Fund 50 - week 3 - day 2 - Diversity/Implicit Bias/Spirituality/Sexuality & Culture Flashcards
culture
Strong relationship between understanding culture, implicit bias and patient
& family centered care
implicit bias
Unconscious Bias
Implicit Bias - it’s the same as unconscious bias - WE all have it within us - identify it and reduce it with patients
Explicit Bias - this is conscious
What is Implicit Bias?
“Positive or negative attitudes or stereotypes, activated automatically and involuntarily, that influence our understanding, decisions, and behaviors without our awareness or voluntary control.” AACN
Can be deeply ingrained due to past experiences (socialization, ie superstitions)
May be different from our conscious values and beliefs
Different than explicit bias
Explicit Bias
• Conscious
• Effortful
• Controlled Aware
• Deliberative
• Intentional
Implicit Bias
• Unconscious
• Effortless
• Out of Awareness
• Automatic
• Activated Involuntarily
populations impacted by implicit bias
Advanced Age
Female
Gender
Nonwhite Race
Low
Socioeconomic
Status
Non-English
Speaking
Nonheterosexual
Disabled
Obese
Mental Illness
AIDS
Drug Addiction
Influences of Implicit Bias in Healthcare
personal values and beliefs, fast paced environment - staffing issues, need to check ourselves, culture of the unit (someone requesting pain meds and you think they’re a drug user - don’t think this - it’s a bias)
Impact of Implicit Bias
short film - had to explain several times. broke confidentiality. secretary should have apologized and then left the room to alert the entire staff. SLOW down and check yourself.
impact of Implicit Bias in Healthcare Other Examples? (the weird one, you had it)
COVID-19
Pain management (drug seeker, or delivery and labor)
Decision Making (how we make decisions based on our baises)
Strategies to Reduce Implicit Bias
identify appropriate pronouns, used preferred names instead of pronouns. Slow down. professional development. retreats. reflection. avoid stereotyping.
Ethnicity and Cultural Diversity
Providing culturally appropriate care requires knowledge, training and
practice. We are bound professionally to provide culturally competent
care for all clients. It is important to learn about the beliefs and values of
different cultural groups and to recognize the potential barriers
encountered when providing care.
Cultural Competence
Cultural Competence
Cultural Competence: “the attitudes, knowledge and skills necessary for
providing quality care to diverse populations” (AACN).
Giger & Davidhizer Transcultural Assessment
Model
Giger & Davidhizer Transcultural Assessment
Model: Outlines six essential phenomena to take into account when providing
culturally diverse nursing care
space - giger
degree of comfort observed, proximity to others, body movement , and perception of space
intimate
personal
social
public
Attitudes
Attitudes
People of different backgrounds share the same desire for respect, kindness, tolerance and good care. It is important for nurses to recognize and integrate the following:
Personally held attitudes about working with patients from different ethnic, cultural, and social backgrounds.
How diverse cultural, ethnic and social backgrounds function as sources of patient, family, and community values.
Provide patient-centered care with sensitivity and respect for the diversity of the human experience
Act with integrity, consistency and respect for differing views
