Learning to learn: Towards a relational and transformational model of learning for improved integrated care delivery

Administrative Sciences

Volumn 3, Issue 2, 2013, Pages 9-31

  Tsasis, Peter ^a   Evans, Jenna M ^b   Rush, Linda ^c   Diamond, John ^d  

^a YORK UNIVERSITY   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF MANCHESTER   (United Kingdom)

^d EDGE HILL UNIVERSITY   (United Kingdom)

Author keywords

Complex adaptive systems; Health services integration; Integrated care; Learning to learn; Self organization

Indexed keywords

EID: 84960303604     PISSN: None     EISSN: 20763387     Source Type: Journal    
DOI: 10.3390/admsci3020009     Document Type: Article

References (154)

1. Ham, C.; Curry, N. Clinical and Service Integration: The Route to Improved Outcomes; The King’s Fund: London, UK, 2010.
2. Shortell, S.; Gillies, R.; Anderson, D.; Mitchell, J.; Morgan, K. Creating organized delivery systems: The barriers and facilitators. Hosp. Health Serv. Adm. 1993, 38, 447–466.
3. Singer, S.; Burgers, J.; Friedberg, M.; Rosenthal, M.; Leape, L.; Schneider, E. Defining and measuring integrated patient care: Promoting the next frontier in health care delivery. Med. Care Res. Rev. 2011, 68, 112–127.
4. Glouberman, S.; Mintzberg, H. Managing the care of health and the cure of disease—Part 1: Differentiation. Health Care Manage. Rev. 2001, 26, 56–69.
5. Orlikowski, W. Knowing in practice: Enacting a collective capability in distributed organizing. Organ. Sci. 2002, 13, 249–273.
6. Wenger, E. Communities of practice: Learning as a social system. Syst. Thinker 1998, 9, 225–246.
7. Anand, N.; Gardner, H.; Morris, T. Knowledge-based innovation: Emergence and Embedding of new practice areas in management consulting firms. Acad. Manage. J. 2007, 50, 406–428.
8. Barnsley, J.; Lemieux-Charles, L.; McKinney, M. Integrating learning into integrated delivery systems. Health Care Manage. Rev. 1998, 23, 18–28.
9. Evans, J.; Baker, R. Shared mental models of integrated care: Aligning multiple stakeholder perspectives. J. Health Organ. Manag. 2012, 26, 713–736.
10. van Wijngaarden, J.; de Bont, A.; Huijsman, R. Learning to cross boundaries: The integration of a health network to deliver seamless care. Health Pol. 2006, 79, 203–213.
11. Fincham, R.; Forbes, T. Inter-professional Rivalry and Knowledge Integration: Problems in the Delivery of Integrated Mental Health Care. Proceedings of ProPEL Conference: Professions and Professional Learning in Troubling Times: Emerging Practices and Transgressive Knowledges,Stirling University, Stirling, UK, 9–11 May 2012.
12. Visse, M.; Widdershoven, G.; Abma, T. Moral learning in an integrated social and healthcare service network. Health Care Anal. 2012, 20, 281–296.
13. Williams, P. Integration of health and social care: A case of learning and knowledge management. Health Soc. Care Community. 2012, 2095, 550–560.
14. Kodner, D. All together now: A conceptual exploration of integrated care. Healthc. Q. 2009, 13, 6–15.
15. Suter, E.; Oelke, N.; Adair, C.; Armitage, G. Ten Key principles for successful health systems integration. Healthc. Q. 2009, 13, 16–23.
16. Browne, G.; Kingston, D.; Grdisa, V.; Markle-Reid, M. Conceptualization and measurement of integrated human service networks for evaluation. Int. J. Integr. Care 2007, 7, 1–6.
17. Devers, K.; Shortell, S.; Gillies, R.; Anderson, D.; Mitchell, J.; Erickson, K. Implementing organized delivery systems: An integration scorecard. Health Care Manage. R. 1994, 19, 7–20.
