Normalization of deviance in pediatric hospital: perception of health workers

Rev Gaucha Enferm. 2023 Jun 23:44:e20220236. doi: 10.1590/1983-1447.2023.20220236.en. eCollection 2023.
[Article in English, Portuguese]

Abstract

Objective: To know the perception of health workers about the phenomenon of normalization of deviance in a pediatric hospital.

Method: Exploratory, descriptive, and qualitative study conducted in a public pediatric hospital in northeastern Brazil in 2021. An in-depth interview was applied to 21 health workers, submitted to Thematic Categorical Content Analysis in the MAXQDA® Software.

Results: 128 context units emerged from the content analysis. These data were presented in three analytical categories, which address conceptions about normalization of deviance, examples and contributing factors. The omission of the practice of hand hygiene and the correct use of personal protective equipment,and turning off alarms stand out as the main deviance perceived by health workers. As contributing factors, human factors and organizational factors prevailed.

Conclusion: Workers perceive the normalization of deviance as negligence, recklessness, and violations of good practices, with consequences for patient safety.

MeSH terms

  • Child
  • Hand Hygiene*
  • Health Personnel
  • Hospitals, Pediatric*
  • Hospitals, Public
  • Humans
  • Perception