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A scoping review of complexity science in nursing
Annakarin Olsson1, Charlotta Thunborg2,3, Annica Björkman1,4
1Faculty of Health and Occupational Studies, Department of Caring Science, University of Gävle, Gävle, Sweden.
Journal of Advanced Nursing
|April 14, 2020
Summary
Complexity science offers a new framework for nursing, enhancing education, practice, and management. This approach improves understanding of complex healthcare systems and nurse roles.
Area of Science:
- Nursing Science
- Complexity Theory
- Systems Thinking
Background:
- Nursing practice and education often rely on reductionist models.
- Healthcare systems are inherently complex and adaptive.
- A need exists to integrate advanced theoretical frameworks into nursing.
Purpose of the Study:
- To describe the integration of complexity science into nursing literature.
- To identify key themes and applications of complexity science in nursing.
- To explore the relevance of complexity science for nursing practice and theory.
Main Methods:
- A comprehensive scoping review of relevant literature.
- Systematic search across multiple academic databases (e.g., PubMed, Scopus).
- Analysis and synthesis of 89 included articles.
Main Results:
- Complexity science is integrated into nursing education and teaching.
- Patient symptoms, outcomes, and safety are viewed through a complexity lens.
- Organizations are recognized as complex adaptive systems, not linear machines.
- A novel approach is needed for studying complex healthcare phenomena.
Conclusions:
- Complexity science is highly applicable to contemporary nursing literature, practice, and management.
- It enhances understanding of interactions within healthcare systems.
- It provides a liberating language for nursing, moving beyond reductionist views.
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