18. Gillies, R.; Shortell, S.; Anderson, D.; Mitchell, J.; Morgan, K. Conceptualizing and measuring integration: Findings from the health systems integration study. Hosp. Health Serv. Adm. 1993, 38, 467–489.
19. Lukas, C.; Meterko, M.; Lowcock, S.; Donaldson-Parlier, R.; Blakely, M.; Davies, M.; Petzel, R. Monitoring the progress of system integration. Qual. Manag. Health Care 2002, 10, 1–11.
20. Minkman, M.; Ahaus, K.; Fabbricotti, I.; Nabitz, U.; Huijsman, R. A quality management model for integrated care: Results of a delphi and concept mapping study. Int. J. Qual. Health C. 2008, 21, 66–75.
21. Minkman, M.; Ahaus, K.; Huijsman, R. A four phase development model for integrated care services in the Netherlands. BMC Health Serv. Res. 2009, 9, 42.
22. Salomon, G., Ed. Distributed Cognitions: Psychological and Educational Considerations; Cambridge University Press: New York, NY, USA, 1993.
23. McDaniel, R.; Driebe, D. Complexity Science and Health Care Management. In Advances in Health Care Management; Blair, J.D., Fottler, M.D., Savage, G.T., Eds.; Emerald Group Publishing: Bingley, UK, 2002; Volume 2, pp. 11–36.
24. Olson, E.E.; Eoyang, G.H. Facilitating Organization Change: Lessons from Complexity Science; Jossey-Bass/Pfeiffer: San Francisco, CA, USA, 2001.
25. Ferlie, E.; Fitzgerald, L.; Wood, M.; Hawkins, C. The nonspread of innovations: The mediating role of professionals. Acad. Manage. J. 2005, 48, 117–134.
26. Carlile, P. Transferring, Translating and transforming: An integrative framework for managing knowledge across boundaries. Organ. Sci. 2004, 15, 555–568.
27. Elwyn, G.; Taubert, M.; Kowalczuk, J. Sticky knowledge: A possible model for investigating implementation in healthcare contexts. Implement. Sci. 2007, 2, 44.
28. Swan, J.; Scarbrough, H.; Robertson, M. The construction of communities of practice in the management of innovation. Manage. Learn. 2002, 33, 477–496.
29. Argyris, C. Strategy, Change and Defensive Routines; Pitma: Boston, MA, USA, 1985.
30. Tsoukas, H. A dialogical approach to the creation of new knowledge in organizations. Organ. Sci. 2009, 20, 941–957.
31. Denis, J.; Lamothe, L.; Langley, A.; Breton, M.; Gervais, J.; Trottier, L.; Contandriopoulos, D.; Dubois, C. The reciprocal dynamics of organizing and sense-making in the implementation of major public-sector reforms. Can. Public Adm. 2009, 52, 225–248.
32. Friedman, L.; Goes, J. Why integrated health networks have failed. Front. Health Serv. Manage. 2001, 17, 3–54.
33. Williams, P.; Sullivan, H. Faces of Integration. Int. J. Integr. Care 2009, 9, e100.
34. Pate, J.; Fischbacher, M.; Mackinnon, J. Health improvement: Countervailing pillars of partnership and profession. J. Health Organ. Manag. 2010, 24, 200–217.
35. Bloom, S.W. Structure and ideology in medical education: An analysis of resistance to change. J. Health Soc. Behav. 1988, 29, 294–306.
36. Bevan, G.; Janus, K. Why hasn’t integrated health care developed widely in the United States and not at all in England? J. Health Polit. Policy Law 2011, 36, 141–164.
37. Hudson, B. Ten years of jointly commissioning health and social care in England. Int. J. Integr. Care 2011, 11, e005.
38. Jiwani, I.; Fleury, M. Divergent models of integration: The Canadian way. Int. J. Integr. Care 2011, 11, e018.
39. Edgren, L. The meaning of integrated care: A systems approach. Int. J. Integr. Care 2008, 8, e68.
40. Edgren, L.; Barnard, K. Complex adaptive systems for management of integrated care. Leadersh. Health Serv. 2012, 25, 39–51.
