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A Complex-Systems Orientation to Evaluation that Supports a Culture of Health

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Page 1: A Complex-Systems Orientation to Evaluation that Supports ...insites.org/wp-content/uploads/58c3050dc99d1-InS.17.ws.resource... · Evaluative Thinking Example Evaluative thinking

AComplex-SystemsOrientation

toEvaluationthatSupportsa

CultureofHealth

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Welcome!

Thisconceptpaperisaboutthesimplicityontheothersideofcomplexity.Itmaynotbeenoughtogiveyourlifefor,buthopefullyit’senoughtoinspireyoutothinkanddialogueabouthowyouframeyourapproachtoevaluationandtoconsiderwhatreframingmightbehelpful.

OnewayevaluatorsmaycontributemoreusefullytocreatingaCultureofHealthisbyunderstandingfundamentaldistinctionsbetweenthehierarchicalandnetworkedstructuresofsystemsandhowtheyareintertwinedincomplexsystems.Distinguishingbetweenthesetwostructureshelpsevaluatorsgroundtheirevaluationsinthefundamentalstructuresthatareofimportanceataparticulartimeandplaceastheysupportevaluationusersintheirintentiontotransformsystemstoservethepublicgood.

Everynowandthena[person’s]mindisstretchedbyanewideaorsensation,andnevershrinksbacktoitsformerdimensions.—OliverWendellHolmes,Sr.

Iwouldnotgiveafigforthesimplicitythissideofcomplexity,butIwouldgivemylifeforthesimplicityontheothersideofcomplexity.—OliverWendellHolmes,Sr.

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vThePaper’sOrientation 2

vThePaper’sPurpose3

vKeyPointsofthePaper4 vAComplex-Systems

OrientationtoEvaluation27

vEvaluationGroundedinHierarchicalStructures29

vEvaluationGroundedinNetworkedStructures30

vContrastofEvaluativeFocusinHierarchical&NetworkedStructures33

v Culture35vACultureofHealth36vACultureofHealthActionFramework37

v ExampleofanEvaluationSituationandApproach38

TableofContents

vWhatWeMeanandWhyItMatters 6

vEvaluation&EvaluativeThinking 7

vSystemic&SystematicInquiry 9

vKnowledge&KnowledgeManagement10

vSystems 11vComplexSystems13vSystemsChange 21vSystemConditions22v ImplicitBias23vWhyItMatters25

01 02 03INTRODUCTION

Pages 34–41

Pages 26–33Pages 5–25

Pages 1–4 WhatWeMeanandWhyItMatters

AComplex-SystemsOrientationtoEvaluation

AComplex-SystemsOrientationtoEvaluationthatSupportsaCultureofHealth

RESOURCES

Page 42-43

v ImplicationsforEvaluationandEvaluators43

vReferences 45

vAcknowledgements46

Pages 44–46

CalltoAction

04

RW.17.rf.SystemsWhitePaper.2-14

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Introduction

v ThePaper’sOrientationv ThePaper’sPurposev KeyPointsofthePaper

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ThePaper’sOrientation

Sinceevaluation’sinceptionasafieldinthe1960s,thefieldhasbeendominatedintheU.S.byan

implicitbiastowardhierarchicalstructuresthattendtobestable,predictable,andcontrollable.Such

controlleddynamicsarethebasisofhierarchiesandfactorymodelsoforganization.Inaboutthe

1980s,systemstheoristsrangingfrommathematiciansandphysiciststobiologists,sociologists,

psychologists,andecologistsbegantounderstandcomplexsystemsashavingnetworkedstructures

withemergentdynamicsthatinternallychange,formingflexible,complexnon-linearpatterns

(sometimescalled“self-organizing”dynamics).Thecapacityofcomputerswasbecomingsufficientto

modeltheseemergentpatternsinareasonableamountoftime.

Withtheexpandedcapacityofcomputersandsocialnetworks,evaluatorscanmorepowerfully

contributetounderstandinghowtoinfluencesocialconditionsforthepublicgoodbygroundingtheir

evaluationpracticeinthefundamentalsofcomplexsystems.Influencingsocialconditionsthrough

influencingcomplexsocialsystemsisattheheartofcreatingaCultureofHealth.

Introd

uctio

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ThePaper’sPurposeThisconceptpaperprovidesawaytothinkaboutcomplexsystems.Thepaper

countersevaluation’sbiastowardassumingthatanevaluationisoccurring

withinhierarchicalstructureswiththeircontrolledandstablepatternsof

movement(“dynamics”).Thisdominantapproachpaysinsufficientattention

totheemergentdynamicsofnetworkedstructuresthatcharacterizemany

systemsthatalsocontributetoacultureofhealth.

Theevaluationfield’stendencytofocuslargelyonhierarchicalstructuresis

evidenced,forexample,inprogramlogicmodelsthatfocusondesired

measurableoutcomesandtheprogram’sefficiencywithintheconfinesofa

hierarchicallystructuredsystem.Suchevaluationstypicallypaylimited

attentiontootherresultsoftheinterventionthatarenotwithinthecontrolof

theprogram.

Acomplex-systemsorientationshiftsevaluators’attentiontomultiplepatterns

overtimebasedontheintertwinednatureofhierarchicalandnetworked

structureswithincomplexsystems.Webeginbylookingatcomplexsystems

andthenreturntoacultureofhealthandsuggestsomeimplicationsfor

evaluatorsandevaluationusers.

Thespecificsofhowtoapplysuchanorientationtoevaluationareinneedof

conversationanddevelopment.Thispaperisintendedtostimulate

conversationsratherthanprovidefinalanswers.

Purpose:v Toencourageevaluativeinquiryofcomplexsystems

v Togroundevaluativeinquiryofcomplexsystemsin:~ understandinghowhierarchicalandnetworkedstructurescreatecomplexsystems~ recognizingevaluation’simplicitbiastowardhierarchicalsystems

Introd

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KeyPointsofthePaper

Acultureofhealthisacomplexsystem

Evaluationtosupportthecreationofacultureofhealthneedstobecongruentwiththe

fundamentalnatureofcomplexsystems

Dominantevaluationapproacheshaveanimplicitbiascountertoacomplexsystemsorientation

TheRobertWoodsJohnson

Foundation’sCultureofHealth

involvesfourresearch-basedaction

areas.Theyinteracttocreate

improvedpopulationhealth,well-

being,andequity.

