Showing the way the Showing the way the futurefuture

Using a complexity lens to look at Using a complexity lens to look at new ways of “Making a World of new ways of “Making a World of Difference” using an emergent Difference” using an emergent approach.approach.

OverviewOverview

Why look at things differentlyWhy look at things differently What is the complexity lensWhat is the complexity lens Using an emergent approachUsing an emergent approach How do we apply this to How do we apply this to

organisations?organisations? What does this mean for TINN?What does this mean for TINN? What does this mean for nurses?What does this mean for nurses?

Why do things differently?Why do things differently?

Whats wrong with the way we do Whats wrong with the way we do things now? “Conventional Wisdom”things now? “Conventional Wisdom”

A World view-global perspectiveA World view-global perspective World of Drugs and Alcohol is complexWorld of Drugs and Alcohol is complex We have complex policiesWe have complex policies Our clients present complex needsOur clients present complex needs We have to be adaptable to work We have to be adaptable to work

across boundariesacross boundaries

Complexity LensComplexity Lens The model is a The model is a

network both network both dynamic and non-dynamic and non-linearlinear

Interaction is rich Interaction is rich and diverseand diverse

Information is Information is transmitted across transmitted across the networkthe network

Complexity ThinkingComplexity Thinking

The point of departure into the world of The point of departure into the world of complexity thinking is at the recognition of the complexity thinking is at the recognition of the tension between classical rationalist approach tension between classical rationalist approach to thinking and emergent approaches.to thinking and emergent approaches.

Use this tension and build on it. We experience Use this tension and build on it. We experience the difference between a planned future an the difference between a planned future an emergent reality everyday. We live with the emergent reality everyday. We live with the distinction between what we want to happen distinction between what we want to happen and what does happen.and what does happen.

The way forward is adaptation not adoptionThe way forward is adaptation not adoption

Complex Adaptive Complex Adaptive SystemsSystems

Far from Agreement

Close toAgreement

Far fromCertainty

Close toCertainty

Self-organizing Formsof Control

Complexity

INSTABILITYOut of Control

Ideological Formsof Control

STABILITY

PoliticalForms

of Control

Monitoring Formsof Control

Complexity ThinkingComplexity Thinking

Erodes the myth of control and Erodes the myth of control and certaintycertainty

Plan but be realisticPlan but be realistic– Have contingenciesHave contingencies– ExperimentExperiment– If its not working try something newIf its not working try something new– Build on what is workingBuild on what is working– Watch whats going on internally and Watch whats going on internally and

externallyexternally

ComplexityComplexity

DiversityDiversity– Generally despite rhetoric we like Generally despite rhetoric we like

people to do what they are toldpeople to do what they are told– We recruit in our own image and We recruit in our own image and

dismiss difference “mavericks”.dismiss difference “mavericks”.– A new kind of leadership - create A new kind of leadership - create

environments to empower and environments to empower and innovate innovate

Paradoxical LeadershipParadoxical Leadership

Change is lead in a very different Change is lead in a very different way “work with and for people don’t way “work with and for people don’t do to them”do to them”

Who we are and how we relate to Who we are and how we relate to others influences the culture that others influences the culture that emerges.emerges.

We must give up the myth of We must give up the myth of autonomy, control and omniscience.autonomy, control and omniscience.

Paradoxical LeadershipParadoxical Leadership

3 practises that cultivate 3 practises that cultivate conditions for change and conditions for change and adaptabilityadaptability– AccessibilityAccessibility– AttunedAttuned– AllowingAllowing

Complexity an emergent Complexity an emergent approachapproach

InnovationInnovation DecentralisedDecentralised GoodwillGoodwill FlexibilityFlexibility VisionaryVisionary PotentialPotential Shared PurposeShared Purpose

Mutual respectMutual respect Containment Containment Reflective PractiseReflective Practise Managers are Managers are

cultivatorscultivators Fertilising Fertilising

connectionsconnections Individual Individual

accountabilityaccountability

What does this mean for What does this mean for organisationsorganisations

We structure organisations that We structure organisations that give us controlgive us control

New ways of seeing organisations?New ways of seeing organisations? ““Virtual Organisations” “Networks”Virtual Organisations” “Networks” Collaborating on joint projectsCollaborating on joint projects Working across boundaries where Working across boundaries where

we share the powerwe share the power

““It seems to me that whereas power It seems to me that whereas power usually means power-over, the power of usually means power-over, the power of some person or group over some other some person or group over some other

person or group, it is possible to develop person or group, it is possible to develop conception of power-with, a jointly conception of power-with, a jointly developed power, a co-active not a developed power, a co-active not a

coercive power….Coercivecoercive power….Coercivepower is the curse of the universe:co-power is the curse of the universe:co-

active power, the enrichment and active power, the enrichment and advancement of every human soul”advancement of every human soul”

Mary FolletMary Follet

What does this mean for What does this mean for TINN?TINN?

To facilitate collaboration through To facilitate collaboration through the connection of professional the connection of professional nursing organisations and nursing organisations and individual nurses by working individual nurses by working togeather to reduce the morbidity togeather to reduce the morbidity and mortality associated with and mortality associated with substance misuse and make a substance misuse and make a world of difference.world of difference.

The Ten Themes of TINNThe Ten Themes of TINN Education of SMS Education of SMS

nurses for all nurses nurses for all nurses in all curriculain all curricula

Pioneering advocacy Pioneering advocacy programmes for programmes for nursesnurses

International International guidelines for nursesguidelines for nurses

Culturally sensitive Culturally sensitive nursing modelsnursing models

Good terms and Good terms and conditionsconditions

Communicate with Communicate with each other use interneteach other use internet

Professional Professional partnershipspartnerships

Nurses need to talk to Nurses need to talk to communities that communities that treatment workstreatment works

Nurses have a role Nurses have a role everywhere in policy everywhere in policy formation in public formation in public healthhealth

The Tenth ThemeThe Tenth ThemeTo keep spreading the word, To keep spreading the word, to continue to be inclusive to continue to be inclusive

and adapt and to build on this and adapt and to build on this conference. Another conference. Another

conference to be organised conference to be organised for 2005 in Taiwan at the ICN for 2005 in Taiwan at the ICN

congress.congress.

What does this mean for What does this mean for me?me?

Nurses are everywhere!Nurses are everywhere!

We are cliniciansWe are clinicians We are users of We are users of

serviceservice Policy makersPolicy makers Health MinistersHealth Ministers Care giversCare givers EducatorsEducators LeadersLeaders

CEO’sCEO’s Criminal Justice Criminal Justice

SystemSystem ProfessorsProfessors ResearchersResearchers StudentsStudents FamiliesFamilies Worldwide!Worldwide!

We can shape the futureWe can shape the future Imagine a new system a complex adaptive system, Imagine a new system a complex adaptive system,

within it are numerous individuals individuals that within it are numerous individuals individuals that interconnect with one another via various means. interconnect with one another via various means. This system is led by their passion to provide the This system is led by their passion to provide the best possible healthcare to the citizens of the world. best possible healthcare to the citizens of the world. They havel the autonomy and the evidence available They havel the autonomy and the evidence available to them to make decisions on the the best and to them to make decisions on the the best and appropriate clinical care at the point of delivery. This appropriate clinical care at the point of delivery. This system is led by leaders who facilitate other peoples system is led by leaders who facilitate other peoples potential, they do not command or control although potential, they do not command or control although they may challenge. They create an environment they may challenge. They create an environment that fosters creativity, innovation and excellence for that fosters creativity, innovation and excellence for the international health communitythe international health community