What is it about?

Over the past three decades, a wide range of intervention programs and methods have been implemented to increase adherence of HPs with IPC guidelines and to decrease the incidence of HAIs. Those guidelines have high variability in terms of strength of evidence, diverse guideline developers, and diverse grading metrics used to develop recommendations. This study proposes an applied tool, that demonstrate a step-by-step actions of how this framework can address and mitigate HPs’ barriers to adhering with IPC guidelines. The adaptation of the PD approach to address barriers to adhere with IPC guidelines, as illustrated in this article, is neither intuitive nor ad hoc. It is theoretically and conceptually focused on solving complex problems related to human behavior. Even when a problem stems from a lack of resources, something that is seemingly unrelated to human behavior, the PD approach informs and encourages community members to find solutions on their own. These solutions represent creative ways of mitigating the barrier or of finding an alternative that bypasses the problem.

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Why is it important?

Positive deviance which is based on the wisdom of the community and encourages it to find applied and creative solutions tailored to its needs, is a versatile and flexible approach that may maintain positive outcomes for the long run.


This article sums up the journey I have been on over the last five years to discover the hidden wisdom, understanding that humans make a difference no matter how complex a problem is. My sincere thanks go to Prof. Anat Gesser-Edelsburg who guided me and accompanied me on this fascinating journey.

Ricky Cohen
University of Haifa

Read the Original

This page is a summary of: Translating a theory-based positive deviance approach into an applied tool: Mitigating barriers among health professionals (HPs) regarding infection prevention and control (IPC) guidelines, PLoS ONE, June 2022, PLOS,
DOI: 10.1371/journal.pone.0269124.
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