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Factors contributing to normalization of deviance among perioperative nurses
Dissertation (MNur (Nursing Science))--University of Pretoria, 2023.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2024
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| _version_ | 1867613623593992192 |
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| access_status_str | Open Access |
| author2 | Maree, C.M. (Carin) |
| author_browse | Maree, C.M. (Carin) |
| author_facet | Maree, C.M. (Carin) |
| collection | Thesis |
| dc_rights_str_mv | © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MNur (Nursing Science))--University of Pretoria, 2023. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/94490 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:39:05.758Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/94490 Factors contributing to normalization of deviance among perioperative nurses Maree, C.M. (Carin) kraai.cilliers@gmail.com Coetzee-Prinsloo, Isabel Cilliers, Sophia Mariza UCTD Adverse events Normalization of deviance Patient safety Perioperative nurses Drifting Dissertation (MNur (Nursing Science))--University of Pretoria, 2023. Introduction Patient safety in the operating room remains a global concern and perioperative adverse events continue to occur at unacceptable rates. Unidentified factors in a specific operating room cause perioperative nurses to deviate from standard operational procedures. Gradual and steady disconnection from written procedures occur. With repetition and the absence of immediate effect on the patient’s safety, these deviations become acceptable and normalized. If minor deviations are tolerated, it becomes the modus operandi. Normalization of deviance in the operating room is a reality and unsafe practice jeopardizes patient safety and adverse events occur. It was considered important to identify the contributing factors in the particular hospital. Aim This study aimed to explore and describe the factors that contribute to normalization of deviances among perioperative nurses in a private hospital in South Africa. Research Design Qualitative contextual, and descriptive study. Methodology Self-reported narrative guides were distributed to the total population of twenty perioperative nurses and nineteen shared their perceptions of contributing factors to normalization of deviance. Data were analysed using thematic analysis. Findings Three themes and twelve sub-themes were formulated. These themes and sub- themes explored and described the factors contributing to normalization of deviances in the operating room of a specific private hospital. The themes were related to governance, workplace culture and individual factors. Conclusion The contributing factors to normalization of deviance among perioperative nurses in this particular hospital were described. Normalization of deviance, or the routine violation of safety practices, in the operating room of a private hospital was a concern since a gradual increase of adverse events were observed. The contributing factors were unknown and were explored and described in this study as being related to governance, workplace culture and individual factors. As a result, strategic planning according to these factors could be planned to decreased error and adverse events in the surgical environment; a supportive and transparent relationship between management and staff members could be established and potential system weaknesses could be identified and addressed to benefit patients, perioperative staff, and the organisation. Keywords adverse events, normalization of deviance, patient safety, perioperative nurse Nursing Science Master (Nursing Science) Unrestricted Faculty of Health Sciences SDG-03:Good heatlh and well-being 2024-02-12T10:27:09Z 2024-02-12T10:27:09Z 2024-04-17 2023 Dissertation * A2024 http://hdl.handle.net/2263/94490 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Adverse events Normalization of deviance Patient safety Perioperative nurses Drifting Factors contributing to normalization of deviance among perioperative nurses |
| title | Factors contributing to normalization of deviance among perioperative nurses |
| title_full | Factors contributing to normalization of deviance among perioperative nurses |
| title_fullStr | Factors contributing to normalization of deviance among perioperative nurses |
| title_full_unstemmed | Factors contributing to normalization of deviance among perioperative nurses |
| title_short | Factors contributing to normalization of deviance among perioperative nurses |
| title_sort | factors contributing to normalization of deviance among perioperative nurses |
| topic | UCTD Adverse events Normalization of deviance Patient safety Perioperative nurses Drifting |
| url | http://hdl.handle.net/2263/94490 |