Exploring the concept and use of positive deviance in nursing

Area of Science:

• Nursing Ethics
• Healthcare Management
• Organizational Behavior

Background:

• Positive deviance involves intentional rule-breaking for a greater good.
• The concept lacks a consistent definition in nursing.
• Nurses face judgment from rule enforcers for such actions.

Purpose of the Study:

• To analyze the concept of positive deviance in nursing.
• To establish a clear, operational definition for the nursing profession.
• To enhance understanding and application of positive deviance.

Main Methods:

• Concept analysis using the Walker and Avant method.
• Exploration of the essence of positive deviance in nursing practice.
• Identification of defining attributes and characteristics.

Main Results:

• An operational definition of positive deviance was developed.
• Defined as intentional, honorable behavior departing from norms.
• Includes innovation, creativity, adaptability, and inherent risk for the nurse.

Conclusions:

• Positive deviance offers a framework for nurses' ethical decision-making.
• Provides a basis for action when norms conflict with professional judgment.
• Clarifies the concept for improved understanding and practice.