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A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making

INTRODUCTION: The United States has been unsuccessful in containing the rapid spread of COVID‐19. The complex epidemiology of the disease and the fragmented response to it has resulted in thousands of ways in which spread has occurred, creating a situation where each community needs to create its ow...

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Autores principales: Holly, Margaret, Bartels, Sophia, Lewis, Ninon, Howard, Paul, Ramaswamy, Rohit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006529/
https://www.ncbi.nlm.nih.gov/pubmed/35434354
http://dx.doi.org/10.1002/lrh2.10295
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author Holly, Margaret
Bartels, Sophia
Lewis, Ninon
Howard, Paul
Ramaswamy, Rohit
author_facet Holly, Margaret
Bartels, Sophia
Lewis, Ninon
Howard, Paul
Ramaswamy, Rohit
author_sort Holly, Margaret
collection PubMed
description INTRODUCTION: The United States has been unsuccessful in containing the rapid spread of COVID‐19. The complex epidemiology of the disease and the fragmented response to it has resulted in thousands of ways in which spread has occurred, creating a situation where each community needs to create its own local, context‐specific learning model while remaining compliant to county or state mandates. METHODS: In this paper, we demonstrate how cross sector collaborations can use the Cynefin Framework, a tool for decision‐making in complex systems, to guide community response to the COVID‐19 pandemic. RESULTS: We explore circumstances under which communities can inhabit each of the four domains of systems complexity represented in the Cynefin framework: simple, complicated, chaotic, and complex, and describe the decision‐making process in each domain that balances health, economic, and social well‐being. CONCLUSION: This paper serves as a call to action for the creation of community learning systems to improve community resilience and capacity to make better‐informed decisions to address complex public health problems during the pandemic and beyond.
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spelling pubmed-90065292022-04-15 A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making Holly, Margaret Bartels, Sophia Lewis, Ninon Howard, Paul Ramaswamy, Rohit Learn Health Syst Technical Report INTRODUCTION: The United States has been unsuccessful in containing the rapid spread of COVID‐19. The complex epidemiology of the disease and the fragmented response to it has resulted in thousands of ways in which spread has occurred, creating a situation where each community needs to create its own local, context‐specific learning model while remaining compliant to county or state mandates. METHODS: In this paper, we demonstrate how cross sector collaborations can use the Cynefin Framework, a tool for decision‐making in complex systems, to guide community response to the COVID‐19 pandemic. RESULTS: We explore circumstances under which communities can inhabit each of the four domains of systems complexity represented in the Cynefin framework: simple, complicated, chaotic, and complex, and describe the decision‐making process in each domain that balances health, economic, and social well‐being. CONCLUSION: This paper serves as a call to action for the creation of community learning systems to improve community resilience and capacity to make better‐informed decisions to address complex public health problems during the pandemic and beyond. John Wiley and Sons Inc. 2021-11-26 /pmc/articles/PMC9006529/ /pubmed/35434354 http://dx.doi.org/10.1002/lrh2.10295 Text en © 2021 The Authors. Learning Health Systems published by Wiley Periodicals LLC on behalf of University of Michigan. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Technical Report
Holly, Margaret
Bartels, Sophia
Lewis, Ninon
Howard, Paul
Ramaswamy, Rohit
A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making
title A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making
title_full A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making
title_fullStr A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making
title_full_unstemmed A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making
title_short A learning approach to community response during the COVID‐19 pandemic: Applying the Cynefin framework to guide decision‐making
title_sort learning approach to community response during the covid‐19 pandemic: applying the cynefin framework to guide decision‐making
topic Technical Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006529/
https://www.ncbi.nlm.nih.gov/pubmed/35434354
http://dx.doi.org/10.1002/lrh2.10295
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