population, green business and economics, etc.

There are thousands of guides to countries and cities, as well as flora and fauna. It is time for some guide to the rapidly growing number of security and sustainability organizations. But this is no easy matter, because human organizations are in flux, intertwined, and more difficult to classify.

Please excuse errors and inconsistencies; the S&S Guide is a continuing work-in-progress.

Access to these hundreds of organizations is provided here in several ways:

THREE IMPORTANT MESSAGES:

In addition to providing information on like-minded organizations and the wide range of organizations associated with security and sustainability, the S&S Guide has three key findings:

Remarkable Growth

The remarkable growth of Security and Sustainability organizations (see Chart) , with a median start-up date of 2002, is greatly under-appreciated by media and researchers; this is especially true for organizations supporting green business as a new type of capitalism.View Businesses»

Alliances, Coalitions & Networks

Formation of alliances, coalitions, consortia, and networks to overcome fragmented efforts is important; the Guide identifies nearly a hundred such groups, and more are probably desirable.View Networks »

Security + Sustainability

A small but growing group of organizations is linking both security and sustainability concerns realizing that we cannot have security without sustainability and vice versa.Why Security & Sustainability? »

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The Security & Sustainability Guide

Entropy and life – Wikipedia

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Entropy and life – Wikipedia

Entropy and life

From Wikipedia, the free encyclopediaJump to navigationJump to search

Research concerning the relationship between the thermodynamic quantity entropy and the evolution of life began around the turn of the 20th century. In 1910, American historian Henry Adams printed and distributed to university libraries and history professors the small volume A Letter to American Teachers of History proposing a theory of history based on the second law of thermodynamics and on the principle of entropy.[1][2]

The 1944 book What is Life? by Nobel-laureate physicist Erwin Schrödinger stimulated further research in the field. In his book, Schrödinger originally stated that life feeds on negative entropy, or negentropy as it is sometimes called, but in a later edition corrected himself in response to complaints and stated that the true source is free energy. More recent work has restricted the discussion to Gibbs free energy because biological processes on Earth normally occur at a constant temperature and pressure, such as in the atmosphere or at the bottom of the ocean, but not across both over short periods of time for individual organisms.

Ideas about the relationship between entropy and living organisms have inspired hypotheses and speculations in many contexts, including psychologyinformation theory, the origin of life, and the possibility of extraterrestrial life.

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Entropy and life – Wikipedia

Nat Friedman on Twitter: “The book that inspired SimCity!” – and a lot on

https://logicmag.io/play/model-metropolis/

Humanitarian Innovation Needs Systems Thinking — Parts 1 & 2 | by UNHCR Innovation Service | The Arc | Aug, 2020 | Medium

Humanitarian Innovation Needs Systems Thinking — Part 1

UNHCR Innovation Service

UNHCR Innovation ServiceFollowingAug 5 · 11 min read

Image for post
Illustration by Hans Park

Innovation to improve the work of protecting and serving refugees requires problem solving methods that uncover structural and human barriers, and tools for thinking through, testing and experimenting with possible solutions.

Innovation and organizations scholars Dave Francis and John Bessant (2005) have identified four types of innovation within an organization: changes to products and services, changes in the way those products and services are created and delivered, changes in how products and services are communicated, and changes in what the organization actually does.

To drive these innovations, innovators need to understand the systems they are working within, whether those are internal systems created by human resources or local non-governmental organizations (NGOs) crucial for delivering emergency aid. They need to understand the motivations of the various stakeholders, the norms and values shaping the organization’s culture, and policies and procedures that create formalized standards within the organization.

To identify the right problem to solve, innovators use systems thinking. Systems thinking is a methodology for identifying the root causes of complex problems and identifying interventions for systems change. This holistic approach to problem solving is critical for humanitarian innovation that works to create change within the sector by both introducing new ways of doing work or improving current practices (Warner, 2017).

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Humanitarian Innovation Needs Systems Thinking — Part 1 | by UNHCR Innovation Service | The Arc | Aug, 2020 | Medium

Part two:

When and How Do You Use Systems Thinking? — Part 2

UNHCR Innovation Service

UNHCR Innovation ServiceFollowingAug 14 · 9 min read

Image for post
Illustration by Hans Park

In his insightful article, Human-Centered, Systems-Minded DesignThomas Both, Director of the Designing for Social Systems Program at the Hasso Plattner Institute of Design at Stanford, tells the story of Jill Vialet (Both, 2018).

Vialet is the founder and CEO of PlayWorks, an organization that helps schools help their kids do their best by improving how they play during class breaks. School leaders often told Vialet they faced a shortage of substitute teachers. When a teacher called in sick, they did not have a reliable pool of substitute teachers to cover the classes. This created a challenge for the schools, as they would have to move teachers around or rush to find a replacement. As a result, teacher absences had adverse effects on the classroom and on the students’ learning outcomes.

Vialet wanted to take this challenge on. Most people working to solve this problem would assume the school simply needed to hire more substitute teachers. But as Both reports, when Vialet studied the substitute teacher system, she found that the problem wasn’t that there weren’t enough substitute teachers. In fact, there was a large pool of people already in the system, but few taught on a regular basis.

Vialet spent time with substitute teachers to identify the root cause of the problem and how to change the system. She found that, “Substitutes felt they weren’t respected or valued by schools, and felt they didn’t have a community of support in schools or among their fellow subs,” writes Both. Schools had to change how they interacted with and supported substitute teachers. This is quite a different intervention than simply recruiting more people. As a result of this work, Vialet founded Substantial Classrooms to help schools improve how they train and support substitute teachers.

Vialet was able to solve this complex problem because she employed both human-centered design and systems thinking. As Both writes,

“For both human- and systems-level challenges, we need to identify the problems worth addressing if we are to create meaningful change. Understanding the right problem, we can better create effective solutions. A very simple characterization of a design approach is that we move from working to understand a challenge, to working on creating solutions in response to the challenge.”

Systems thinking is a methodology for understanding complex problems. It helps us understand the motivations and beliefs of people involved, as well as structural dynamics at play. Knowing the dynamics of the systems we are trying to innovate will help us know where to act.

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When and How Do You Use Systems Thinking? — Part 2 | by UNHCR Innovation Service | The Arc | Aug, 2020 | Medium

Dynamical criticality: overview and open questions – Roli, Villani, Filisetti, Serra (2015)

Nonlinear Sciences > Adaptation and Self-Organizing Systems

[Submitted on 16 Dec 2015 (v1), last revised 16 Sep 2016 (this version, v2)]

Dynamical criticality: overview and open questions

Andrea RoliMarco VillaniAlessandro FilisettiRoberto Serra

Systems that exhibit complex behaviours are often found in a particular dynamical condition, poised between order and disorder. This observation is at the core of the so-called criticality hypothesis, which states that systems in a dynamical regime between order and disorder attain the highest level of computational capabilities and achieve an optimal trade-off between robustness and flexibility. Recent results in cellular and evolutionary biology, neuroscience and computer science have revitalised the interest in the criticality hypothesis, emphasising its role as a viable candidate general law in adaptive complex systems. In this paper we provide an overview of the works on dynamical criticality that are -to the best of our knowledge- particularly relevant for the criticality hypothesis. We review the main contributions concerning dynamics and information processing at the edge of chaos, and we illustrate the main achievements in the study of critical dynamics in biological systems. Finally, we discuss open questions and propose an agenda for future work.

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[1512.05259] Dynamical criticality: overview and open questions