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Related Experiment Video

Updated: Apr 12, 2026

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing
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Unconscious Race and Class Biases among Registered Nurses: Vignette-Based Study Using Implicit Association Testing.

Adil H Haider1, Eric B Schneider2, N Sriram3

  • 1Center for Surgery and Public Health, Harvard Medical School and Harvard School of Public Health, Department of Surgery, Brigham and Women's Hospital, Boston, MA.

Journal of the American College of Surgeons
|May 23, 2015
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Summary
This summary is machine-generated.

Registered nurses often show implicit biases toward white and upper-class patients. However, these unconscious biases did not significantly influence their clinical decisions in this study.

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Area of Science:

  • Nursing Research
  • Health Equity
  • Social Psychology

Background:

  • Implicit bias, an unconscious preference for certain social groups, can negatively impact patient care.
  • Understanding implicit bias in registered nurses (RNs) is crucial for improving healthcare outcomes.

Purpose of the Study:

  • To investigate the prevalence of implicit race and social class biases among surgical RNs.
  • To determine if these implicit biases affect patient management decisions in acute care settings.

Main Methods:

  • A prospective study involving 245 surgical RNs at Johns Hopkins Hospital.
  • Participants completed implicit association tests (IATs) for race and social class.
  • RNs' clinical decisions were assessed using multi-stage vignettes with altered patient demographics.

Main Results:

  • Most RNs exhibited implicit biases favoring white and upper-class patients.
  • No statistically significant correlation was found between RNs' IAT scores and their clinical decision-making.
  • Explicit and implicit preferences also showed no significant correlation.

Conclusions:

  • While implicit biases are prevalent among RNs, they did not appear to influence clinical judgment in this study.
  • Findings contrast with some research on physicians, suggesting unique dynamics in nursing practice.