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It’s All About Flow in a Complex Adaptive System

Clancy, Thomas R. PhD, MBA, RN, FAAN

Journal of Nursing Administration: April 2014 - Volume 44 - Issue 4 - p 190–193
doi: 10.1097/NNA.0000000000000056
Departments: Managing Organizational Complexity

As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on the application of management strategies in health systems. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. In this article, I discuss the Constructal Law and its impact on nurse workflow.

Author Affiliation: Clinical Professor and Assistant Dean, School of Nursing, The University of Minnesota, Minneapolis.

The author declares no conflicts of interest.

Correspondence: Dr Clancy, School of Nursing, The University of Minnesota, 5-140 Weaver-Densord Hall, 308 Harvard St SE, Minneapolis, MN 55455 (

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins