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Control and Eradication of MRSA Through Culture Change
SUPER BUGGED I went in for minor surgery and came out with a vicious infection. A story about contaminated hospitals, dirty doctors and the bacteria that are killing 8,000 Canadians a year By Stephanie Verge Superbugs Suspected in Nurse’s Death Ontario’s Ministry of Labour is investigating whether the death of a London nurse last month was caused by a superbug caught at work Josh Wingrove, February 11, 2009 Why turn to a behaviour change approach? We already know what to do Previous successes have been resource intensive Pace of spread in healthcare organizations using “best practice” approach has been disappointing Broad scope One successful strategy… Positive Deviance The Premise Of Positive Deviance No matter how seemingly intractable a problem, in every community there are certain individuals whose uncommon practices/behaviours enable them to find better solutions to problems than their neighbours who have access to the same resources Malnutrition in Vietnam Children In 1990 60% of children under 5 were severely malnourished. However, among a few families who were poorest of the poor, the kids were well nourished Observation of these nourished kids, showed that the parents and older siblings were collecting tiny shrimps Split rice portions up Higher prevalence of hand washing Other families in the village recognized that they could use similar practices and therefore the “deviant” practices became the norm. Helpful Frames of Context Appreciating self-organization Naturally occurring Relies on self discovery Can work for or against what “leader” wants to happen Is messy Matching the right method to the right challenge This is about… Creating sustainable change Transforming culture Changing personal human behaviours and habits Positive Deviance Involves social and behavioural change Problem recognized by the community and the community wants to solve it Innovative behaviours are identified from within Self-discovery Define: the problem and a successful o
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