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Related Experiment Video

Updated: Nov 16, 2025

RBDT: A Computerized Task System based in Transposition for the Continuous Analysis of Relational Behavior Dynamics in Humans
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Normalization of Deviance: Concept Analysis.

M Imelda Wright1, Barbara Polivka, Jan Odom-Forren

  • 1School of Nursing, University of Louisville, Louisville, Kentucky (Dr Wright); School of Nursing, University of Kansas Medical Center, Kansas City (Drs Polivka and Christian); and College of Nursing, University of Kentucky, Lexington (Dr Odom-Forren).

ANS. Advances in Nursing Science
|February 24, 2021
PubMed
Summary
This summary is machine-generated.

Normalization of deviance, a gradual lowering of safety standards, poses risks in healthcare. This study analyzes its impact on nurses

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Area of Science:

  • Healthcare safety
  • Organizational behavior
  • Risk management

Background:

  • Normalization of deviance involves the gradual acceptance of reduced safety standards.
  • This phenomenon, initially observed in NASA, is prevalent and dangerous in healthcare settings.
  • High-risk environments like operating rooms are particularly vulnerable to this effect.

Purpose of the Study:

  • To critically analyze the concept of normalization of deviance.
  • To identify the role of normalization of deviance in nursing behaviors within high-risk healthcare environments.
  • To explore strategies for preventing adverse patient outcomes related to this phenomenon.

Main Methods:

  • Concept analysis using the Walker and Avant framework.
  • Examination of literature on normalization of deviance in safety-critical industries.
  • Application of the concept to nursing practices in high-risk healthcare settings.

Main Results:

  • Normalization of deviance can lead to compromised safety protocols and increased risk of adverse events.
  • Nurses may inadvertently adopt unsafe practices due to a perceived absence of negative outcomes.
  • The study highlights the need for proactive interventions to counteract this trend.

Conclusions:

  • Understanding normalization of deviance is crucial for enhancing patient safety in healthcare.
  • Healthcare organizations must implement robust systems to prevent the erosion of safety standards.
  • Continuous vigilance and adherence to protocols are essential for mitigating risks associated with normalization of deviance.