In this podcast, we’ll explore “wicked problems” —complex social issues like poverty or climate change—using a “systems model for change.” This model emphasizes three interconnected levels: personal beliefs, social systems, and structural systems. Grand Challenges, such as “Healthy Nurse, Healthy Nation” or improving ultrasound proficiency, demand changes across all three. For instance, healthier nurses (personal) need supportive workplace environments (social) and stronger healthcare policies (structural). Meanwhile, boosting ultrasound skills requires comprehensive training (personal), institutional support (social), and clear regulations (structural). Engaging everyone at every level is crucial: individuals, communities, policymakers, and anyone affected. Collaboration ensures buy-in and fosters lasting solutions. Although these challenges are complex, they’re solvable through coordinated efforts that address each layer of the system. Inspired by Kenneth McLeroy’s CDC model, we see that true change is social, requiring community-driven, multifaceted approaches to transform big issues into collaborative progress.

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