NURSES’ EXPERIENCES ON SYSTEMS THINKING IN CLINICAL PRACTICE: A PHENOMENOLOGY

FANNIE R. CANASTRA

Abstract


This qualitative phenomenological study explored and understand the lived experiences of nurses at Davao De Oro Provincial Hospital located in Barangay Bankerohan Sur, Municipality of Montevista, Province of Davao De Oro, Philippines, regarding the application of systems thinking in clinical practice. The participants were purposively selected and engaged in in-depth interviews using a validated interview guide. Thematic analysis was employed to analyze the qualitative data and generate themes from the participants’ responses. From their lived experiences, three major themes emerged in relation to the application of systems thinking: holistic perspective, adaptation and growth, and patient-centered outcomes. In terms of challenges, the study identified resource constraints, resistance to change, and organizational barriers as key obstacles to implementing systems thinking. Furthermore, the application of systems thinking was found to enhance decision-making and problem-solving through themes such as root cause analysis, collaborative solutions and complex care management.

Keywords


Nurses’ Experiences, Systems Thinking, Clinical Practice, Phenomenology, Decision-Making, Healthcare Challenges

Full Text:

PDF

References


Abun, D. (2020). Corporate transparency practices in the hospital management and work engagement of employees, in the Ilocos Region, Philippines. AAPPS Bulletin, 11(10), 176–195.

Adams, D., Kee, G. H., & Lin, L. (2020). Nursing education and poverty reduction in the periphery: Can the new development assistance model achieve its goals in Lao People's Democratic Republic? Asia Pacific Education Review, 2(2), 61–71.

Adams, D. K. (2022). Nursing education and national development: Priorities, policies, and planning. Asian Development Bank.

Anderson, P., & Meyer, A. (2018). Complexity theory and process organization studies. In Sage handbook of process organization studies (pp. 127– 143). Sage Publications.

Andrews, E. (2019, October 24). Board accountability is a key element of strong corporate governance. Grant Thornton.

https://www.grantthorntonni.com/news-centre/boardaccountability-isakey-element-of-strong-corporate-governance

Aslan, A., & Zhu, C. (2019). Influencing factors and integration of ICT into nursing practices of and on-job training nurses. International Journal of

Research in Science and Medicine, 2(2), 359–370.

https://search.proquest.com/docview/2270022572

Basile, G., Dominici, G., & Tani, M. (2018). Place marketing and management: A complex adaptive systems view. The strategic planning of the city of Avellino, Italy. Systemic Practice and Action Research, 29(5), 469–484. Beer, S. (2018). Diagnosing the system for organizations. Wiley.

Benedict, C. L. (2018). An examination of nursing leadership: Seen through the lens of complexity theory (Order No. 10185102). ProQuest Dissertations

& Theses Global. https://search.proquest.com//1859946468/se2?accountid=139409

Bolman, L., & Deal, T. (2018). Reframing organizations: Artistry, choice, and leadership. Jossey-Bass.

https://search.proquest.com/docview/2384582022

Bosch, M., Chenal, J., & Joost, S. (2019). Addressing urban sprawl from the complexity sciences. Urban Science, 3(2), 60.

Boyle, M., Purciel, M., Craypo, L., Stone-Francisco, S., & Samuels, S. E. (2024).

National evaluation and measurement meeting on school nutrition and

physical activity policies. Robert Wood Johnson Foundation and the California Endowment, San Francisco, CA.

Braun, V., & Clarke, V. (2020). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology. https://doi.org/10.1080/14780887.2020.1769238

Carayon, P., & Wood, K. E. (2010). Patient safety: The role of human factors and systems engineering. Studies in Health Technology and Informatics, 153, 23–46.

Duffield, C., Diers, D., O’Brien-Pallas, L., et al. (2011). Nursing staffing, nursing workload, the work environment and patient outcomes. Applied Nursing Research, 24(4), 244–255.

Epstein, R. M., & Street, R. L. (2011). The values and value of patient-centered care. Annals of Family Medicine, 9(2), 100–103.

Fraser, S. W., & Greenhalgh, T. (2001). Coping with complexity: Educating for capability. BMJ, 323(7316), 799–803.

Grove, S. K., Burns, N., & Gray, J. R. (2012). The practice of nursing research: Appraisal, synthesis, and generation of evidence. Elsevier Health Sciences.

Huang, L., Chen, H., & Yu, S. (2018). The effect of system thinking teaching on nursing students’ critical thinking. Nurse Education Today, 64, 1–6.

Institute of Medicine. (2000). To err is human: Building a safer health system. National Academy Press.

Kotter, J. P. (1996). Leading change. Harvard Business Press.

Leonard, M., Graham, S., & Bonacum, D. (2004). The human factor: The critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care, 13(suppl_1), i85–i90.

Reason, J. (2000). Human error: Models and management. BMJ, 320(7237), 768–770.

Sharma, N., Sharma, A., & Sharma, R. (2021). Role of nurses in COVID-19 pandemic: A case for holistic systems thinking. Journal of Holistic Nursing, 39(4), 369–375.

Sweeney, K., & Griffiths, F. (2020). Complexity and health care: An overview of theory and applications. Journal of Evaluation in Clinical Practice, 28(2), 235–241.

von Bertalanffy, L. (1968). General system theory: Foundations, development, applications. George Braziller.




DOI: http://dx.doi.org/10.65010/seairj.v7i1.241

Bookmark and Share


For inquiries, comments and suggestions please e-mail us rpobrokenshire@gmail.com