To deal with rapid and ever-changing environment, many scholars argue that the abilities of organizational change have been one of the essential core competencies for organizations. TTW, which has been a state- owned business for more than 60 years, initiated an upgrade program of product quality in September 2003, to improve its competitiveness whilst undergoing privatization. This paper aims to apply complex adaptive system theories to provide a new practical approach for organizational change. To accomplish this, it shall study various processes; including decision, implementation reflection and transform of the program. In the first stage of initiated changes, TTW applied a top-down approach to implement the organizational change following an established blueprint. These exercises included three elements, which are (1) enhanced autonomous quality inspection of first-line operator, (2) More control check-items and higher standards, (3) Promotion and implementation of quality audit system. However, after half-year implementation of the new program, both performances of interior process quality and exterior product evaluation of consumer satisfaction have gained no substantial progress. By observations and interviews with the participants, it was found that there existed a commonly shared rigid mental model amongst organizational members. It encompasses deeply embedded positional authority, behavior of defensive psychology, lack of implicit knowledge and pre-formulated responses. It exhibited the learning and innovative abilities of organizational members, subsequently, which caused the stagnation of quality improvement. The researched organization learned from the reflections derived from the first stage change process, tried to breakthrough the rigid mental model of organizational members, thereafter provoking substantial participation and execution. The targeted field was moved from business office to a factory. At the beginning of second stage change process, the organization applied simple generating rules derived from the complex adaptive system, to initiate a patching change process, which included (1) ice-breaking initiatives, (2) real- time information exchange, (3) time-pace conditioning, and (4) maintaining motivation and orientation. In the second stage change process, there appeared a few minor improving effects which were gradually being imitated and expanded across the whole organization. By the interpretations of the participants, it was found that there existed an evolutionary mental model of organizational members. It unfolded different features, such as: the willingness of experimentation, the generation of new experiences, the shaping of mutual trust by interaction, the delivering of implicit knowledge and expansion and evolution across functional units. By the effects of evolutionary mental model, some unanticipated innovative behaviors were emerging in the organization, which substantively, upgraded the quality performance of the entire organization. Applying the perspective of complex adaptive system, this paper reviews the nature and the dynamics of the whole changing process and provides some theoretical implications. It is argued that innovative behaviors are the emerging process which can not be fulfilled by top-down managerial intention, but rather can be provoked by evolutionary mental model and autonomous self-organization. In addition, some practical implications were proposed that suggested the managers should focus on the changes of the relations of interaction in organizations. To effectively manage the changing process and continuously induce innovative behaviors, managers should (1) shift the commonly shared mental model to focus more on individual mental model and fostering diverse interaction, to help the emergence of new ideas and innovations, (2) shift the existing relations to focus more on real-time interaction, which can promote the expansion and evolution of innovative ideas, (3) shift the control relations to focus more on mutual trust relations, which can generate shared confidence levels and encourage the execution of innovations under uncertain conditions.

Literature on the modeling and simulation of complex adaptive systems (cas) has primarily advanced vertically in different scientific domains with scientists developing a variety of domain-specific approaches and applications. However, while cas researchers are inherently interested in an interdisciplinary comparison of models, to the best of our knowledge, there is currently no single unified framework for facilitating the development, comparison, communication and validation of models across different scientific domains. In this thesis, we propose first steps towards such a unified framework using a combination of agent-based and complex network-based modeling approaches and guidelines formulated in the form of a set of four levels of usage, which allow multidisciplinary researchers to adopt a suitable framework level on the basis of available data types, their research study objectives and expected outcomes, thus allowing them to better plan and conduct their respective research case studies. Firstly, the complex network modeling level of the proposed framework entails the development of appropriate complex network models for the case where interaction data of cas components is available, with the aim of detecting emergent patterns in the cas under study. The exploratory agent-based modeling level of the proposed framework allows for the development of proof-of-concept models for the cas system, primarily for purposes of exploring feasibility of further research. Descriptive agent-based modeling level of the proposed framework allows for the use of a formal step-by-step approach for developing agent-based models coupled with a quantitative complex network and pseudocode-based specification of the model, which will, in turn, facilitate interdisciplinary cas model comparison and knowledge transfer. Finally, the validated agent-based modeling level of the proposed framework is concerned with the building of in-simulation verification and validation of agent-based models using a proposed Virtual Overlay Multiagent System approach for use in a systematic team-oriented approach to developing models. The proposed framework is evaluated and validated using seven detailed case study examples selected from various scientific domains including ecology, social sciences and a range of complex adaptive communication networks. The successful case studies demonstrate the potential of the framework in appealing to multidisciplinary researchers as a methodological approach to the modeling and simulation of cas by facilitating effective communication and knowledge transfer across scientific disciplines without the requirement of extensive learning curves.