41. Nugus, P.; Carroll, K.; Hewett, D.; Short, A.; Forero, R.; Braithwaite, J. Integrated care in the emergency department: A complex adaptive systems perspective. Soc. Sci. Med. 2010, 71, 1997–2004.
42. Tsasis, P.; Evans, J.; Owen, S. Reframing the challenges to integrated care: A complex-adaptive systems perspective. Int. J. Integr. Care 2012, 12, e190.
43. Waldrop, M. Complexity: The Emerging Science at the Edge of Order and Chaos; Simon and Shuster: New York, NY, USA, 1992.
44. Plsek, P.; Greenhalgh, T. The challenge of complexity in health care. Brit. Med. J. 2001, 323, 625–628.
45. Stacey, R. The emergence of knowledge in organizations. Emergence 2000, 2, 23–39.
46. Wallis, S. Emerging order in CAS theory: Mapping some perspectives. Kybernetes 2008, 37, 1016–1029.
47. Vygotsky, L.S. The Collected Works of L.S. Vygotsky, Vol. 5; Rieber, R.W., Hall, M.J., Eds.; Plenum Press: New York, NY, USA, 1998.
48. Edwards, A. Keynote Presentation: Theorizing the New Partnership Landscape. In Teacher Education Advancement Network and the Association for Partnership in Education Conference; University of Cumbria: London, UK, 12 March 2013.
49. Capra, F. The Web of Life; Anchor Books: New York, NY, USA, 1996.
50. Meek, J.; De Ladurantey, J.; Newell, W. Complex systems, governance and policy administration consequences. Emergence Complexity Organ. 2007, 9, 24–36.
51. Boisot, M.; McKelvey, B. Integrating modernist and postmodernist perspectives on organizations: a complexity science bridge. Acad. Manage. Rev. 2010, 35, 415–433.
52. Laihonen, H. Knowledge flows in self-organizing processes. J. Knowl. Manag. 2006, 10, 27–135.
53. Lanham, H.; Leykum, L.; Taylor, B.; McCannon, C.; Lindberg, C.; Lester, R. How complexity science can inform scale-up and spread in health care: Understanding the role of self-organization in variation across local contexts. Soc. Sci. Med. 2012, ID: 22819737.
54. Comfort, L. Self-organization in Complex Systems. J. Publ. Adm. Res. Theor. 1994, 4, 393–410.
55. Begun, J.; Zimmerman, B.; Dooley, K. Health Care Organizations as Complex Adaptive Systems. In Advances in Health Care Organization Theory; Mick, S.M., Wyttenbach, M., Eds.; Jossey-Bass: San Francisco, CA, USA, 2003; pp. 253–288.
56. Arrow, H.; Henry, K.B. Using complexity to promote group learning in healthcare. J. Eval. Clin. Practice, 2010, 16, 861–866.
57. Heylighen, F. Self-organization in Communicating Groups: The Emergence of Coordination, Shared References and Collective Intelligence. In Language and Complexity; Barcelona University Press: Barcelona, Spain, 2011.
58. Weick, K.E. Sensemaking in Organizations; Sage Publications: Thousand Oaks, CA, USA, 1995.
59. Guastello, S.J. Self-organization and leadership emergence in emergency response teams. Nonlinear Dynamics Psychol. Life Sci. 2010, 14, 179–204.
60. Griffin, D.; Shaw, P.; Stacey, R. Knowing and acting in conditions of uncertainty: A complexity perspective. Syst. Pract. Act. Res. 1999, 12, 295–309.
61. Kitson, A. The need for systems change: Reflections on knowledge translation and organizational change. J. Adv. Nurs. 2009, 65, 217–228.
62. Lindberg, C.; Schneider, M. Leadership in a Complex Adaptive System: Insights from Positive Deviance. Academy of Management Best Paper Proceedings, Boston, MA, USA, 2012.
63. Suchman, A; Sluyter, D.; Williamson, P. Leading Change in Healthcare: Transforming Organizations Using Complexity, Positive Psychology and Relationship-Centered Care; Radcliffe Publishing: London, UK, 2011.
