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Exploring the concept and use of positive deviance in nursing

Resource type
Author/contributor
Title
Exploring the concept and use of positive deviance in nursing
Abstract
OVERVIEW: Positive deviance involves an intentional act of breaking the rules in order to serve the greater good. For nurses, the rightness or wrongness of such actions will be judged by other people who are in charge of rules enforcement; but the decision to engage in positive deviance lies solely with the nurse. There is no uniform or consistent definition of positive deviance. This article uses the Walker and Avant method of concept analysis to explore and identify the essence of the term positive deviance in the nursing practice environment, provide a better understanding of the concept, and clarify its meaning for the nursing profession. In turn this led to an operational definition: positive deviance is intentional and honorable behavior that departs or differs from an established norm; contains elements of innovation, creativity, adaptability, or a combination thereof; and involves risk for the nurse. The concept of positive deviance is useful, offering nurses a basis for decision making when the normal, expected actions collide with the nurse's view of the right thing to do.
Publication
American Journal of Nursing
Volume
113
Issue
8
Pages
26-34
Date
2013
Language
English
DOI
10.1097/01.NAJ.0000432960.95762.5f
ISSN
0002-936X
Archive
Scopus
Library Catalog
Scopus
Citation
Gary, J. C. (2013). Exploring the concept and use of positive deviance in nursing. American Journal of Nursing, 113(8), 26–34. Scopus. https://doi.org/10.1097/01.NAJ.0000432960.95762.5f