Sustaining leadership in an unsustainable system.

Healthcare executive failures and departures are not only linked to the involved individuals' skills but also are often the result of complex dynamics reflecting larger system, societal, and global polarities and tensions. At the root of many of the challenges leaders face is system unsustainability. This article discusses common challenges as fractals of more complex dynamics, strategies for managing dynamics between organizations and their stakeholders, and approaches for leaders to sustain themselves within this unsustainable system.