Date of Submission

Spring 5-18-2023

Document Type

Manuscript

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Erica Hooper

Abstract

Background: Implicit bias in healthcare delivery is the unconscious prejudice individuals might feel about another person or group. All healthcare providers are susceptible to implicit bias which can negatively influence patient-provider communication. Implicit bias is linked to disparities in maternal health outcomes. According to the CDC, the maternal mortality rate for non-Hispanic Black women is 2.9 times higher than the rate for non-Hispanic White women (Hoyert, 2022).

Problem: Implicit bias (IB) training is not provided in all graduate nursing programs. As a result, graduate nursing students are not prepared to manage IB during clinical rotations and post-graduation, thus, are at risk for contributing to the provision of culturally insensitive care.

Context: The academic institution is located in an urban setting in northern California. The school’s mission is established in the Jesuit tradition of justice and diversity. This institution offers both graduate and undergraduate nursing programs ranging from Bachelor of science in Nursing (BSN) to Doctor of Nurse Practice (DNP). Currently, the school receives a grant from the U.S. Human Resources and Services Administration (HRSA) to financially support black and Latinx students through their nursing degrees. The goal of the grant is to increase diversity in healthcare and the number of healthcare professionals working in medically underserved areas.

Proposed Interventions: To design implement and evaluate an implicit bias training for DNP students at an academic institution.

Proposed Measures: The outcome measures for DNP students are (a) to increase knowledge of implicit bias role in equitable healthcare, (b) to increase comfortability managing unconscious bias, (c) to provide a toolkit to reduce bias, and (d) to provide culturally sensitive care.

Key Words: Implicit bias training, DNP students, unconscious bias, diversity, equity, inclusivity

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