Community health nurse recognizing bias stereotypes. There are many reasons for health care disparities in the United States, but the IOM reported that one of the contributing factors is clinician bias toward patients of racial, ethnic, or cultural minorities. Implicit biases among health care providers are associated with the following negative effects on patient care4-7 : • inadequate patient assessments • inappropriate diagnoses and treatment decisions • less time involved in patient care • patient discharges with insufficient follow-up.
Few studies have specifically investigated implicit bias among nurses or included large numbers of nurses among study participants. Those that have address only a few vulnerable patient populations and indicate that nurses may be subject to implicit biases when caring for patients who are elderly15; obese16; lesbian, gay, bisexual, or transgender (LGBT)17; mentally ill18; or who use injection drugs.
How a community health nurse recognize bias,stereotypes and implicit bias within the community
A 2015 study in the American Journal of Public Health found that physicians with high levels of pro-white bias were 23 percent more likely to dominate the conversation and engaged in 33 percent less patient-centered communication with Black patients than with white patients. This behavior led Black patients to perceive less respect from their physician, which could influence their likelihood of following through with treatment plans and medication prescriptions.
Implicit bias also has been shown to influence clinical decision-making, contributing to variations in the treatment of pain, cancer, and heart problems. In a 2007 study linking implicit biases with the treatment of acute coronary symptoms, researchers found that found that the stronger the physicians’ pro-white biases, the more likely they were to treat white patients with life-saving thrombolysis as opposed to similarly situated Black patients.
How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue.