Chaos and Complexity Science Chaos and Complexity Science Marilyn A. Ray RN PhD CTN-A Professor...

Chaos and Complexity ScienceChaos and Complexity Science

Marilyn A. Ray RN PhD CTN-AMarilyn A. Ray RN PhD CTN-AProfessor Emeritus, Florida Atlantic Professor Emeritus, Florida Atlantic

University, Boca Raton, FloridaUniversity, Boca Raton, Florida

© Marilyn A. Ray, All Rights Reserved

CURRENT HEALTH CARE CURRENT HEALTH CARE NURSING ENVIRONMENTNURSING ENVIRONMENT

Loss of TrustLoss of Trust Disillusionment with nursing Disillusionment with nursing

practicepractice Organizations driven by Organizations driven by

economic survivaleconomic survival Decrease in loyalty to Decrease in loyalty to

organizationsorganizations

Ray, M., Turkel, M. & Marino, F. (2002). The transformative process for nursing in workforce Ray, M., Turkel, M. & Marino, F. (2002). The transformative process for nursing in workforce redevelopment. redevelopment. Nursing Administration Quarterly, 26Nursing Administration Quarterly, 26(2), 1-14.(2), 1-14.

THE NEW EVIDENCETHE NEW EVIDENCETranscultural Caring DynamicsTranscultural Caring Dynamics

Spiritual- Ethical Caring

Physical Social- Cultural

Economic

Technological

Educational

Political

Legal


Economic CaringEconomic Caring

Economic ResourcesEconomic Resources MoneyMoney GoodsGoods ServicesServices

Interpersonal Resources Interpersonal Resources (Foa, 1971)(Foa, 1971)

Love (caring)Love (caring) Status (educational preparedness)Status (educational preparedness) Information (education)Information (education)

Ray, M. (1987). Health care economics and human caring: Why the moral conflict must be resolved. Family & Community Health, 10(1), 35-43.

Classification System Classification System of Caringof Caring

Interactive

PhilosophicalPsychological

Practical

Spiritual-Ethical Caring

Classification System Classification System of Caringof Caring

Interactive

PhilosophicalPsychological

Practical

Spiritual-Ethical Caring


QUANTUM PHILOSOPHYQUANTUM PHILOSOPHY

1. What are the limits of human knowledge?

2. Is the physical world shaped in some sense by our perception of it?

3. Quanta are electromagnetic radiation which comes in tiny bundles of energy.

4. Uncertainty Principle: Unfolding of quantum events-undulating waves of possibilities.

5. Knowledge of nature fundamentally limited: When we grasp one part, another part slips from our grasp.


QUANTUM PHILOSOPHY QUANTUM PHILOSOPHY (CONT’D)(CONT’D)

6. Mystery of the wave/particle duality in physics.

7. Quantum Phenomena are neither waves nor particles but are intrinsically undefined until the moment they are measured.

8. Quantum state reflects not only what we know about the system but what is, in principle, knowable.

9. Reality is defined by the questions we put to it (Einstein and Bohr).


CHAOS AND THE SCIENCE CHAOS AND THE SCIENCE OF COMPLEXITYOF COMPLEXITY

CHARACTERISTICSCHARACTERISTICS

Non-Linear Dynamics: Shattered the Non-Linear Dynamics: Shattered the traditional notions of causality.traditional notions of causality.

Classical Predictability Impossible: Classical Predictability Impossible: Deterministic history does not bring Deterministic history does not bring about predictable futureabout predictable future

Randomness: No discernible Randomness: No discernible regularity or repetitive pattern.regularity or repetitive pattern.


CHAOS AND THE SCIENCE CHAOS AND THE SCIENCE OF COMPLEXITY (cont’d)OF COMPLEXITY (cont’d)

Behind the apparent randomness lies Behind the apparent randomness lies great beauty and structural symmetrygreat beauty and structural symmetry

Knower and the known are oneKnower and the known are one

All objectivity is subjectivity: What is All objectivity is subjectivity: What is known, or the answer is shaped by the known, or the answer is shaped by the observer in the action of observation (the observer in the action of observation (the observer’s potential knowledge observer’s potential knowledge changes).changes).

Choice: The Conductor of the Symphony Choice: The Conductor of the Symphony (Davidson & Ray, 1991).(Davidson & Ray, 1991).


The Holographic Theory of The Holographic Theory of Bureaucratic CaringBureaucratic Caring

Spiritual- Ethical Caring

Physical Social- Cultural

Legal

Technological

Economic

Educational

Political


TRANSCULTURAL CARINGTRANSCULTURAL CARING

Relationship between charity Relationship between charity and right action---compassion and right action---compassion and justice.and justice.

Transcultural Caring as Transcultural Caring as Critical Nursing Ethics:Critical Nursing Ethics:


Chaos Theory in Chaos Theory in Nursing PracticeNursing Practice

Ray, M. (1994). Complex caring dynamics: A unifying model of nursing inquiry. Ray, M. (1994). Complex caring dynamics: A unifying model of nursing inquiry. Theoretic and Applied Chaos in Theoretic and Applied Chaos in Nursing, 1(Nursing, 1(1). 23-32. (Referred to now as 1). 23-32. (Referred to now as Complexity and Chaos in NursingComplexity and Chaos in Nursing).).

