Chapter 5: influencing and leading change in the complex healthcare


This graded discussion will explore the impact of systems theory on a practice problem or issue.


Many of you have experience in complex adaptive systems whether you realize it or not. Thinking about your current or future practice area, identify an issue or concern. In your initial response, please describe the concern. Does the concern primarily occur at the micro, meso, or macro level? How would you address this issue? What impact might your solution have on the other levels of the system? In what ways could interprofessional collaboration be used to resolve the issue?

DeNisco, S.M. & Barker, A. M. (2015). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

  • Chapter 5: Influencing and Leading Change in the Complex Healthcare Environment: The Role of the Advanced Practice Nurse p. 110-116.
  • Chapter 6: Interprofessional Collaboration for Improving Patient and Population Health p. 123-135
  • Chapter 7: An Overview of U.S. Healthcare Delivery p. 174- 176 The Systems Framework

Lis, G. A., Hanson, P., Burgermeister, D., & Banfield, B. (2014). Transforming graduate nursing education in the context of complex adaptive systems: Implications for master’s and DNP curricula. Journal of Professional Nursing, 30(6), 456—462. 003 

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