64. Greenhalgh, T.; Wieringa, S. Is it time to drop the ‘Knowledge Translation’ Metaphor? A critical review. J. R. Soc. Med. 2011, 104, 501–509.
65. Cook, S.D.N.; Brown, J.S. Bridging epistemologies: The generative dance between organizational knowledge and organizational knowing. Organ. Sci. 1999, 10, 381–400.
66. Berger, P.; Luckmann, T. The Social Construction of Reality: A Treatise in the Sociology of Knowledge; Doubleday & Company: Garden City, NY, USA, 1966.
67. Bourdieu, P. Outline of a Theory of Practice; Cambridge University Press: Cambridge, UK, 1977.
68. Dewey, J. Experience and Education; Kappa Delta Pi: New York, NY, USA, 1938.
69. Boland, R., Jr.; Tenkasi, R. Perspective making and perspective taking in communities of knowing. Organ. Sci. 1995, 6, 350–372.
70. Brown, J.; Duguid, P. Organizational learning and communities-of-practice: Toward a unified view of working, learning and innovation. Organ. Sci. 1991, 2, 40–57.
71. Rush, L.; Diamond, J. Exploring Key Variations and Meanings in Understanding Intra-organisational Collaboration at One University. Proceedings of SRHE Conference, Celtic Manor, UK, 12 December 2009; Birmingham City University: Birmingham, UK, 2009.
72. Watkins, C. Learning about Learning Enhances Performance; Research Matters Series No. 13; Institute of Education: London, UK, 2002.
73. Claxton, G. Expanding the Capacity to Learn: A New End for Education? Proceedings of British Educational Research Association Annual Conference, Warwick University, UK, 6 September 2006.
74. Vaill, P. Learning as a Way of Being: Strategies for Survival in a World of Permanent White Water; Jossey-Bass: San Francisco, CA, USA, 1996.
75. Axelrod, R.; Cohen, M. Harnessing Complexity: Organizational Implications of a Scientific Frontier; Basic Books: New York, NY, USA, 2000.
76. Flavell, J. Metacognition and cognitive monitoring: A new era of cognitive-developmental inquiry. Am. Psychol. 1979, 34, 906–911.
77. Deakin-Crick, R. Learning how to learn: The dynamic assessment of learning power. Curriculum J. 2007, 18, 135–153.
78. Bransford, J., Brown, A., Cocking, R., Eds. How People Learn: Brain, Mind, Experience, and School; National Academy Press: Washington, DC, USA, 2000.
79. Suchman, A. A new theoretical foundation for relationship-centered care: Complex responsive processes of relating. J. Gen. Intern. Med. 2006, 21, S40–S44.
80. Mezirow, J.; Marswick, V. Education for Perspective Transformation: Women’s Re-entry Programs in Community Colleges; Teachers College, Columbia University: New York, NY, 1978.
81. Kegan, R. What “form” transforms? A Constructive-Developmental Approach to Transformative Learning. In Contemporary Theories of Learning: Learning Theorists in Their Own Words; Illeris, K., Ed.; Routledge: New York, NY, USA, 2009.
82. Meyer, J.; Land, R. Threshold Concepts and Troublesome Knowledge: Linkages to Ways of Thinking and Practising Within the Disciplines. In Improving Student Learning: Improving Student Learning Theory and Practice—Ten Years On; Rust, C., Ed.; Oxford Centre for Staff and Learning Development: Oxford, UK, 2003.
83. Rush, L. Expanding the Capacity to Learn in ITT: A Personal Reflection on Embedding and Enacting a Distinct Pedagogic Approach to Partnership Learning. Proceedings of BERA Conference, University of Warwick, Coventry, UK, 1–3 September 2010; University of Warwick: Coventry, UK, 2010.
84. Rush, L.; Diamond, J. New Professionalism and Public Sector Management: A Reflection on Collaborative Practice in UK Teacher Education. Proceedings of XVI Annual Conference of the International Research Society for Public Management, University of Rome, Rome, Italy, 2012.
