We’re at Makakatana Bay Lodge in the iSimangaliso Wetland Park near Lake St Lucia in Kwa Zulu Natal province for one more night. Today we took a pontoon boat tour on the estuary of Lake St Lucia and saw many dozens of hippos resting in the water. As we motored gently by, they would lift their heads to look at us, snort a lot to say: dont come too close; and then submerge themselves again. We have many exciting pictures of the hippos as well as great shots of fish eagles sitting regally in the trees or taking flight to get away from the boat. Our captain was a very respectful and knowledgeable guide who kept away from anything that would be unduly frightened. Our lodge is very wild, elephants come at night to forage, 3 water buffalo spend their time grazing in the front yard, monkeys live in the trees out side the porch where we eat breakfast and race across the rooves at night, and a wharthog family come several times every day to drink from the pond.
This was our third tour in this UNESCO World Heritage reserve. As we drove in the first day we were thrilled to see giraffe and zebra grazing beside the dirt roads. We spent the first evening on a drive with a wonderful young and very knowledgeable guide named Riley who sat with us for an hour watching a bull elephant alone in the setting sun and very close to our truck. Needless to say we have some great photos but no way yet to upload without wifi which we hope will be available tomorrow sometime. We have been using the computers in the lodges to keep our messages going out and the photos are downloaded onto the ipad. Next time we will bring a cell phone and learn how to use it to tether – right, Kirk?
I am continuously blown away by the complex adaptive systems that we are learning about every day here – complexity being a subject I am very interested in!
We leave here tomorrow after breakfast and drive 3 hours to the Durban airport to return our rental car and catch a flight to Port Elizabeth. From there we pick up another car and drive to Cape Town along the famous Garden Route.

Hi Everyone, we’re at Makakatana Bay Lodge in the northern part of Kwa Zulu Natal on the banks on Lake Lucia near Swaziland. Having some wonderful viewings of giraffe, water buffalo, zebra, rhino, and more with a fantastic guide. Very limited broadband here and no way to upload our terrific pictures. We leave here on Friday (it is now Wednesday dinner time here) and drive back to Durban airport, fly to Port Elizabeth and drive to Cape Town. Hope to find better internet in the south to start sharing more information and pictures. Having a wonderful trip and meeting many interesting people with lots of insight in to this wondefully complex country.

Health care leaders have begun to adapt to the complexities, ambiguities and paradoxes that are now the norm in healthcare.

It is more and more apparent that the emerging field of complexity science offers important strategies for leading in chaotic, complex healthcare environments. A 2001 survey by Burns found that healthcare leaders intuitively support principles of complexity science and understand the value of complex adaptive systems as a model for leading and managing in healthcare environments.

Leadership that uses complexity principles offers opportunities to focus less on prediction and control and more on fostering relationships and creating conditions in which complex adaptive systems can evolve and produce creative outcomes.

Principles and Practices for Leaders

1. First and foremost view your system through the complexity lens.

2. Build a good-enough vision and provide minimum specifications.

3. Use Clockware and Swarmware interchangeably.

4. Balance data and intuition, planning and acting, safety and risk.

5. Find the right degree of information flow, diversity, connections, power and anxiety.

6. Work with paradox, polarity and tension as the norm.

7. Try multiple actions and let direction arise, rather than being sure before proceeding.

8. Attend to the shadow system, the informal networks and relationships.

9. Grow complex systems by enabling their emergence from the links among simple systems.

10. Balance cooperation and competition, rather than relying only on one or the other.

Original Source: Zimmerman B, Lindberg C, Plsek P. Edgeware: Insights From Complexity Science for Health Care Leaders. Irving,TX:VHA, Inc.; 1998:3-44.

Burns, J. (2001) Complexity Science and Leadership in Healthcare. Journal of Nursing Leadership. 31 (10) 474-482.

Upcoming posts will explore each of these principles in detail.