Thefouractionareasare:

• makinghealthasharedvalue

• fosteringcross-sector

collaborationtoimprovewell-

being;

• creatinghealthier,moreequitable

communities;and

• strengtheningintegrationof

healthservices,andsystems.

Asevaluators,wecanassist

evaluationusersinseeing,

understanding,andinfluencingthe

developmentofacultureofhealth

byusingorientationsand

consequentmethodologiesthatare

congruentwiththenatureofthe

entangledstructuresanddynamics

ofcomplexsystems.

Thispaperilluminateswhyand

howtoleveragetwofundamentally

differentsystemstructures—

hierarchicalandnetworked—when

usingacomplex-systems

orientationinevaluation.

Today’sdominantevaluation

methodologicalorientationhas

animplicitbiastowardsystems

withhierarchicalstructures.This

dominantorientationfailsto

recognizetheimportantand

fundamentaldifferencesbetween

thehierarchicalandnetworked

structuresthatintertwinetoform

complexsystems.

Introd

uctio

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WhatWeMeanby:v Evaluation&EvaluativeThinking

v Systematic&SystematicInquiryv Knowledge&Knowledge

Managementv Systems

v ComplexSystems

v SystemsChangev SystemConditionsv ImplicitBias

01andWhyitMatters|5

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WhatWeMeanandWhyItMattersWhatWeMeanby:v Evaluation&EvaluativeThinkingv Systemic&SystematicInquiryv Knowledge&Knowledge

Managementv Systemsv ComplexSystemsv SystemsChangev SystemConditionsv ImplicitBias

Oursocietyisdeeplyrootedinthinkingintermsof“stable

systems,”bywhichmostpeoplemeanhierarchicalstructures

withcontrolleddynamics.Tothinkaboutcomplexsystems,we

needtoaddnewtermsandconceptsandredefinesome

existingterms.

Thissectionexplainshowtothinkdifferentlyaboutconcepts

thatseemfamiliarbuthaveadifferentmeaninginthecontext

ofcomplexsystems.Itisespeciallyimportanttograspthe

differencesbetweenstructuresthattendtohavecontrolled,

stablepatternsofdynamics(hierarchicalstructures)andthose

thattendtohaveflexible,emergentdynamics(networked

structures). ??…[E]veryinstanceoflanguageusemakesitsownsmallcontributiontoreproducingand/ortransformingsocietyandculture,includingpowerrelations.(Fairclough&Wodak,1998).

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??Evaluation&EvaluativeThinking

Evaluation issystematic

inquiry to determinemerit

(quality),worth (value),and

significance (importance)

aboutsomeentityorpurpose.

AccordingtotheEncyclopediaofEvaluation:

Evaluation isanappliedinquiryprocessforcollectingandsynthesizing

evidencethatculminatesinconclusionsaboutthestateofaffairs,value,

merit,worth,significance,orqualityofaprogram,product,person,policy,

proposal,orplan.

Conclusionsmadeinevaluationsencompassbothanempiricalaspect(that

somethingisthecase)andanormativeaspect(judgementaboutthevalue

ofsomething).Itisthevaluefeaturethatdistinguishesevaluationfrom

othertypesofinquiry,suchasbasicscienceresearch,clinicalepidemiology,

investigativejournalism,orpublicpolling.” (Mathison,2005)

Ofparticularimportanceisthelaststatementthatemphasizesthat“itisthe

valuefeaturethatdistinguishesevaluationfromothertypesofinquiry.”

Thefield ofevaluationas practicedintheU.S.andmostothercountriesis

groundedinanassumptionthathumanshaveequalrights.Alsoevaluationis

donewithinrealworldsettings,notlaboratorysettingsdisconnectedfrom

thecontextinwhichtheentityistofunction.

Thusthedefinitionofevaluationdoesnotendwithsystematicinquiry,but

usesthisinquirytodeterminemerit,worth,and/orsignificance.

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EvaluativeThinkingExample

Evaluativethinkinginvolves

balancingmerit,worth,and

significance.

Forexample,assumeyouarelookingforanewcar.

Youfindanelectriccarthatisofveryhighquality(merit).Itisofhighvalue

(worth)toyoubecauseitalignswellwithyourcommitmentto

environmentalresponsibility.However,ifyourdaughtersuddenlybecomes

seriouslyillandyouneedtospendyourmoneyonhealthcareforher,the

cardropsinitsimportance(significance)becauseyourdaughterismore

importanttoyouthanacar.

Traditionally,evaluatorshavemadeevaluativedeterminationsbasedon

theirsystematicinquiryandpredeterminedcriteria.Asthecomplexityof

societyhasbecomemoreevident,evaluatorshavebeguntoengageafull

rangeofstakeholderswithmultipleperspectivesindeterminingmerit,

worth,andsignificance.Additionally,theyarelearningtohelppeople

balancemerit,worth,andsignificanceincomplexsystems.

??

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Systemic&SystematicInquiry

• Engageinsystematicand

systematic inquiry.

• Considercontent,context,conditions, andconnectivity.

• Useinterdisciplinary knowledge.

Therearemanydifferentmethodologiesforengaginginsystematic

inquiryinwaysthatarebothethicalandofhighquality.Wearenot

addressingtherangeofmethodologiesinthispaper;ratherthe

focusisondoinganinquiryfromasystemicperspective.

Threekeypointsforaninquiryare:

• Theevaluatorengagesinsystemic aswellassystematicinquiry.

• Inthinkingsystemicallyandsystematically,theevaluatorlooks

broadlyanddeeplyintothecontent,context,conditions,and

connectivityofthesystemsinvolved.

• Thetheoryofchangeguidingasystems-orientedevaluation

typicallyneedstorelyonastronginterdisciplinarybodyof

knowledge.

??

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Knowledge&KnowledgeManagement

Knowledgemanagement (KM)isthe

processofcreating,sharing,using

andmanagingtheknowledgeand

informationofanorganization.(Girard&Girard,2015)

Complexsystemsinvolvemulti-disciplinaryknowledge.Accessing

andsynthesizingabroadrangeofknowledgetoassistevaluation

usersindevelopinganappropriatetheoryofchangebecomesan

increasinglyimportantroleforevaluatorswhenworkingwith

complexsystems.Evaluatorsandevaluationuserstypicallyare

familiarwithamorelimitedrangeofdisciplinaryknowledgethan

whatisrelevantwhenworkingincomplexsystems.

