Original ArticlesNormalization of Deviance Concept AnalysisWright, M. Imelda PhD, RN, CNOR; Polivka, Barbara PhD, RN, FAAN; Odom-Forren, Jan PhD, RN, CPAN, FASPAN, FAAN; Christian, Becky J. PhD, RN, FAANAuthor Information School of Nursing, University of Louisville, Louisville, Kentucky (Dr Wright); School of Nursing, University of Kansas Medical Center, Kansas City (Drs Polivka and Christian); and College of Nursing, University of Kentucky, Lexington (Dr Odom-Forren). Correspondence: M. Imelda Wright, PhD, RN, CNOR, School of Nursing, University of Louisville, 555 South Floyd St, Louisville, KY 40202 ([email protected]). The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article. Advances in Nursing Science: April/June 2021 - Volume 44 - Issue 2 - p 171-180 doi: 10.1097/ANS.0000000000000356 Buy Metrics Abstract Normalization of deviance is a phenomenon demonstrated by the gradual reduction of safety standards to a new normal after a period of absence from negative outcomes, which suggests that the absence of negative outcomes tends to reinforce the behaviors associated with cutting corners, bypassing safety checklists, and ignoring alarms. While the concept was first identified within the National Aeronautics and Space Administration, it has a strong, dangerous presence within health care, holding specific peril within high-risk environments such as the operating room. The aims of this article are to (1) analyze the concept of normalization of deviance and (2) identify the role of normalization of deviance with respect to the behavior of nurses in high-risk health care environments to prevent adverse patient outcomes. The steps outlined by Walker and Avant are applied to guide the concept analysis. © 2021 Wolters Kluwer Health, Inc. All rights reserved.