A Self-Reflection on
Implicit Bias in Nursing
Jessica-Lea Smith
Excelsior University
NUR 209
October 2024
As an LPN at Stony Brook Southampton Hospital, I have had the privilege
of caring for diverse patients. Throughout my experiences, I have become
increasingly aware of my own implicit biases and how they can influence
my interactions with patients from various backgrounds.
Initially, I realized that my gut reactions often stem from societal
stereotypes and cultural narratives ingrained in me over time. For
instance, when I encounter patients from certain ethnic groups, I have
noticed a subconscious tendency to make assumptions about their health
literacy, lifestyle choices, or compliance with medical recommendations.
These reactions are not conscious thoughts but rather instinctive feelings
that can aect my approach to patient care.
Upon reflection, I recognize that these gut reactions may be triggered by
previous experiences or comments made by others in my professional or
personal life. For example, hearing derogatory remarks about a specific
demographic may have influenced my perceptions, leading to biases I was
unaware of. Acknowledging that such biases can hinder my ability to
provide holistic and compassionate care is essential.
To overcome these implicit biases, I commit to ongoing self-reflection and
education. I will actively seek to understand my patients' cultural, social,
and economic contexts. Engaging in cultural competency training and
participating in discussions about bias in healthcare can also be
instrumental in broadening my perspective. It is vital to approach each
patient individually, free from preconceived notions, and actively listen to
their unique stories and experiences.
Additionally, I will make a conscious eort to challenge my gut reactions
when I notice them arising. This can be done by asking myself critical
questions: “What evidence do I have to support this reaction?” or “How
might this patient perceive my care?” Such reflective practices will help
mitigate the influence of bias on my patient interactions.
