CE: Addressing Implicit Bias in Nursing: A Review

Narayan, Mary Curry

doi:10.1097/01.naj.0000569340.27659.5a

Cited by 74 publications

(56 citation statements)

References 23 publications

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“…Last, midwives need to recognize and address any negative judgments they have about women experiencing SUD in the perinatal period because stigma, implicit biases, and unconscious attitudes that contribute to discrimination can hinder compassionate care and the development of trusting relationships 58 . Interventions to address stigma such as communicating positive stories about individuals with SUD and education programs that target medical students and health professionals have been effective in reducing stigma among health professionals and should be considered 59 .…”

Section: Discussionmentioning

confidence: 99%

Provider Characteristics Associated with Trust When Caring for Women Experiencing Substance Use Disorders in the Perinatal Period

Renbarger

Trainor

Place

et al. 2022

J Midwife Womens Health

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Introduction Women experiencing substance use disorders (SUD) have often reported challenges in their relationships with health care providers during the perinatal period that served as a barrier to care. Establishing trust is an important aspect in forming positive relationships. The purpose of this study was to identify provider characteristics associated with the development of trust when caring for women experiencing SUD during the perinatal period. Methods A systematic search was conducted using the databases of CINAHL, APA PsychINFO, and PubMed along with a manual search of Google Scholar between the years of 2000‐2021. Studies were included if they were (1) original qualitative research; (2) published in English; (3) peer reviewed; (4) from the perspective of women experiencing SUD; (5) included descriptions of positive health care interactions between women experiencing SUD in the perinatal period and their health care providers; and (6) conducted in the United States or Canada. The studies were assessed for quality and validity using 10 criteria from the Joanne Briggs Institute critical appraisal checklist for qualitative research. Results Findings from 21 qualitative studies were synthesized using a thematic synthesis approach and revealed 3 overarching themes that included 7 descriptive subthemes which identified provider characteristics associated with trust. The 7 descriptive subthemes included: developing rapport with women, demonstrating caring behaviors, including women in care, understanding women's SUD treatment efforts, reassuring women, delivering competent care, and educating women. Discussion Participants’ accounts of trusting interactions with health care providers occurred when providers viewed women approvingly, affirmed their treatment efforts and maternal abilities, and delivered competent care that was knowledgeable of issues associated with SUD. The findings suggest the importance of confronting implicit biases, integrated care, and fostering a stigma‐free and trauma‐informed working environment.

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Section: Discussionmentioning

confidence: 99%

Provider Characteristics Associated with Trust When Caring for Women Experiencing Substance Use Disorders in the Perinatal Period

Renbarger

Trainor

Place

et al. 2022

J Midwife Womens Health

View full text Add to dashboard Cite

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“…The weight of these politically and socially generated burdens are too heavy to allow them to obtain health and wholeness through their own efforts alone. 33 On the other side of the scale, it is empty and cannot be balanced without the addition of basic principles of autonomy, beneficence, nonmaleficence, and justice which nurses can provide. Thus, these basic ethical principles along with a broad view of the value and context of advocacy, can be added to the empty side, helping to balance the scale for Black men.…”

Section: Nursing Call To Actionmentioning

confidence: 99%

“…30 5) Add your voice, thoughts, and actions to a perspective that violence is a public health issue and reject acts and forms of violence as applied to Black men. [22][23][24][26][27][28][29]32,33 6) Respond to op-eds that diminish or denigrate this vulnerable population's health and safety. 7) Promote health equity for Black men by writing letters to other providers that support revisions, changes, and innovative ideas that would decrease health disparities and increase healthy outcomes.…”

Section: Nursing Call To Actionmentioning

confidence: 99%

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A most vulnerable population: Black men

Bradley

2021

Nursing Forum

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Black men disproportionately experience the worst health outcomes among U.S. populations. Systemic social, political, and healthcare problems are important intersecting issues of Black men's poor health outcomes. As nursing is one of the most trusted professions, it is nurses' responsibilities to include care for vulnerable populations. In this creative controversy an alternative perspective of Black men as a vulnerable population is proposed. Potential tensions and an introspective call to action for all nurses is included.

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“…Communication that fosters equity is essential in mitigating interpersonal bias (5). Importantly, this does not exempt the reader from the responsibility of remedying structural inequities within health care institutions and society at large.…”

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confidence: 99%

Communication for Equity in the Service of Patient Experience: Health Justice and the COVID-19 Pandemic

Cordero

Davis

2020

Journal of Patient Experience

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Health professionals are responding to the coronavirus disease 2019 (COVID-19) pandemic with Herculean effort and a desire to provide high quality care for all. As is true with any intervention, one size does not fit all. Differences matter. Communicating across differences is a complex skill set that is necessary for high quality care.Reports in print and online media indicate disparate outcomes for patients who identify as Black/African American, Native, and Latinx (1). Long-standing inequities are at the root of these disparities. For example, Black and Latinx communities have fewer options for working from home and higher rates of diabetes than other racial/ethnic groups, factors that are associated with higher risk of infection and greater mortality (2,3). In Chicago, "Black residents accounted for 72% of deaths from COVID-19 complications in the city and 52% of positive tests for the coronavirus, despite making up only 30% of the city's population, according to the city's public health agency"(4). Additionally, a diversity of language preferences impacts health care at a time when conversations about prevention, treatment, and advanced directives are vital.Communication that fosters equity is essential in mitigating interpersonal bias (5). Importantly, this does not exempt the reader from the responsibility of remedying structural inequities within health care institutions and society at large. We also acknowledge that no document, regardless of how well-meaning, could fully address the needs of health care team members in recognizing and mitigating interpersonal bias during this pandemic.Here, we offer a brief guide that may improve patient engagement across differences. The authors recognize that health care workers possess a wide range of awareness and expertise. For those who are new to this work, we hope to offer practical tools for communication that can mitigate interpersonal bias. For those with greater awareness of bias, we hope this guide will serve as a reminder of the importance of consistently applying these tools in times of crisis. Health care providers have displayed bravery in this pandemic. We are hopeful that this courage will extend to a willingness to engage in more effective communication to mitigate disparate COVID-19 outcomes.

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CE: Addressing Implicit Bias in Nursing: A Review

Cited by 74 publications

References 23 publications

Provider Characteristics Associated with Trust When Caring for Women Experiencing Substance Use Disorders in the Perinatal Period

Provider Characteristics Associated with Trust When Caring for Women Experiencing Substance Use Disorders in the Perinatal Period

A most vulnerable population: Black men

Communication for Equity in the Service of Patient Experience: Health Justice and the COVID-19 Pandemic

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