NR 534 Week 3 Discussion; Open and Closed Systems; Impact of Decision Making Within Group

2 Part 1: Individual Describe your organization as a closed or open system. Discuss how thinking differs between the two. Is there a difference in systems thinking in traditional healthcare versus complex adaptive systems? My current organization is a value-based organization, as its main pay factors are driven by patient satisfaction and quality outcomes. It is a divisional-based organization. It is a vast healthcare system with multiple facilities, inpatient, outpatient, and urgent care facilities, placing it in the open healthcare system category. The organization's thinking system, structured in shared governance, gets input from its team members on what makes them want to work at the organization and what corporate and executives do to improve work-life balance and make this a great place to work. The system is a complex adaptive system (CAS), as management and nurse leaders' roles must engage staff in the organization and departments' improvements. Johnson et al. 2018 define complexity as the condition that multiple uncommon pieces intertwined or connected to each other in complicated, often non-linear exchanges that are hard to comprehend more thoroughly. My organization functions on many internal and external forces that influence its success. Johnson, 2019 shared K.L. von Bertanlanffy 1950 essential role of General System Theory GST as this new system's movement believing that there are merging framework as its foundation. GST was created on open networks of biological organisms that can reproduce as they intermingle with their surroundings. Traditional thinking in healthcare was treating a patient for a specific disease and not treating patients differently based on the different symptoms. CAS thinking is encouraging and testing new ways of doing things, finding new evidence-based processes that are safe and effective, and saving organizational costs. There is more than one way of completing a task, and the idea is to find the best results that have quality outcomes. Part 2: With Your Group  Systems thinking allows a more holistic perspective on decision making. Share examples of the types of decisions that occur at the unit, department, and organizational levels of the organization. Describe the impact of those decisions vertically, horizontally, and system-wide. Describe the effect of the decisions at the individual system level as well as the impact throughout the organization. Ratnapalan & Lang 2019 define complex systems with comprehensible vibrant compontets that cooperate in developing and organizing themselves concerning their surroundings. CAS characteristics can grow and change, strengthen the system, and make them adjust to their setting. Patients that come to our healthcare organization for surgery access multiple departments in preparing for their surgical procedure. Providing 4 Version 2 NR534 Week 3 Open and Closed Systems Impact of Decision Making Within Part 1 - Individual Discussion I have been with the same organiza琀椀on for more than 10 years. It has evolved greatly over those years, although it was and s琀椀ll an open system. In the early days here it was a small non- pro昀椀t organiza琀椀on that interacted with many independent prac琀椀ces and sub-specialty o昀케ces. We are now a large organiza琀椀on