Understanding complex systems: A reflective account of promoting wellbeing within health and social care

Abstract

This paper offers an insight into the approach utilised by two Clinical Psychologists in the NHS Lanarkshire Psychological Therapies for Older People team, in their attempt to understand, and respond to, resident and staff wellbeing within the complex care home system during the pandemic. We highlight relevant staff wellbeing literature with a focus on those in health and social care. We then describe our approach which has been informed by various theories, such as compassionate leadership, organisational change, and psychological safety. We define our ideas for improving staff and resident wellbeing at a systems level, framed in psychological theory and quality improvement goals. We offer our reflections throughout, which we hope will be useful to others working in similar complex systems.