85. Claxton, G. Cultivating Positive Learning Dispositions. In The Routledge Companion to Education; Daniels, H., Lauder, H., Porter, J., Eds.; Routledge: London, UK, 2008.
86. Merriam, S.; Caffarella, R. Learning in Adulthood: A Comprehensive Guide, 2nd ed.; Jossey-Bass: San Francisco, CA, USA, 1999.
87. Mezirow, J. Learning as Transformation: Critical Perspectives on a Theory in Progress; Jossey-Bass: San Francisco, CA, USA, 2000.
88. Carley, K.; Hill, V. Structural change and learning within organizations. In Dynamics of Organizations: Computational Modeling and Organization Theories; Larsen, E.R., Ed.; MIT Press: Menlo Park, CA, USA, 2001; pp. 63–92.
89. Hedegaard, M. Analyzing children’s learning and development in everyday settings from a cultural-historical wholeness approach. Mind Cult. Activ. 2012, 19, 127–138.
90. Vygotsky, L. Thought and Language; MIT Press: Cambridge, MA, USA, 1962.
91. Vygotsky, L. Mind in Society: The Development of Higher Psychological Processes; Harvard University Press: Boston, MA, USA, 1978.
92. Bailey, D.; Koney, K. Strategic Alliances among Health and Human Services Organizations: From Affiliations to Consolidations; Sage Publications: Thousand Oaks, CA, USA, 2000.
93. Griffiths, M.; Tann, S. Using reflective practice to link personal and public theories. J. Educ. Teaching 1992, 18, 69–84.
94. Grow, G. Teaching learners to be self-directed. Adult Educ. Quart. 1991, 41, 125–149.
95. Miller, J.; Seller, W. Curriculum: Perspectives and Practice; Longman: New York, NY, USA, 1990.
96. Biggs, J. Teaching for Quality Learning at University: What the Student Does; Society for Research into Higher Education, Open University Press: Philadelphia, PA, USA, 1999.
97. Pollard, A., Bourne, J., Eds. Teaching and Learning in the Primary School; Routledge: New York, NY, USA, 1994.
98. Delamont, S. Interaction in the Classroom; Methuen: London, UK, 1983.
99. Gajda, R. Utilizing collaboration theory to evaluate strategic alliances. Am. J. Eval. 2004, 25, 65–77.
100. Stryker, S.; Statham, A. Symbolic Interaction and Role Theory. In Handbook of Social Psychology, 3rd ed.; Lindzey, G., Aronson, E., Eds.; Random House: New York, NY, 1985; Volume 1, pp. 311–378.
101. Wrzesniewski, A.; Dutton, J.E.; Debebe, G. Interpersonal sensemaking and the meaning of work. Res. Organ. Behav. 2003, 25, 93–135.
102. Wegner, D.M.; Giuliano, T.; Hertel P.T. Cognitive Interdependence in Close Relationships. In Compatible and Incompatible Relationships; Ickes, W.J., Knowles, E.S., Eds.; Springer-Verlag: New York, NY, 1985; pp. 253–276.
103. Liang, D.; Moreland, R.; Argote, L. Group versus individual training and group performance: the mediating role of group transactive memory. Pers. Soc. Psychol. B 1995, 21, 384–393.
104. Weick, K.; Roberts, K. Collective mind in organizations: Heedful interrelating on flight decks. Adm. Sci. Q. 1993, 38, 357–381.
105. Faraj, S.; Xiao, Y. Coordination in fast response organizations. Manage. Sci. 2006, 52, 1155–1169.
106. Tan, J.; Wen, H.; Awad, N. Health care and service delivery systems as complex adaptive systems. Comm. ACM 2005, 48, 36–44.
107. Bechky, B. Sharing meaning across occupational communities: The transformation of understanding on a production floor. Organ. Sci. 2003, 14, 312–330.
108. Ling, T.; Brereton, L.; Conklin, A.; Newbould, J.; Roland, M. Barriers and facilitators to integrating care: Experiences from the English integrated care pilots. Int. J. Integr. Care 2012, 12, e129.
109. Reid, B. But we’re doing it already: Exploring a response to the concept of reflective practice in order to improve its facilitation. Nurs. Educ. Today 1993, 13, 305–309.
110. Hatton, N.; Smith, D. Reflection in teacher education: Towards definition and implementation. Teach. Teach. Educ. 1995, 11, 33–49.
111. Eoyang, G.; Holladay, R. Adaptive Action: Leveraging Uncertainty in Your Organization; Stanford University Press: Palo Alto, CA, USA, 2013.
112. Gustafsson, C.; Fagerberg, I. Reflection, the way to professional development? J. Clin. Nurs. 2004, 13, 271–280.
113. Schon, D. The Reflective Practitioner: How Professionals Think in Action; Basic Books: New York, NY, USA, 1983.
114. Mann, K.; Gordon, J.; MacLeoid, A. Reflection and reflective practice in health professions education: A systematic review. Adv. Health Sci. Educ. 2009, 14, 595–621.
115. L’Aigulle, Y. Pushing Back the Boundaries of Personal Experience. In Reflective Practice in Nursing: The Growth of the Professional Practitioner; Palmer, A.M., Burns, S., Bulman, C., Eds.; Blackwell Scientific Publications: London, UK, 1994.
116. Driscoll, J. Reflective practice for practice: A framework of structured reflection for clinical areas. Sr. Nurse 1994, 13, 47–50.
117. Fisher, R. Teaching Children to Think; Basil Blackwell: Oxford, UK, 1990.
118. Freeman, J. Educating the Very Able: Current International Research; Ofsted Reviews of Research, Office for Standards in Education: London, UK, 1998.
119. Ames, G.; Ames, K. Report on Teaching at the Center for Environmental Management and Planning. In Georgian Academy of Sciences, Faculty Series FS93-06, Tbilisi, Republic of Georgia, 1–26 October 1992; Department of Agricultural and Applied Economics, University of Georgia: Athens, Greece, 1993.
120. Dweck, C.; Leggett, E. A social-cognitive approach to motivation and personality. Psychol. Rev. 1988, 95, 256–273.
121. Nicholls, J.G. The Competitive Ethos and Democratic Education; Harvard University Press: Cambridge, MA, USA, 1989.
122. Mortimore, P., Ed. Understanding Pedagogy and Its Impact on Learning; Paul Chapman: London, UK, 1999.
123. Colthart, I.; Bagnall, G.; Evans, A.; Allbutt, H.; Haig, A.; Illing, J.; McKinstry, B. The effectiveness of self-assessment on the identification of learner needs, learner activity, and impact on clinical practice: BEME Guide No. 10. Med. Teach. 2008, 30, 124–145.
124. Bleakley, A. Social comparison, Peer learning and democracy in medical education. Med. Teach. 2010, 32, 878–879.
125. Bleakley, A. Broadening conceptions of learning in medical education: The message from team working. Med. Educ. 2006, 40, 150–157.
126. Eva, K.; Regehr, G. Self-assessment in the health professions: A reformulation and research agenda. Acad. Med. 2005, 80, S46–S54.
127. Benneworth, P. Leading Innovation: Building Effective Regional Coalitions for Innovation; NESTA: London, UK, 2007.
128. Harris, A. Distributed leadership: According to the evidence. J. Educ. Admin. 2008, 46, 172–188.
129. Karlsson, J.; Anderberg, E.; Booth, S.; Odenrick, P.; Christmansson, M. Reaching beyond disciplines through collaboration. J. Workplace Learn. 2008, 20, 98–113.
130. Whitchurch, C. Professional Managers in UK Higher Education: Preparing for Complex Futures—Final Report; Leadership Foundation for Higher Education: London, UK, 2008.
131. Greeno, J.G. Theories and practices of thinking and learning to think. Am. J. Educ. (Chic Ill) 1997, 106, 85–126.
132. Greeno, J.G. Learning in Activity. In The Cambridge Handbook of the Learning Sciences; Sawyer, R., Ed.; Cambridge University Press: Cambridge, UK, 2006; pp. 79–96.
