Positive deviance in nursing—bending or tweaking rules or guidelines in the interest of improving patient care—was examined by Jodie Gary, Ph.D., RN, assistant professor of nursing at the Texas A&M University Health Science Center College of Nursing, in the American Journal of Nursing. "It's departing from any sport of policy, procedure, [or] routine… intentionally but honorably, using some sort of creativity," Gary told me, and it's doing so with the intention providing patient-centered care.
I've written about two examples of nurses who are breaking the mold to create new models of patient care: Nancy Bergstrom, Ph.D., RN, FAAN, whose research has called into question 50 years of standard pressure ulcer prevention, and Sharon Schindler Rising, CNM, MSN, whose "disruptive designs" include the Centering model of group healthcare.
But my absolute favorite column of the year was about a program from MIT's Little Devices Lab called MakerNurse, a nationwide hunt for DIY, "MacGyver nurses" who are creating new devices and workarounds to fix healthcare problems and improve patient care.
3. Making Nursing Safer and Healthier
This year was a landmark for nurse safety, thanks to the national interdisciplinary standards for safe-patient handling released by the ANA and its partners in April. The standards advocate, among other things, an increased use of technology, such as ceiling lifts to assist in moving, lifting, and repositioning patients.