Thispaperdoesnotaddressknowledgemanagementbutitisa

criticallyimportantaspectofengaginginsystems-oriented

evaluation.Fortunately,moretechnologically-supportedmeansfor

knowledgesynthesisandmanagementareemergingbutmuchmore

developmentisneededforefficientmanagementoftheknowledge

relevanttoseeing,understanding,andinfluencingcomplexsystems.

??

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SystemsAsystemisacollectionofentitiesthatare“seen”bysomeoneasinteractingtogethertodosomething.(OpenUniversity,2011)

Severalaspectsofthisdefinitionareimportant:

• Itisacollectionofentities;multipleelementsareinvolved.

• Differentpeoplemaybeseeingadifferentcollectionofentitiesinteractingtogether,thus,seeingadifferentsystem.

• Thequotationmarksaround“seen”remindusthatthesesystemsmaybeseeninourmind’seyeratherthannecessarilybeingseenphysically.Systemsaremostoftenconceptualmodelsratherthanphysicalentities.

• Theentitiesareinteracting.Therearebothconnectionsanddynamicsinthoseinteractions.Noticemovement andenergy.

• Theinteractingentitiesaredoingsomething.Theycreatearesultthatisdifferentthantheresultsofthesumoftheparts.

• Inevaluation,desiredoutcomesaretypicallythoughtofastheresultthatasystemproduces.However,thisistoonarrowofadefinitionofwhatasystemdoes.Asystemislikelytodomorethanproducetheoutcomessomeoneishopingtosee.Forexample,theresultcanbechangesinpatternswithinthesystems,notonlyspecificproducts.

??

System: Asystemisa

collectionofentitiesthatare

“seen”bysomeoneas

interacting togethertodo

something. (OpenUniversity,UK)

Systemsthinking:Thinkingin

termsofsystemsratherthan

theparts;thinkingabout

movement,dynamics,and

patterns acrosstimeand

locations;thinkinginsystems

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SystemsThinking

System: Asystemisacollection

ofentitiesthatare“seen”by

someoneasinteracting

togethertodosomething.(OpenUniversity,UK)

Systemsthinking:Thinkingin

termsofsystemsratherthan

theparts;thinkingabout

structures,dynamics,and

patterns acrosstimeand

locations;thinkinginsystems

Regardinghumanandotherlivingsystems,systemsthinkinginvolvesthinkingaboutstructures,dynamics,andpatternsacrosstimeandlocations.Sometimesitisreferredtoas“thinkinginsystems”.

Lookatthepicturesonthispage.Whatsystemsdoyou“see”?(Thepicturesmayshowonlyapartofasystem.)Forexample,thepictureoffoodinamarketmayleadyoutothinkofasystemof:

• transportationfromfarmtomarket

• theflowofmoneyrelatedtoagriculture

• theinteractionofpeopleatalocalfarmers’market

Whatsystemsdoyouseeinthispictureandtheotherpicturesbelow?

??

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ComplexSystems

Complexsystems:Complexsystems

aremassivelyentangledsystems that

includebothhierarchicaland

networkedstructures.

Complexsocialsystemsarecomposedofmassivelyentangledstructures.Forexample,theyinvolveinterconnected families; hierarchical,bureaucraticorganizations; andnetworksofsmallformalandinformalgroups. Notonlyaretheyentangled,theyarealsoinmotionwithcomplexpatterns.

Fromatheoreticalperspective,complexsystemscanbethoughtofasanentangledmixofhierarchicalandnetworkedstructures(seefollowingpages).Hierarchicalandnetworkedstructuresareassociatedwithdifferencesintheirdynamics,i.e.,theirpatternsofmovementovertime;theirpredictability;andtheirknowability.

Complexsystemshavebeenstudiedextensivelyindifferentdisciplineswithanaccumulationofknowledgeaboutthedifferencesinhowtheyfunction.TheReferencelistincludesafewsourcesthatwehavefoundhelpfulwhenapplyingsystemsconceptstoevaluation.

Understandingacomplexsystembearssimilaritiestocomprehendingthisopticalillusion,whichcontainsimagesofbothayoungwomanandanoldwoman.Bothimagesarewithinthepicturebutifoneisoverlydominantinourview,wecan’tseetheother.

Wewanttogettothepointwherewecanmoveourfocusbackandforthbetweenhierarchicalandnetworkedstructurestoseethecomplexsystemasawhole.

??

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C

ThinkinginComplexSystems

Lookagainatthepicturesyoulookedatonanearlierpage.Thinkabouttheentanglementsofmultiplesystemsthat

youcanseeinthepictures.

??

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HierarchicalStructuresAmajoradvancewiththeIndustrialRevolutionwasthedevelopmentoffactoriesandassemblylines.Thesewereoftenaccompaniedbyhierarchicalorganizationalstructurestomanagepeople.Theunderlyingassumptionisthatplanningisusefulbecausethereisapredictablerelationshipbetweenactivitiesandresults.Suchstructuresaredesignedtogiveconsiderablecontroltoanorganizationalleaderormanager.Thesestructuresarefurthercontrolledbyrulesandpolicies;theytendtohavepartsthatcanbereplaced.

Whenaskedtoidentifyasystem, wehavefoundthatpeopleusuallynamesometypeofhierarchicalstructure(e.g.,theeducation“system”).Hierarchicalstructuresarepervasiveingovernment,business,andthenonprofitorganizationworlds.Theyhavemanysubsystemswithinthemthataresimilarlystructured(e.g.,themanagementsystem, theaccountingsystem).

Whenconditionsarestableandpredictableandthefunctionofthestructureistoproducewell-definedproductsoroutcomes,thistypeofstructurecanworkwell.Forexample,wewantcontrolandstabilityin anorganization’s payrolldepartmenttoassuretimelyandaccuratepaychecks.

Theassumptionsofstabilityandpredictabilityserveasthebasisforthinkingthatoneprogramcanbereplacedbyanotherwithinasocialsystemandthat,ifeachpartisworkingwell,theoverallsystemwillalsobeworkingwell.