This mixed model approach research explored what are the perceived essential components of an ideal organization. The data were collected from 150 leadership development seminars from 2000 to 2006 hosted by a Fortune 500 company with participants from over 239 organizations producing 5396 responses. The qualitative primary data were unitized and statistically analyzed and synthesized to reveal significant categories and their relationships. The statistically significant categories represent the essential components of an ideal organization. The original qualitative responses manifesting the significant categories are presented in alignment with the emerging complex systems leadership perspective. / text

The purpose of this study is to explore, compare, and analyze the process of learning and the importance of adaptation and resilience in a continuously evolving environment amidst natural disasters as seen in two earthquake-prone communities located in southern Peru. The framework of complex adaptive systems offers insight into understanding human limitations to control an environment that is constantly far from equilibrium. Complexity science theory supports the study and the self-organization of communities in the process of coping with a disaster. Reports generated from informal interviews and participatory techniques further support all evidential findings. The co-evolution process given by the participation of diverse agents may include the collaboration and involvement of victims as well as local, state, and national organizations. Results from the co-evolution process may derive from previous experiences, preparedness, education, the development of previous relationships, and the capacity of improvisation. Furthermore, solidarity, self-organization and adaptation of agents in a community may further influence the ability to deal effectively with unexpected adversity. / text

Western herbal medicine (WHM) is a whole system of medicine that is based on beliefs and practices that evolved distinct from conventional Western medicine. Practitioners of WHM use naturally-occurring crude plant materials, such as roots or flowers with little processing for persons with chronic disease. Herbal medicines are formulated and designed for each person's unique symptom variations, energetic profile, cause and supporting mechanisms of the health issue. This approach to herbal medicine is not explicated in the literature and contrasts the use of highly-processed herb products in a one-size-fits-all approach that fails to reflect WHM as a whole complex system. The purpose of this study was to develop a grounded theory explaining the basic social psychological process WHM practitioners use to formulate plant medicines for individuals. Data were collected from a theoretical sample of 17 North American WHM practitioners contributing a total of 39 interviews and analyzed using the constant comparison method. The process of Personalizing Western Herbal Medicine consists of five steps with a decision-making subprocess of five steps. The core concept of Weaving a Tapestry of Right Relationships explains what practitioners do when Personalizing Western Herbal Medicine. Right relationship is emergent coherence and accounts for wholeness as the relationship of the parts and weaves through connecting each step in Personalizing Western Herbal Medicine. Creating Concordance describes right relationship between the person and the herbal medicine. Concordance is achieved when an herbal medicine fits the whole person and there is a personal shift or restoration of dynamic equilibrium.

This thesis discusses the challenges of modern organizations in their efforts of designing relevant project governance systems. To address the challenge the paper proposes using resource-based view on project-based organizations in order to evaluate and identify key governance resources. Given that prevailing rational and standardized models in project-related literature provide organizations with homogeneous resource-base, this paper invites attention to those resources, which have the potential to deliver unique character to the organizations. The thesis first discusses the relevance of exploring projects as governance resources at project-based organizations, next screens the projects through VRIO framework of resource-based theory. Derived intangible resources and organizational resources are further explored at a case study organization. The findings are analysed through complex adaptive systems theory, where intrinsic motivations appear as sources for emerging project governance systems, while principal trust serves as a resource for self-organization of projects and project governance unit.

The relaxation of international boundaries has enabled the globalisation of markets making available an ever increasing number of specialised suppliers and markets. Inevitably this results in supply chains sharing suppliers and customers reflected in a network of relationships. Within this context firms buyers configure their supply relationships based on their perception of supply risk. Risk is managed by either increasing trust or commitment or by increasing the number of suppliers. Increasing trust and commitment facilitates collaboration and reduces the propensity for a supplier to exit the relationship. Conversely, increasing the number of suppliers reduces dependency and increases the ease of making alternative supply arrangements. The emergent network of relationships is dynamic and complex, and due in no small part to the influence of inventory management practices, tightly coupled. This critical organization of the network describes a system that contrary to existing supply chain conceptualisation exists far from equilibrium, requiring a different more appropriate theoretical lens through which to view them. This thesis adopts a Complex Adaptive Systems (CAS) perspective to position supply networks as tightly coupled complex systems which according to Normal Accident Theory (NAT) are vulnerable to disruptions as a consequence of normal operations. The consequential boundless and emergent nature of supply networks makes them difficult to research using traditional empirical methods, instead this research builds a generalised supply network agent based computer model, allowing network constituents (agents) to take autonomous parallel action reflecting the true emergent nature of supply networks. This thesis uses the results from a series of carefully designed computer experiments to elucidate how supply networks respond to a variety of market structures and permitted agent behaviours. Market structures define the vertical (between tier) and horizontal (within tier) levels of price differentiation. Within each structure agents are permitted to autonomously modify their prices (constrained by market structure) and collaborate by sharing demand information. By examining how supply networks respond to different permitted agent behaviours in a range of market structures this thesis makes 4 contributions. Firstly, it extends NAT by incorporating the adaptive nature of supply network constituents. Secondly it extends supply chain management by specifying supply networks as dynamic not static phenomena. Thirdly it extends supply chain risk management through developing an understanding of the impact different permitted behaviour combinations on the networks vulnerability to disruptions in the context of normal operations. Finally by developing the understanding how normal operations impact a supply networks vulnerability to disruptions it informs the practice of supply chain risk management.

