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Table 1 Systems thinking skills

From: Advancing the application of systems thinking in health: realist evaluation of the Leadership Development Programme for district manager decision-making in Ghana

From ‘usual thinking’ approaches…

…to systems thinking

Focused on particular events (Static thinking)

Problems framed in terms of a patterns of behaviour over time (Dynamic thinking)

Focused on particular details (Tree-by-tree thinking)

Focused on understanding the context of relationships (Forest thinking)

Focused on factors that influence/correlate with results (Factors thinking)

Focused on causality and understanding how behaviour is generated (Operational thinking)

System-generated behaviours are driven by external forces (Systems-as-effect thinking)

System-generated behaviours are driven by internal actors who interact with system itself (Systems-as-cause thinking)

Causality is viewed as uni-directional, without interdependence or interactions between causes (Straight-line thinking)

Causality is viewed as ongoing with feedback effects, including interdependence and interactions between causes (Loop thinking)

  1. (Adapted from Richmond, 2000[11]).