Implicit Racial Bias Attitudes and Mitigation in Neonatal Nurse Practitioners: A Quality Improvement Project.

IF 0.6 Q4 NURSING Neonatal Network Pub Date : 2023-07-01 DOI:10.1891/NN-2023-0006

Nicole R Hutcheson, Brigit Carter, John Cowden, Barbara Turner

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Abstract

Purpose: to assess the impact of education using the implicit bias recognition and management (IBRM) teaching approach.

Design: longitudinal quasi-experimental design. Surveys at baseline, immediate postimplementation, and 4-week postimplementation using the modified version of the Attitudes Toward Implicit Bias Instrument (ATIBI). The 4-week survey included items about implicit bias recognition and mitigation strategies.

Sample: thirty-six neonatal nurse practitioners assigned to the NICU in a Midwest urban children's hospital.

Results: one-way repeated-measures analysis of variance was used, and the score range was 16-96. The results showed a statistically significant model, F (1.49, 707.97) = 34.46, p <.001, partial η² = 0.496. Pairwise comparisons showed improvement from pre (M = 73.08, SD = 9.36) to immediate postimplementation (M = 80.06, SD = 8.19), p <.001. Scores were sustained at 4-week postimplementation (M = 79.28, SD = 10.39), p = .744.

Conclusions: The IBRM teaching approach improved scores from baseline on a modified ATIBI that remained improved 4 weeks after the education.

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新生儿护士从业人员的内隐种族偏见态度和缓解:一个质量改进项目。

目的:利用内隐偏见识别与管理(IBRM)教学方法评估教育的影响。设计:纵向准实验设计。使用改进版本的内隐偏见态度量表(ATIBI)在基线、实施后立即和实施后4周进行调查。为期四周的调查项目包括内隐偏见识别和缓解策略。样本:分配到中西部城市儿童医院新生儿重症监护室的36名新生儿护士从业人员。结果:采用单因素重复测量方差分析，评分范围为16 ~ 96分。结果显示模型具有统计学意义，F (1.49, 707.97) = 34.46, p 2 = 0.496。两两比较显示，从实施前(M = 73.08, SD = 9.36)到立即实施后(M = 80.06, SD = 8.19)改善，p M = 79.28, SD = 10.39)， p = 0.744。结论:IBRM教学方法提高了改良ATIBI的基线分数，并在教育后4周保持提高。

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