Hierarchicalstructurestendtocreate controlleddynamicswithstable,predictablepatterns.Theyhaveconstraintswithinoraroundthemthatcreatetheirpredictability.

??

Manytoolsandmethodsexistforunderstandingandinfluencinghierarchicalstructures.Thesetoolsandmethods,basedonlinearmodelsofcauseandeffect,includestrategicplanning,settingspecificoutcomes,andusingresearchdesignssuchasrandomizedcontrolledtrials(RCT).

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HierarchicalStructureswithinComplexSystems

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v FundamentalStructure:hierarchical,mechanistic

v Dynamic:controlled,stable,predictable,“regular,”causeandeffect

v Patterns:linear,repetitive,interchangeableparts

v Examples:bureaucracies,assemblylines

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Thecomplexityscienceshavetheirbeginningscenturiesago,buttheideasstartedtoreceiveseriousattentioninthescientificcommunityinaboutthe1980s(Capra,2014).Theunderstandingandapplicationsoftheconceptsofnetworkedstructureswithemergent(or“self-organizing”)dynamicsarestillintheirearlystagesofdevelopment.Theconceptoriginatedinthephysical,biological,andecologicalsciences;ithasmathematicalunderpinnings.

Inanetworkedstructure,weseetheemergenceofnew,unexpectedprocessesandpatternsofmovement.Thesehigher-levelemergentdynamicsunexpectedlyresultfromtheactionsofamultiplicityofsmalloccurrenceswithinthesystem.Thesmalloccurrenceswerenotplannedtocreatetheneworder.Theemergenceofthenewisnotcontrolledbyasingleentity,butresultsfromsemi-independentinteractionsofmanyagents.Theyareadaptingtoeachotherandtheenvironmentasawhole.Theseinteractionscanformpatternsovertimeandlocations.Thosepatternsmaynotbevisibletotheagentsthemselvesandthetimingofthepatternsisoftenunpredictable.

Networkedstructuresmaybedisturbedbyexternalinfluencesbuttheytendtobewithoutexternalcontrol.NetworkedstructuressuchasthehumannetworksontheInternetdisplayemergentdynamics:theyareflexibleandadaptive;noleaderisincontrol.

Networkstructuresfunctionfarfromequilibrium.Theycancreateemergentdynamics withnew,unexpected,self-organizingpatterns,properties,and/orprocesses.

??NetworkedStructures

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Networkedstructures also:

• aresensitivetoinitialconditions.Incomplexsystems,verysmalldifferencesininitialconditionscanhaveadisproportionatelylargeimpactonfutureevents.

• areinfluencedbyiterativefeedback.Theagentsare“learning”fromoneanotherandthecontextastheygetsignalsfromotheragentsandmodifytheirbehavior.

• co-evolve.Co-evolutionreferstotheinterdependentevolutionoftwoormorestructureswithinalargerecologicalsystem.Cooperation,competition,andinterdependenceinrelationtothesamelimitedresourcescreatefeedbackamongtheentitiesthroughthestructuresinacomplexsystem.

• haveactiveboundaries.Asystem’sboundariesarecreatedbythestructureitself.Dynamicstructuressuchasanetwork’shaveactiveboundariesastheyinteractwiththeirenvironments.

• mayoperatefarfromequilibrium.Theycanhaveawiderangeofemergentdynamicswithpatternsofmovementthatmaybeverycomplex.

• canshiftintonewstructures.Theshiftintoaneworganizationalstructurecanarisefromfluctuationsamplifiedbycertaintypesoffeedbackloops.

Networkedstructurescancreateemergentdynamicswithnew,unexpected,self-organizingpatterns,properties,and/orprocesses.

??CharacteristicsofNetworkedStructures

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v Fundamentalstructure:networksofnodesandconnections

v Dynamic:flexible,creative,emergent

v Pattern:co-evolving,semi-independentagentsinfluencingnearbyagents

v Examples:networks,socialmovements,movementsofmovements,swarmingofbirds,schoolsoffish

NetworkedStructureswithinComplexSystems

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Seldomwouldanidentifiedsystemhavethepurefeaturesofahierarchicalornetworkedstructureasdescribedabove.Rathersocialsystemsareamixofstructuresalthoughtheymaytendinonedirectionortheotherintheiroverallcharacter.Hierarchicalandnetworkedstructuresarelensesthroughwhichweviewcomplexsystems.Eachlensrevealsdifferentaspectsofthecomplexityandgivesusinsightintoitsfunctioning.

Complexlivingsystemsgenerallyhavesomeaspectsthatcanbemodeledwellbythinkingofthemashierarchicaland/ornetworkedstructures.

Organizationalpartnershipsandcommunitiesaregoodillustrationsofcomplexsystemswherehierarchicalandnetworkedstructuresbothcanbeidentifiedfairlyreadily.

ComplexSystems:EntangledHierarchicalandNetworkedStructures

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SystemsChangeWe oftenhearpeopletalkaboutwantingtobringaboutchangeinsystemsthroughtheirinterventions.Whenengaginginevaluationrelatedtochangingsystems,weneedtobeveryawarethatthesystemsnaturallyarealreadyinmotionandchanging.Weneedtobeawarethattheinterventionisnotenteringastaticsystem.Interventionsarelikelytochangethepattern ofchangeratherthansimplycreatechange.

Humansystemsarecontinuallychanginginandofthemselvesandthroughtheirconnectionswithothersystems.Theyarelivingsystemsthatarecontinuallychangingwhetherornotthereisanintervention.Thisisespeciallytrueofsystemswithnetworkedstructures.

Interventionssuchasprograms,policies,people,andinitiativesarechangingthepatternsofchange thatarealreadypresentinthesystems.

Itisalsoimportanttorecognizethataninterventionmaybeaffectingmoresystemsthanthosefocusedonbytheintervenor.Thecomplexityoftheinterconnectedsystems,theunpredictabilityofpatternsofchangeinthesesystems,andthesustainabilityofchangesallneedtobetakenintoaccountwhenevaluatinganinterventionincomplexlivingsystems.

Complexlivingsystemsarecontinuallychangingbasedontheirinternaldynamicsaswellasoutsideinfluences.

The influenceofaninterventiondependsontheexistingstructuresanddynamicsofthesystemsbeingaffected.