ETHICAL ECONOMIC ETHICAL ECONOMIC CARINGCARING

Ray, M., et al., 1994. The edge of chaos: Caring and the bottom line. Nursing Management, 26(9), 48-50.

THE TIME IS NOWTHE TIME IS NOW

AcknowledgementsAcknowledgements

Florida Atlantic University, The Florida Atlantic University, The Christine E. Lynn College of Christine E. Lynn College of Nursing, Boca Raton, FloridaNursing, Boca Raton, Florida

Graphics Enhanced By: Graphics Enhanced By: M. Christopher Saslo PhD M. Christopher Saslo PhD

VA Administration, WPB, FLVA Administration, WPB, FL


ReferencesReferences

Davidson, Ray, M.. & Turkel, M.. (2011Davidson, Ray, M.. & Turkel, M.. (2011). Nursing, caring, and complexity science: For human-). Nursing, caring, and complexity science: For human-environment well-beingenvironment well-being. New York: Springer Publishing Company. . . New York: Springer Publishing Company. .

Dawes, M., Davies, P., Gray, A., Mant, J., Seers, K., & Snowball, R. (1999). Dawes, M., Davies, P., Gray, A., Mant, J., Seers, K., & Snowball, R. (1999). Evidence-based practiceEvidence-based practice. . Edinburgh: Churchill Livingstone. Edinburgh: Churchill Livingstone.

Henry, J. & Henry, L. (2004). Henry, J. & Henry, L. (2004). The soul of the caring nurse: Stories and Resources for Revitalizing The soul of the caring nurse: Stories and Resources for Revitalizing Professional PassionProfessional Passion. Washington, DC: American Nurses Publishing. . Washington, DC: American Nurses Publishing.

Page, A. (Ed.). (2004). Page, A. (Ed.). (2004). Keeping patients safe: Transforming the work environment of nursesKeeping patients safe: Transforming the work environment of nurses. Washington, . Washington,

DC: The National Academies Press. DC: The National Academies Press. Porter-O'Grady, T. & Malloch, K. (2003). Porter-O'Grady, T. & Malloch, K. (2003). Quantum leadershipQuantum leadership. Boston: Jones and Bartlett Publishers.. Boston: Jones and Bartlett Publishers.

Ray, M. (1994). Complex caring dynamics: A unifying model of nursing inquiry. Ray, M. (1994). Complex caring dynamics: A unifying model of nursing inquiry. Theoretic and Applied Theoretic and Applied Chaos in Nursing, 1(Chaos in Nursing, 1(1). 23-32. (Referred to now as 1). 23-32. (Referred to now as Complexity and Chaos in NursingComplexity and Chaos in Nursing).).

Ray, M. (1998). Complexity and nursing science. Ray, M. (1998). Complexity and nursing science. Nursing Science Quarterly, 11Nursing Science Quarterly, 11(3), 91-93.(3), 91-93.

Ray, M. (& Turkel, M. 2010). The theory of bureaucratic caring. In M. Parker (Ed.), Ray, M. (& Turkel, M. 2010). The theory of bureaucratic caring. In M. Parker (Ed.), Nursing theories, nNursing theories, nursing practiceursing practice. Philadelphia: FA Davis Company. . Philadelphia: FA Davis Company.

Ray, M., Turkel, M. & Marino, F. (2002). The transformative process for nursing in workforce Ray, M., Turkel, M. & Marino, F. (2002). The transformative process for nursing in workforce redevelopment. redevelopment. Nursing Administration Quarterly, 26Nursing Administration Quarterly, 26(2), 1-14.(2), 1-14.

Taylor, M. & Keighron, K. (2004). Healing is who we are...and who are we? Taylor, M. & Keighron, K. (2004). Healing is who we are...and who are we? Nursing Administration Nursing Administration

Quarterly, 28Quarterly, 28(4), 241-248.(4), 241-248.

Turkel, M. & Ray, M. (2000). Relational complexity: A theory of the nurse-patient relationship within an Turkel, M. & Ray, M. (2000). Relational complexity: A theory of the nurse-patient relationship within an economic context. economic context. Nursing Science Quarterly, 13Nursing Science Quarterly, 13(4), 307-313. (4), 307-313.

Turkel, M.& Ray, M. (2001). Relational complexity: From Grounded Theory to instrument development and Turkel, M.& Ray, M. (2001). Relational complexity: From Grounded Theory to instrument development and

theoretical testing. theoretical testing. Nursing Science Quarterly, 14Nursing Science Quarterly, 14(4), 281-287. (4), 281-287.

Turkel, M. & Ray, M. (2004). Creating a caring practice environment through self-renewal. Turkel, M. & Ray, M. (2004). Creating a caring practice environment through self-renewal. Nursing Nursing Administration Quarterly, 28Administration Quarterly, 28(4), 249-254.(4), 249-254.

Chaos and Complexity Science Chaos and Complexity Science Marilyn A. Ray RN PhD CTN-A Professor...

Documents

Transcript of Chaos and Complexity Science Chaos and Complexity Science Marilyn A. Ray RN PhD CTN-A Professor...