Implicit bias is a cognitive function that leads to automatic attitudes, generalizations, and prejudices either in favor of or against other people based on characteristics such as gender, race, size, nationality, or sexual orientation. Implicit bias operates inconspicuously affecting interactions, perceptions, and decision-making that consequently affect the daily lives of marginalized individuals in various social domains, including healthcare. Implicit bias contributes to inequities in healthcare, negatively affecting the quality of patient care, treatment, and outcomes. Implicit biases have been described as malleable and influenced with awareness and other techniques. Anecdotal evidence was gathered at the target organization that supported a lack of awareness of implicit bias and that it was an issue that needed to be addressed in the target organization.

A systematic review and appraisal of evidence was performed to determine the best strategies for improving awareness of implicit bias. A combination of educational strategies, including lectures, group discussion, and case studies were found to be most effective for raising awareness. An evidence- based educational program consisting of lecture, case study discussion, and debriefing was developed and implemented to raise awareness in new nurses about implicit bias and its relationship to healthcare inequity. Eleven new nurses enrolled in an internship program at the organization participated in the educational program. Ten out of the 11 participants completed surveys before and after the program.

Survey results revealed that participants’ level of awareness about implicit bias increased 100% from before to after the program. Participants’ confidence in recognizing instances of implicit bias increased 121%, and their understanding of the relationship between implicit bias and healthcare quality increased 100%. These findings support that using a combination of educational strategies is effective for raising awareness about implicit bias. Incorporation of the educational program into future nursing internship programs in the organization is planned.

Date of publication

Spring 5-14-2024

Document Type

DNP Scholarly Project (Local Access Only)



Persistent identifier


Committee members

Dr. Lauri John, Dr. Cheryl Parker, Dr. Jenifer Chilton, Dr. Barbara Haas


Doctor of Nursing Practice

Available for download on Friday, May 22, 2026