Programs,policies,peopleandotherinterventionsinfluencethepatternsofchangethatarealreadypresentinthesystems.

??

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SystemConditionsSystemstheoristshaveidentifiedcommonfeaturesorconditionsofsystems.DrawingontheworkofWilliamsandHummelbrunner(2009)andEoyang(1997),weuseInterconnections,Boundaries,andPerspectivesasabasicwaytoframetheconditionsthatdeterminethenatureofhumansystemsandtheirspecialrelevancetoevaluation.Asweconductacomplex-systemsevaluation,weneedtopayspecialattentionto:

• Understandinginterconnections(interrelationships)

• Maintaininganawarenessofboundaries

• Recognizingmultipleperspectives

Interconnections,boundaries,andperspectivesarenotisolatedfromoneanother.Asyouchangeone,youaffectanother.Thinkofthethreeconditionsastheanglesofatriangle.Asyouchangeoneangleyouaffecttheothertwo.

Theseconditionsarerelevantatanyphaseofevaluation.Theycanalsobeusedtounderstandcomplexsystemswiththeirentangledcombinationsofhierarchicalandnetworkedstructures.

Understandingtheinterplayamongtheseconditionsispartofthechallengeofthinkinginsystems.Weneedtoapproachitwiththe“forestandthetrees”mindset.Wehavetobeabletoshiftinandoutoffocusbetweenseeingtheforestandseeingtheindividualtrees.

Thesesystemconditionscanbeusedtohelpyouidentifythestructuresandtheirdynamicsinthesystemsthatyouaregoingtobeevaluatingandchooseevaluationdesignsthatarecongruentwiththesestructures.

Humansystemshavethreegeneralcommonsystemconditions:

Interconnections

Boundaries

Perspectives

I

B P

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ImplicitBiasAnimplicitbiasisdifferentfromasuppressedthought thatsomeonemightconceal.Implicitbiasesare“biasesthatareactivatedinvoluntarilyandbeyondourawarenessorintentionalcontrol”(Staats,Capatosto,&Contractor,2015,p.5).Implicitbiasesoftenshowupinourlanguage.

“Unwantedimplicitbiasescanbemitigated….Bytakingthetimetounderstandyourpersonalbiases,youcanbegintomitigatetheireffects....Implicitbiaseshavehugeimplications;thusitisimportanttoidentifyyourownbiasesandthenactivelyengageindebiasingtechniquestoaddressthem.” (Staats,Capatosto,&Contractor,2015,p.5).

Thereisgrowingattentiontostructuralracismastheresultofimplicitbiases.Structuralracismreferstothenormalizationandlegitimizationofinstitutionalpoliciesandpracticesthatroutinelyadvantagewhiteswhileproducingcumulativeandchronicadverseoutcomesforpeopleofcolor.Structuralracismbecomesasystemofitsownduetotheseinterconnectedorganizedsystems.

Theterm“implicitbias”canalsobeappliedtowhatishappeninginevaluationeventhoughtheimpactisverydifferentthanthatresultingfromstructuralracism.

Whenitcomestoevaluation,acriticallyimportantimplicitbiasistowardamodelofsystemswithhierarchicalstructuresandcontrolleddynamics.Thispervasivebiashasmanyimplicationsforevaluation.

“Implicitbiasisconcernedwithunconsciouscognitionthatinfluencesunder-standing,actions,anddecisions”. Thisisdifferentfromindividualsconsciouslysuppressingornotsharingtheirbeliefsbecauseothersmayviewtheirbeliefsassociallyundesirable.

??

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Evaluation’sImplicitBias

Evaluation’simplicitbiastowardsahierarchicalormechanisticorientationisalignedwiththewayofthinkingthathasdominatedoursocietysincetheIndustrialRevolutionwhensystemswerethoughtofasstable.Considerthefactorywhereanassemblylineofworkersfitspartstogethertocreateafinalproduct.Themechanisticmodelisalsoreinforcedbybusiness,whichseeksahigh-qualityoutcomethroughefficiencyandeffectiveness.Thehigh-qualityproduct/outcomesbecomestheaimofthework.

There’sawholeschoolofdesignthatcomesoutofthisbusinessmodel.Inthiskindofdesign,peoplegooutintothecommunitytofindoutthepeople’sneeds.Theyaregoodatinvestigatingpeople’slivesinfriendly,non-obtrusiveways.Theygettoknowaculturewiththepurposeofcomingupwithideasaboutproblemsthatcouldbesolvedwithaproductthattheycandevelop.Theydonotidentifyissuesthatcanbesolvedbypeoplesimplyworkingorlivingtogetherdifferentlywithoutmoreproducts.Instead,it’saboutfindingsomethingthatcouldbethebasisofaproductthebusinesscanselltothepeople.Thatmodelofdesignismovingintoevaluationwithoutrecognizingthatthedesignhasanimplicitbiastowardtheproductionofsomething.

Eventhoughevaluationhasapproachessuchasdevelopmentalevaluationandparticipatoryevaluation,evaluators’implicitbiastowardlinearityleadstoviewingnetworkedstructureswithincomplexsystemsasanadd-ontothehierarchicalstructureratherthanasasystemstructureinitsownright.

Evaluationtendstohaveanimplicitbias,unrecognizedbyevaluatorsandevaluationusers,towardassumingsystemschangeinalinearfashion.

Takingacomplexsystemsorientationwillbeoflittleconsequenceunlessweconfrontthepowerandsignificanceoftheimplicitbiaswehavetowardalinearsystemsmodel.

??

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WhyitMattersInsummary,becauseofthetendencyinthefieldofevaluationtofocus

onhierarchicalstructureswithcontrolleddynamicsand/ortobe

unawareofcomplexitysciences,thissectionhasprovidedasetof

vocabularyandconceptsthatareimportantforevaluatorsto

understand.Withoutsuchunderstanding,evaluatorstendtouse

methodologiesthataregroundedinmechanistic(linearmathematical)

modelsthatarecongruentwithhierarchicalstructuresratherthan

developingmodelswherehierarchicalstructuresareentwinedwith

dynamicnetworkstructures.

??

