0254_SHSO_Implicit Biases and Cultural Humility_EM_2024

Course Description

Implicit bias, including unconscious attitudes or beliefs, is a form of bias that occurs automatically and unintentionally and can precipitate differential treatment of patients by race, ethnicity, gender identity, sexual identity, age, income, language, weight, insurance status or other perceived differences. Implicit biases exist among people of all professions, and in healthcare are known to be directly associated with patient harm.

An example of this is the barriers that members of the LGBTQ+ community often face when receiving healthcare, including fear, stigma, and discrimination. This is especially relevant in the communities we serve as California is home to over 2.6 million people who identify as LGBTQ+. High-quality care includes identifying the unique non-clinical needs of individuals that may otherwise impair care.

The prevalence of implicit biases in health care settings is reflective of many individual and system-level factors; however, education to facilitate awareness building to better identify implicit biases as well as to build skills that demonstrate a personal commitment to supporting health equity through cultural humility can reduce harm. To support the need of nurses, pharmacy personnel and other healthcare professionals to have access to educational resources that assist in the building of trusting relationships with individuals from marginalized groups through skill building in identifying and addressing one’s own implicit biases, identifying and speaking up about institution-level biases or misinformation, and engaging in empathetic communication that considers the role of intersectionality in the demonstration of cultural humility, the California State Assembly has recently passed two new bills to address these practice gaps: AB 1407 for newly licensed nurses and AB 2194 for pharmacists and pharmacy technicians. This asynchronous learning module fulfills the requirements of these two assembly bills using evidence-based bias mitigation strategies and concludes with a reflective self-assessment and commitment to change.

Target Audience

Nurse Practitioner (NP)

Nurse, Registered (RN)

Pharmacists (PharmD)

Physicians (MD or DO)

Social Workers

Other Healthcare Professionals

Students of Health Professions

This course was designed specifically for CA Assembly Bills related to continuing education requirements for registered nurses, pharmacists & pharmacy technician; however, it also meets continuing education criteria for: physicians, nurse practitioners, social workers and other healthcare professionals.

Learning Objectives

By the end of this training, the learner will be able to:

1. Identify personal and institutional biases and misinformation that can impair care or promote patient harm.

2. Recognize non-clinical causes for and the impact of health disparities.

3. Explain how promoting "cultural competency" fails to consider the role of intersectionality and can stereotype the patient's experience.

4. Formulate how to apply "cultural humility" to patient and family encounters as an alternative and empathetic approach to build trust.

5. Implement evidence-based bias mitigation strategies through a personal commitment to change.

6. Consider what recommendations you can make to your team to promote trust and create a more equitable health system by incorporating equity "into the fabric" of healthcare practice at Sutter Health.

Course summary

Available credit:

1.00 ACPE
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Sutter Health designates this Enduring activity for a maximum of 1.00 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Learners should claim only the credit commensurate with the extent of their participation in the activity.
1.00 AMA PRA Category 1 Credit™
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Sutter Health designates this Enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.
1.00 AMA PRA Category 1 Credit™ Hour(s)
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Sutter Health certifies this Enduring activity was designated for a maximum of 1.00 AMA PRA Category 1 Credit™ Hour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.
1.00 ANCC
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

This course/program has been awarded 1.00 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.
1.00 ASWB-ACE
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 continuing education credits.
1.00 CA BRN
This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Learners should claim only the credit commensurate with the extent of their participation in the activity.
1.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credit for learning and change.

Course opens:

04/09/2024

Course expires:

04/30/2025

Rating:

Assembly Bills 1195 & 241- Providing Culturally Appropriate Care which is Free of Implicit Biases:

Carroll, S. (2019). Respecting and empowering vulnerable populations: Contemporary terminology. The Journal for Nurse Practitioners;15(3): 228- 231. https://doi.org/10.1016/j.nurpra.2018.12.031
Crenshaw, K. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. University of Chicago Legal Forum: Vol. 1989: Iss 1, Article 8. https://chicagounbound.uchicago.edu/uclf/vol1989/iss1/8/
Dargahi, H., Monajemi, A., Soltani, A., Nedaie, H. & Labaf, A. (2022). Anchoring errors in emergency medicine residents and faculties. Med J Islam Repub Iran; 36: 124. doi: 10.47176/mjiri.36.124. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9700406/#:~:text=Data%20showed%20Faculties%20were%20significantly,75%25).
Doherty, T. & Carroll, A. (2020). Believing in overcoming cognitive biases. AMA Journal of Ethics. 22(9): E773-778. doi: 10.1001/amajethics.2020.773. https://journalofethics.ama-assn.org/article/believing-overcoming-cognitive-biases/2020-09
Tervalon, M. & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved; 9(2): 117-125. doi: https://doi.org/10.1353/hpu.2010.0233

Asynchronous Learning

United States

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest

No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.

– Provider Designee/Verification: Kerri Maya, PhD(c), MSL, RN, NPD-BC

Course Director(s)