Discussion: Applying the Concept of Positive Deviance Focus on the successful exceptions (i.e. positive deviants) not the failing norm. Pascale Sternin & Sternin 2010
Discussion: Applying the Concept of Positive Deviance
Focus on the successful exceptions (i.e. positive deviants) not the failing norm.
Pascale Sternin & Sternin 2010
Positive deviantsthose who are able to innovate and create affirmative resultsdo so within the same constraints that others face. These outliers reveal how the desired outcomes can be achieved by expanding beyond the boundaries of the status quo while maintaining a focus on what is professionally legally and morally appropriate.
Consider the following example:
In 1990 Save the Children (SC) a nongovernmental organization in the United States was asked by the government of Vietnam to create a program to enable poor villages to solve the overwhelming problem of childhood malnutrition. Given just six months to create a sustainable solution those involved realized that they needed to look at the positive results that some had been able to achieve relative to the lack of success others had encountered under similar circumstances. They posed the question: If some individuals in a community were better able to solve problems than others with access to exactly the same resources could we use that provocative discrepancy? Taking this tack they were able to identify approaches that differed from the norm and apply this knowledge to produce positive results that led to a dramatic improvement in child health (Dura Singhal and Sternin 2009).
In this Discussion you examine a health care problem or issue and consider how you could apply the concept of positive deviance to produce systems-level change that leads to improved quality.
To prepare:
Review the information in this weeks Learning Resources including the first chapter in Pascale Sternin and Sternin book and the Bradley Curry Ramanadhan Rowe Nembhard and Krumholz article.
Reflect on health care quality problems or issues that warrant systems-level change. Consider the significance of each problem/issue. Identify one in particular that you would like to focus on for this Discussion. Note: You may use the quality improvement issue that you selected for your Course Project if appropriate.
With this problem or issue in mind:
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