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AComplex-SystemsOrientationtoEvaluation

v AComplex-SystemsOrientationtoEvaluation

v EvaluationGroundedinHierarchically-StructuredSystems

v EvaluationGroundedinNetwork-StructuredSystems

v ContrastofEvaluativeFocusinHierarchicalandNetworkedStructures 02

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AComplex-SystemsOrientationtoEvaluationAsystemisacollectionofentitiesthatare‘seen’bysomeoneasinteractingtogethertodosomething.Complexsystemsaremassivelyentangledsystems thatincludebothhierarchicalandnetworkedstructures.

Thissectionofthepapershiftsthefocustotakingacomplex-

systemsorientationtoevaluation.Thatis,asevaluators,weaccept

thatweareworkingwithawebofentangledstructureswithmany

gradationsofdynamicsthatrangefromcontrolledandstableto

emergentandflexible.Withinthisdynamicweb,weworkwith

evaluationuserstoidentifythesystemswithinthiswebthatwe

aregoingtoinvestigatethroughtheevaluation.

Recallourearlierdefinitionofasystem:“Asystemisacollectionof

entitiesthatare‘seen’bysomeoneasinteractingtogethertodo

something.”Thus,ourinitialstepinconductingacomplex-systems

orientedevaluationistointeractivelydevelopapicture(literallyor

figuratively)ofthemultiplicityofhierarchicalandnetworked

structuresasseenbyanarrayofstakeholdersrelevanttothe

work.Fromthere,wehighlightandputourfocusonthose

deemedtobethemostimportantstartingpointforthe

evaluation.Wewillnotbediscussingthedetailsofhowtoengage

insuchdeterminationsinthispaper.

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Complex-SystemsOrientedEvaluationDesign

Theevaluatorlooksforthepresenceofthetwobasicsystemstructures—hierarchies(controlled

dynamics)andnetworks(emergentdynamics)—inthesystemsemphasizedintheevaluation.The

evaluatorconsiderstheimplicationsofthestructures andtheirdynamicsfortheevaluation.

(Althoughtherearemanyotheraspectsofcomplexsystemsthatwecouldaddress,thisisourfocus

inthispaper.)

Wealigntheevaluationdesignwiththefundamentalstructures.Asnotedintheabovediscussion,

anygivenevaluationislikelytohaveamixofmethodsandorientation.However,atthispointwe

wanttoclarifythesystemstructuresinwhichtheevaluationisfundamentally“grounded.”

• Istheevaluationgroundedprimarilyinaffectingthehierarchicalstructureswithinwhichthe

interventionislocated?

AND/OR

• Istheevaluationgroundedininfluencingthedynamicnetworksofnodesandconnections?

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EvaluationGroundedinHierarchicalStructures

Whenthefundamentalstructureisahierarchicalone,theevaluationemphasisismostlikelygoingtobeonfeaturesofhierarchicalstructuressuchasprograms,policies,andpracticeswithintherelevantsystems.Althoughadaptationofaninterventionmaybeamajorareaofconcernandthesystematicinquiryprocessitselfmayconsumethemajoramountoftime,theevaluative aspectislikelytoemphasize:

v Measuringoutcomesv Linkingoutcomesandactivitiesv Applyingpredeterminedevaluationcriteriav Buildingevaluationcapacityaroundtechnicalaspectsofdeterminingoutcomesandevaluation

criteria

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EvaluationGroundedinNetworkedStructures

Whenthefundamentalstructureisanetwork,theevaluationfocusesonthefundamentalfeaturesofnetworks—nodesandconnections.Thesenodesandconnectionsmaywellincludehierarchicalfeaturesbuttheemphasisisonthenetworkedaspects.Thustheevaluative aspectislikelytoemphasize:

v Mappingpatternsofmovementandchangerelatedtovaluesv Facilitatingconversationsaboutmerit,worth,andsignificancev Buildingthecapacityofnetworkstosustaincontextuallyappropriateattentiontomerit,worth,and

significanceamongmultiplestakeholders

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Neighborhood

Faith-BasedOrganization

SocialMovement

GovernmentalAgency

NationalCommunityLeadershipNetwork

ExampleofEvaluationGroundedinNetworked-StructuresAssumethattheinterventionofinterestisanationalnetworktosupportacultureofhealth.Iftheevaluationistobegroundedinnetworkedstructures,theevaluationmayfocusonfollowingvariousmembersofthenationalnetworkastheyworkthroughnetworksintheircommunitylocation.Thediagrambelowillustratesthenetworksofonememberofanationalnetwork.Thenetworkontheleftisaportionofthelocalcommunity;onememberofthenetworkisbeingfollowedintohercommunity.Therestofthediagramshowsthatpersoninherlocalnetworks.

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Whentheevaluatorofthenationalnetworkconductsanevaluativefacilitationandinquiryinthisnetworkmember’scommunity,shemightfocusherevaluationonequity,leadership,andpowerdifferentialsinthevariousstructuresinthecommunityasillustratedbelow.

Neighborhood

Faith-BasedOrganization

SocialMovement

GovernmentalAgency

NationalCommunityLeadershipNetwork

Inquiryfocusesonunderstandingdifferencesinthe

powerofhierarchicaland

networkedstructures.

ExampleofEvaluationGroundedinNetworked-Structures

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v Mappatternsofmovementandchangerelatedtovalues

v Facilitateconversationsaboutmerit,worth,andsignificance

v Buildcapacityofnetworkstosustaincontextuallyappropriateattentiontomerit,worth,andsignificance

HierarchicalStructures NetworkedStructures

v Measureoutcomesv Linkoutcomesandactivitiesv Applyevaluationcriteriav Buildevaluationcapacityaboutaspectsofsystematicinquiry

ContrastofEvaluativeFocusinHierarchicalandNetworkedStructures

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AComplex-SystemsOrientationtoEvaluationthatSupportsa

CultureofHealthv Culturev ACultureofHealthv ACultureofHealthActionFrameworkv ExampleofanEvaluationSituationandApproach

§ ExampleEvaluationBackground§ ExampleEvaluationApproach§ ExampleEvaluationQuestions:Interconnections,Boundaries,

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CultureCultureisdefinedinanumberofways.Herearethree:

• Cultureisasharedsetofvalues,customs,andbeliefscommontoaparticulargrouporsocietythatproducespatternsofbehaviorsandexperiences.

