Apprendix: Adaptive Action: Fit for Function (Large and small groups, one-to-one, community, hospital, ambulatory care, classroom, laboratory) www.adaptiveaction.org Adaptive Action (Eoyang and Holladay 2013) is process that helps us to set the conditions to perceive, understand and take wise action in our work and day-to-day lives. It has been around for a long time and share similarities and differences with other learning processes like strategic planning, Kolb’s Learning Cycle, permanent education, etc. Adaptive Action is different in that it informs us of a way to take action at multiple levels, dimensions and complexity that is fit for function. This includes situations that require are known and involve replication (best practice(s)) and in situations that are uncertain (complex adaptive systems). Adaptive Action is inquiry process that is an iterative and recursive. It is particularly useful for intractable problems and situations in which there is a high level of uncertainty and in which other approaches are not useful. Three questions form the framework of Adaptive Action; What? So What? Now What? and they can be applied to teaching, assessing and planning in multiple settings and at all levels. Adaptive action is about patterns that form and inform the meaning we make and the action we take in and with our varying contexts. Patterns are everywhere and they appear over time and space. They are how we identify and name categories, make diagnoses and meaning. They give form and identity to cultures. “They may be simple and predictable, as when a recipe becomes a cake. They may be complex and predictable, as when a blueprint is transformed into a skyscraper. They may be simple and unpredictable, as when a group of children play with a ball. They may be complex and unpredictable, as when those same children learn to read and write…Human systems dynamics is concerned with all of these patterns…We define patterns as similarities, differences, and connections that have meaning across space and time.” (Eoyang and Holladay, 2013. p. 42-43). © Stewart Mennin, 2015 ESME 2015 1 Patterns are the essence of recognizing and dealing with the social determinants of health and disease. They form the sciences, the arts, humanities. The health professions are different because of how they work with and understand patterns. Recognizing and naming patterns is necessary to identify outcomes, competency, objectives, goals and abilities. Five questions in the above help us to notice and name patterns. Patterns and adaptive action are fundamental to the teaching, assessing and planning we are studying. How we set the conditions for our interactions, how we recognize and deal with differences and the way we communicate and exchange form a pattern of learning and agency called generative engagement.
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