Introduction/ Objectives: Stroke, the third leading cause of death in Canada, is projected to rise in the next 20 years as the population ages and obesity rates increase. Family caregivers fulfill pertinent roles in providing support for family members who have survived a stroke, from onset to re-integration into the community. However, the transition from rehabilitation to home is a crucial transition for both the stroke survivor and family caregiver. As the stroke survivor transitions home from a rehabilitation facility, family caregivers provide different types of support, including assistance with navigating the stroke rehabilitation system. They also are a constant source of support for the stroke survivor providing them with continuity during the transition. In this exploratory study we examined family caregivers’ perceptions and experiences navigating the stroke rehabilitation system. The theories of continuity care and complex adaptive systems were used to examine the transition home from hospital or stroke rehabilitation facility, and in some cases back to hospital. Methodology: Family caregivers (n=14) who provide care for a stroke survivor were recruited 4-12 weeks following the patient’s discharge from a stroke rehabilitation facility. Interviews were conducted with family caregivers to examine their perceptions and experiences navigating the stroke rehabilitation system. Directed content analysis was used to explore the perceptions of family caregivers as they reflected on the transitions home. The theories of continuity of care and complex adaptive systems were used to interpret their experiences. Results/Conclusions: During the transition home from a rehabilitation facility, family caregivers are a constant source of support, providing the stroke survivor with continuity. Emergent themes highlight the importance of the caregiving role, and barriers and facilitators that impact the role, and influence continuity of care. Also, supports and services in the community were limited or did not meet the specific needs of the family caregiver. The acknowledgment of the unique attributes of each case will ensure supports and services are tailored to the family caregiver’s needs. Mitigation of systemic barriers would also decrease complexity experienced at the micro-level in the stroke rehabilitation system, and better support the family caregiver during the transition home from a stroke rehabilitation facility.

The purpose of this research is to examine how professionals and civil society members engage in food security activities that include food safety precautions and how they work across differences to support a safe and accessible food supply. The objectives are: (a) to explore tensions between those working in community food security and food safety (regulatory authority) and the source of tension; (b) to explore how people experiencing these tensions can improve the way they work together; and (c) to explore potential opportunities for enhancing health equity through food security and food safety programs. Using a case study design, I employ concept mapping and situational analysis as methods, with a complexity science framework. I have illustrated the complex motives behind food safety regulations and examined the neo-liberal agenda favouring market forces over health equity. I have argued that while there is concern for protecting the public’s health, food safety regulations are not set with a primary focus on protecting people from unsafe food, but are a vehicle for providing confidence in the market and among international trading partners, at the cost of health and welfare of small-scale producers in rural and remote communities. I am suggesting change not only in how we view and understand personal motives or worldviews of food and market forces, but also a shift on a larger scale, to change structural conditions to promote health and to encourage a moral obligation to reduce health inequities. / Graduate / 0573 / 0569 / wmartin@uvic.ca

Doctor of Philosophy(PhD) / The thesis explores the complexities of primary health care in a setting characterised as being both isolated and remote, and in the process identifies factors critical for developing successful PHC programs in such settings and more broadly. The four questions underpinning the study are 1) is a PHC approach relevant to the chosen small remote Australian community; 2) to what extent was a PHC approach being implemented; 3) what are the barriers and enablers to developing and implementing a PHC approach; and 4) what are the crucial factors for PHC programs in similar communities. The first chapter provides the background to the study, beginning with the range of descriptions of primary health care and the many themes needed to understand how it plays out in a small community. The Menindee community and some of the local health service players are introduced. Chapter Two explores complexity theory and complex adaptive systems and its relevance to organisations and managing change, particularly in complex environments. Chapter Three examines the evolution of primary health care, its philosophy, principles and elements as both a model of health care and of development. Chapter Four addresses social determinants, the life course and the long-term effects of inequity, before considering current factors that impact on health and health services. These include the beginning and end of the life course and those in the ‘middle’ where the effects of the obesity and diabetes epidemics are being played out at a younger age. The chapter concludes by noting common themes across the three chapters. Chapter Five describes the research design and methods. A case study using mixed methods was chosen and the theoretical framework provides an exploration of complexity and transdisciplinarity. What changed during the course of the study, questions of scope and its limitations are stated. Chapter Six is a quantitative analysis of the study community, which examines community demographics, the life course, a summary of adult and child health, and service use. These enable an understanding of the community profile, its uniqueness and its similarity to other communities that might benefit from a comprehensive PHC approach. The questions to be explored in the qualitative phase are identified. Chapter Seven is a qualitative study of the community in the midst of change. An individual interview guide approach was used and representatives from the community, local and regional health service providers were interviewed. Chapter Eight provides a synthesis of the two studies as they address themes from the complexity, PHC and social inequity literature. Five themes had particular significance to the study community: social determinants and Indigenous health; community size, resilience and change; chronic disease programs and prevention; vulnerable groups; and a complex adaptive systems perspective. The second section answers the four study questions. The thesis concludes with a discussion of PHC rhetoric and reality, the relevance of the study and its limitations, and issues requiring further research when considering primary health care in smaller communities.