• Cultureasmultiplediscourses,occasionallycomingtogetherinlargesystemicconfiguration,butmoreoftencoexistingwithindynamicfieldsofinteractionandconflict.(Dirks,Eley,&Ortner,1994,p.4)

• Incontrastwiththeclassicview,whichpositscultureasaself-containedwholemadeupofcoherentpatterns,culturecanarguablybeconceivedasamoreporousarrayofintersectionswheredistinctprocessescrisscrossfromwithinandbeyonditsborders.(Rosaldo,1993,p.20)

Allsaid,cultureisacomplexsystemwith massivelyentangledentitiesandhierarchicalandnetworkedstructures.Itsboundariesarepermeableanditisdispersedthroughsociety.Someculturalaspectsareimposed byoutsidegroupsorindividuals whileothersarisefromwithinthegroup.

Cultureisoftenthoughtofintermsofracialorethnicgroups.Cultureemergesinmanygroups.Abusiness,neighborhood,community,sportsteam,family,ornetworkdevelopsitscultureovertime.Thesharedvalues,customs,andbeliefsmayormaynotbeexplicitandamemberofthegroupmaybeconsciousorunconsciousoftheculture.

Culture isacomplexsystemwithmassivelyentangledentitiesandhierarchicalandnetworkedstructures.

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ACultureofHealthTheaimistofocusonbuildingacultureofhealthratherthan

focusingonlyonhealthcareservices.

Toaccomplishthis,changesmustbemade

inbeliefsandassumptions,andthe

structuresofsocialsystems.

“Recognizethathealthandwell-beingcanbegreatlyinfluencedbycomplexsocialfactors:wherewelive,howwework,thesoundnessandsafetyofoursurroundings,andthestrengthandresilienceofourfamiliesandcommunities”*

“ComprehensiveCultureofHealth…enablesallinourdiversesocietytoleadhealthierlives,nowandforgenerationstocome”*

“Creatingasocietythatgivesallindividualsanequalopportunitytolivethehealthiestlivespossible,whatevertheirethnic,geographic,racial,socioeconomic,orphysicalcircumstanceshappentobe”*

RWJFisfocusedonbuildingacultureofhealththatemphasizesequityandanunderstandingthathealthisdeterminedbymanysocialconditions.BylabelingtheirworkasCulture ofHealth,RWJFrecognizestheimportanceofhealthbeingbasedonsharedvalues,customs,andbeliefsandhowtheseneedtochangewithinvariousgroupstohavepopulationhealth,well-being,andequity.RWJF’sapproachcontraststoonethatfocusesonlyonhealth-careservices.Thehealth-care-serviceapproachassumesthatindividualsarelargelyresponsible fortheirownhealth;itignorestheinequitiesandtheconfusingprocessesandmultipleorientationswithinhealthcareandothersocialdeterminantsofhealth.RWJF’sapproachfocusesonpeoplechangingtheirbeliefsandassumptionsandthestructuresoftheirsocialsystems,i.e.,changingtheculturetoaCultureofHealth.

*Copyright2015RobertWoodJohnsonFoundation/FromVisiontoAction:AFrameworkandMeasurestoMobilizeaCultureofHealth.

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ACultureofHealthActionFrameworkBasedonthesegeneralbeliefsandassumptions,theFoundationhasidentifiedfourareasforactiontobringaboutthecultureshift.Thefoundationhasalsostatedanencompassingoutcomethatwouldresultfromthisshift.

Notethattheframeworkisbroad.Itdoesnotgivespecificactionsforpeopletotakebutprovidestheareasonwhichtofocusandincorporatesthebeliefsthatarekeytothenewculture.Itisgivingpeopleatanyplaceinsocietyareasinwhichtofocus.

Buildinganewculturemaybelessaboutactionswedoandmoreaboutadialoguethatflowsthroughandamongus.

Imagecopyright2015RobertWoodJohnsonFoundation/FromVisiontoAction:AFrameworkandMeasurestoMobilizeaCultureofHealth. |37

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ExampleofanEvaluationSituationandApproach Acoalitionthatrecentlyreceivedagranthasrequestedsuggestionsabout

conductingitsevaluationtodetermineifthemanysystemsinvolvedintheirworkareactuallyfunctioninginawaythatchangesthecultureregardinghealth.TheyareusingtheRWJFCultureofHealthActionFrameworkastheirguide.

Theexampleprovidessuggestionsrelatedtothegeneralevaluationapproachandevaluationquestions.

Here’sthegranteesituation:

Overa20-yearperiod,acoalitionhasguidedthelocatingofawiderangeofhealth-careservicesinonehealth-carecomplex.Thecoalition,locatedinalow-incomeregionofasouthwesternstate,includesvariousentitiessuchasnonprofitorganizations,health-careserviceproviders,andresidentsfromtheurbanneighborhoodsandruralareas.Severalyearsago,withcommunityinput,thecoalitiondevelopedastatementofsharedvalues.

Acommunitysurveyrevealedaneedforaccesstomorehealthyfood.So,thecoalitionisnowplanningtoaddagrocerystoreinthehealth-carecomplex.

Thecoalitionmembershaveanunderstandingofcomplexsystemsfromarecentroundofseminars.Theyareparticularlyinterestedinthenodesandconnectionsofthenetworksandwebsoftheircommunityandwhetherthey,asmembersofacoalition,areanimportantnodeinbuildinganeconomically-equitablecommunity.Theyarealsoawarethatcommunityorganizerswhoarenewmembersofthecoalitionthinkthatthecommunitysurveyprovidedaninadequateunderstandingofthecommunityasawhole.Photos(exceptfarmworkers)copyright2015RobertWood

JohnsonFoundation/FromVisiontoAction:AFrameworkandMeasurestoMobilizeaCultureofHealth;photosbyTyroneTurner.Farmworkers’photosretrievedfrompublicdomain. |38

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ExampleEvaluationSituation

Coalitionmembersarepleasedwiththeprogresstheyhavemadeonoverallindicatorsofpopulationwell-beingandhealth,buttheyarenotsureifdeepchangesintheculture(changesinvalues,beliefs,andassumptions)areoccurringthatwillsupportasustainablecultureofhealthasdescribedbytheRWJFCultureofHealthactionframework.

Thecoalitionhasworkedcollaborativelyinthehealthcomplextobuildawidespreadunderstandingofthecentralityofhealthinthegovernmentalagencies,businesses,schools,anduniversities.Health-careserviceprovidersareintegratingtheirtechnologicalsystemstosharedataandmakeiteasierforresidentstoworkwithmultipleproviders.Theynowrecognizethattheseeffortsareallfocusedonhierarchicalstructures.