133. Kodner, D.; Spreeuwenberg, C. Integrated care: Meaning, logic, applications, and implications— a discussion paper. Int. J. Integr. Care 2002, 2, e12.
134. Kauffman, S.A. At Home in the Universe: The Search for the Laws of Self-Organization and Complexity; Oxford University Press: Oxford, UK, 1995.
135. Stacey, R.D. Strategic Management and Organizational Dynamics: The Challenge of Complexity; 4th ed.; Pearson Education/Prentice Hall: Harlow, UK, 2003.
136. Weick, K.E. Making Sense of the Organization; Blackwell Publishing: Malden, MA, USA, 2001.
137. Morgan, G. Images of Organization; Sage Publications: Thousand Oaks, CA, USA, 2007.
138. Cilliers, P. Complexity and Postmodernism: Understanding Complex Systems; Routledge: London, UK, 1998.
139. Poerksen, B. Learning how to learn. Kybernetes 2005, 34, 471–484.
140. Mezirow, J. Transformative Dimensions of Adult Learning; Jossey-Bass: San Francisco, CA, USA, 1991.
141. Gittell, J. Coordinating mechanisms in care provider groups: Relational coordination as a mediator and input uncertainty as a moderator of performance effects. Manage. Sci. 2002, 48, 1408–1426.
142. Gittell, J.; Fairfield, K.; Bierbaum, B.; Head, W.; Jackson, R.; Kelly, M.; Laskin, R.; Lipson, S.; Siliski, J.; Thornhill, T.; et al. Impact of relational coordination on quality of care, postoperative pain and functioning, and length of stay: A nine-hospital study on surgical patients. Med. Care 2000, 38, 807–819.
143. Easterby-Smith, M.; Snell, R.; Gherardi, S. Organizational learning: Diverging communities of practice? Manag. Learn. 1998, 29, 259–272.
144. Mork, B.; Hoholm, T.; Ellingsen, G.; Edwin, B.; Aanestad, M. Challenging expertise: On power relations within and across communities of practice in medical innovation. Manag. Learn. 2010, 41, 575–592.
145. Layder, D. The Realist Image in Social Science; MacMillan: London, UK, 1990.
146. Patton, M.Q. Systems Thinking and Complexity Concepts for Developmental Evaluation in Developmental Evaluation: Applying Complexity Concepts to Enhance Innovation and Use; The Guilford Press: New York, NY, USA, 2011.
147. Bradbury, H.; Lichenstein, B.M.B. Relationality in organizational research: Exploring the space between. Organ. Sci. 2000, 11, 551–564.
148. Czarniawska, B. A Theory of Organizing; Edward Elgar Publishing: Cheltenham, UK, 2008.
149. Grove, J.; Barry, K.; Haas, T. EvaluLead: A Guide for Shaping and Evaluating Leadership Development Programs; The Public Health Institute: California, CA, USA, 2005.
150. W.K. Kellogg Foundation. Designing Initiative Evaluation a Systems-oriented Framework for Evaluating Social Change Efforts; W.K. Kellogg Foundation: Battle Creek, MI, USA, 2007.
151. Stacey, R.D. Complex Responsive Processes in Organizations: Learning and Knowledge Creation; Routledge: London, UK, 2001.
152. Dooley, K. Complexity Science Models of Organizational Change and Innovation. In Handbook of Organizational Change and Innovation; Poole, M.S., Van de Ven, A. Eds.; Oxford University Press: Oxford, UK, 2004.
153. Poole, M.; Van De Ven, A.H.; Dooley, K. Organizational Change and Innovation Processes: Theory and Methods for Research; Oxford University Press: New York, NY, USA, 2000.
154. Guastello, S., Gregson, R., Eds. Nonlinear Dynamical Systems Analysis for the Behavioral Sciences using Real Data; CRC Press: Boca Raton, FL, USA, 2011.