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Table 1 Systems thinking for change in complex systems ([20], p. 26)

From: Building effective engagement for implementation with i-PARIHS: a collaborative enquiry into paediatric pain care in the emergency department

• Motivates people to change because they discover their role in exacerbating the problems they want to solve

• Catalyses collaboration because people learn how they collectively create the unsatisfying results they experience

• Focuses people to work on a few key coordinated changes over time to achieve systemwide impacts that are significant and sustainable

• Stimulates continuous learning which is an essential characteristic of any meaningful change in complex systems

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BMC Health Services Research

ISSN: 1472-6963

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