Theyareuneasyaboutwhethersufficientattentionisbeinggiventobuildinganeconomically-equitablecommunity,astructurethatismoregroundedinnetworks.

Intheirnextphaseofevaluationtheywanttofocusspecificallyonthefunctioningoftheircoalitionasanodewithinthemanyinterconnectednetworksandwebsoftheircommunitythatareespeciallyrelevanttobuildinganeconomically- equitablecommunity.

Photos(exceptfarmworkers)copyright2015RobertWoodJohnsonFoundation/FromVisiontoAction:AFrameworkandMeasurestoMobilizeaCultureofHealth;photosbyTyroneTurner.Farmworkers’photosretrievedfrompublicdomain.

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Workingwithasystems-orientedevaluatorfromanonprofitorganizationthatisamemberofthecoalition,thecoalitionmembersbeganbyidentifyingtheseguidelinesforconductingasystems-orientedandnetwork-focusedevaluation.

• Usebroadlydefinedboundaries fordeterminingwhattypesofnetworksandwebsexistinthecommunitythatmayberelevant.

• Attendtothe interconnections (especiallypowerrelationships) amongthefullrangeofstakeholders(individualsandcollectiveentities)inthesituation.

• Lookforpatternsofinterconnectednodes;lookformanytypesofresources;andlookathowthesevariousresourcesflowthroughthenetworkandareexchangedinthenodesofthenetworks.

• Encouragetransparencyofperspectives (values,beliefs,andassumptions)inallphasesoftheevaluation.

• Emphasizefacilitationthatdeterminesmerit,worth,andsignificancethroughouttheprocessasitrelatestohealthforall.

• Focusonaskingthe“right”questionsforpurposesofsharedreflectionandinquiryratherthannecessarilyansweringthequestionsinafinalsense.

• Emphasizebuildingthecapacityofcoalitionmemberstoengageinevaluative,reflectiveinquirythathelpsthemexpendtheleastefforttobuildtheself-organizingcapacityofthenetworkstosupportaneconomically-equitablecommunity.

• Drawonexpertisefrommultipledisciplinesrelevanttothesituation.

ExampleEvaluationApproach

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Herearesomeofthequestionstheyareconsidering.Theyasksomequestionstounderstandthecurrentandpastinteractionsabouttheeconomicallyequitablenatureoftheircommunityandhowtheestablishmentofagrocerystoreinthehealthcarecomplexmightrelatetothisdesiredcondition.Theyaskotherquestionstounderstandthebeliefs,assumptions,perspectives,andperceptionsaboutthemeaningandnatureofaneconomicallyequitablecommunity.

Interconnections

• Whatpatternsofpowerrelationshipsarepresentandhowaretheyshifting?

• Whatistheebbandflowofchangesbetweentheformalhealthorganizationsandtheresidentsofthecommunity?

• Whatshiftsareoccurringintheflowofinformation?

Boundaries

• Whatboundarieswithinandacrossorganizationsandwiththecommunityanditsneighborhoodgroupsareshifting?

• Whatdifferencesareevidentinthepermeabilityoftheboundarieswithinandacrossorganizationsandwiththecommunityanditsneighborhoods?

• Whatshiftsareoccurringinwhoisinvolvedandinwhatwaysinvarioustypesofdecision-making?

• Howarepatternsofactionandthoughtshiftingregardinghealthacrossgenerations?Whoisincluded?Whoisnot?

Perspectives

• Whatshiftsinvalues,beliefs,andassumptionsareoccurringrelatedtoequityanddemocracy?

• Whatshiftsinvalues,beliefs,andassumptionsareoccurringregardingtheimportanceofhealth?

• Whatshiftsinvalues,beliefs,andassumptionsareoccurringregardingwhatconstituteshealth?

ExampleEvaluationQuestions:Interconnections,Boundaries,andPerspectives

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CalltoAction

v ImplicationsforEvaluationandEvaluators

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04.CalltoActio

n

ImplicationsforEvaluationandEvaluatorsThispapercallsonevaluatorsandevaluationuserstoattendtotwofundamentalstructuresofcomplex

socialsystems—hierarchiesandnetworks.Asastarter,considerthefollowing:

• Engageinevaluationwithattentiontobothhierarchicalstructureswithcontrolleddynamicsand

networkedstructureswithemergentdynamics.

• Recognizethatevaluationcapacitybuildingislikelytolookdifferentwhenworkingwithhierarchical

structuresversusnetworkedstructures.

• Payspecialattentiontoevaluativefacilitationaswellasinquiryprocesses.

• Recognizethatoutcomesinahierarchicalstructurearelikelytobedefinableproducts,knowledge,or

services,whereasoutcomesinanetworkedstructurearelikelytobechangesinpatternsofactionand

thinkingacrosstimeandlocations.

• Recognizethedifferenceinrolesofthetwotypesofstructuresinsustaining,restoring,andregenerating

society.

• Engageinconversationswithcolleaguesabouttheapplicationofthesesystemsconceptsandsharewith

uswhatyouarelearning.

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Resources

v Referencesv Acknowledgements

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Page 49: A Complex-Systems Orientation to Evaluation that Supports ...insites.org/wp-content/uploads/58c3050dc99d1-InS.17.ws.resource... · Evaluative Thinking Example Evaluative thinking

AcknowledgementsBeverlyParsons,PatriciaJessup,andMarahMoorewrotethispaperwithsupport

fromtheRobertWoodJohnsonFoundation.Theviewsexpressedheredonot

necessarilyreflecttheviewsoftheFoundation.

WewishtoexpressourthankstoLauraLevitonoftheRobertWoodJohnson

Foundationforherinsights,review,andfeedbackthroughoutthecompletionof

thegrant.

OurappreciationisalsoexpressedtoourcolleaguesintheAmericanEvaluation

Association’sSystemsinEvaluationTopicalInterestGroupforthemany

conversationsthathaveinformedthethinkingreflectedinthispaper.

WearealsodeeplygratefultoRosemaryReinhartforhereditingandKathy

Wyckoffforherformattinganddesignofthepaper.

Resources

|46October2016