The agility of ants: lessons for grappling with complexity in health care teamwork

Cristancho, Sayra; Taylor, Taryn

doi:10.1111/medu.13937

Cited by 1 publication

(1 citation statement)

References 10 publications

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“…Firstly, a systems mindset shifts responsibility from away the individual. Forces need to be addressed at a system level because forces arise from changing interrelationships or adaptions (or lack of) between parts of the systems [ 33 ]. Secondly, addressing this as a system, allows for a framework to allow the researcher and educator to better identify, explore and address the force and related potential forces.…”

Section: Discussionmentioning

confidence: 99%

What Stops Fairness from Emerging in Assessment? The Forces on a Complex Adaptive System

Valentine,

Durning,

Shanahan

et al. 2023

Perspect Med Educ

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Introduction: Workplace-based assessment occurs in authentic, dynamic clinical environments where reproducible, measurement-based assessments can often not be implemented. In these environments, research approaches that respect these multiple dynamic interactions, such as complexity perspectives, are encouraged. Previous research has shown that fairness in assessment is a nonlinear phenomenon that emerges from interactions between its components and behaves like a complex adaptative system. The aim of this study was to understand the external forces on the complex adaptive system which may disrupt fairness from emerging. Methods: We conducted online focus groups with a purposeful sample of nineteen academic leaders in the Netherlands. We used an iterative approach to collection, analysis and coding of the data and interpreted the results using a lens of complexity, focusing on how individual elements of fairness work in concert to create systems with complex behaviour. Results: We identified three themes of forces which can disrupt fairness: forces impairing interactivity, forces impairing adaption and forces impairing embeddedness. Within each of these themes, we identified subthemes: assessor and student forces, tool forces and system forces. Discussion: Consistent with complexity theory, this study suggests there are multiple forces which can hamper the emergence of fairness. Whilst complexity thinking does not reduce the scale of the challenge, viewing forces through this lens provides insight into why and how these forces are disrupting fairness. This allows for more purposeful, meaningful changes to support the use of fair judgement in assessment in dynamic authentic clinical workplaces.

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Section: Discussionmentioning

confidence: 99%

What Stops Fairness from Emerging in Assessment? The Forces on a Complex Adaptive System

Valentine,

Durning,

Shanahan

et al. 2023

Perspect Med Educ

View full text Add to dashboard Cite

show abstract

The agility of ants: lessons for grappling with complexity in health care teamwork

Abstract: The authors offer biological analogies of complexity as a useful lens through which to think about the collective adaptation required to produce self‐healing teams.

Cited by 1 publication

References 10 publications

What Stops Fairness from Emerging in Assessment? The Forces on a Complex Adaptive System

What Stops Fairness from Emerging in Assessment? The Forces on a Complex Adaptive System

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