Creating order out of chaos: a leadership approach.

Communication is of the utmost importance for effective teamwork, yet promoting effective communication and overcoming the cultural belief that conflict is "bad" are key challenges for leaders. To provide optimal patient care, perioperative nurse leaders should assess the culture in which they work and develop strategies to build solid credible relationships within their teams. This article introduces the Complex Adaptive Leadership Model, which has underpinnings in complexity science, as a means to promote culture change and promote productive conflict. The concepts and relationships presented in this model reflect real-world situations and provide strategies for leadership and team development. This model was implemented at one Pennsylvania facility and led to improved outcomes in the perioperative arena related to the Surgical Care Improvement Project indicators during a one-year period.