Exploring normalization of deviance and examining factors that predict culture of safety in the operating room.

Wright, Matthew

doi:10.18297/etd/3339

Cited by 1 publication

(3 citation statements)

References 50 publications

(175 reference statements)

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“…In addition, productivity pressure appears to be a ubiquitous force in the OR 16 because of its prevalent role as a revenue generator for health care facilities as well as the steep operating costs. The OR has been described as the "̔ financial hubʼ of any hospital," 17(p79) and it can generate up to 65% of hospital profit margins.…”

Section: What This Article Addsmentioning

confidence: 99%

“…A recent study, the purpose of which was to explore normalization of deviance in the OR, concluded that reasons for normalization deviance included productivity pressures, generalized complacency, complacency related to length of experience, social pressures, and negative acculturation. 16 It is imperative to address and acknowledge this pervasive concept as a first step in assuaging its perilous consequences.…”

Section: Uses Of the Conceptmentioning

confidence: 99%

“…While normalization of deviance can occur due to a variety of reasons, productivity pressure, defined as an increased emphasis on the quantity of services provided over the quality in the interest of generating revenue, 24 is a primary attribute. 16,20,25 Productivity pressure typically stems from managerial personnel who create a barrier to adhering to safety standards and protocols when those protocols conflict with time pressures. 20 Because of productivity pressures that are applied to personnel in the work environment, rationalization of deviant behavior thus becomes perceived as legiti-mate and necessary.…”

Section: Defining Attributesmentioning

confidence: 99%

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Normalization of Deviance

Wright

Polivka

Odom-Forren

et al. 2021

Advances in Nursing Science

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Normalization of deviance is a phenomenon demonstrated by the gradual reduction of safety standards to a new normal after a period of absence from negative outcomes, which suggests that the absence of negative outcomes tends to reinforce the behaviors associated with cutting corners, bypassing safety checklists, and ignoring alarms. While the concept was first identified within the National Aeronautics and Space Administration, it has a strong, dangerous presence within health care, holding specific peril within high-risk environments such as the operating room. The aims of this article are to (1) analyze the concept of normalization of deviance and (2) identify the role of normalization of deviance with respect to the behavior of nurses in high-risk health care environments to prevent adverse patient outcomes. The steps outlined by Walker and Avant are applied to guide the concept analysis.

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Section: What This Article Addsmentioning

confidence: 99%

Section: Uses Of the Conceptmentioning

confidence: 99%