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Development, Implementation, and Evaluation of Implicit Bias Skill Building Sessions for Maternal Health Care
Nicole Warren1, Briana E Kramer2, Cheri Wilson3
1School of Nursing, Johns Hopkins University, Baltimore, Maryland.
Journal of Midwifery & Women'S Health
|September 27, 2025
Summary
Implicit bias training, especially with skill-building, can increase awareness and use of bias mitigation strategies in healthcare. This approach shows promise for reducing maternal health disparities.
Area of Science:
- Healthcare disparities
- Medical education
- Bias mitigation
Background:
- Maternal mortality and morbidity in the US exhibit significant disparities linked to bias.
- Implicit bias training is increasingly mandated but often lacks evaluation.
- Evidence-based bias mitigation strategies are underutilized in clinical training.
Purpose of the Study:
- To design and evaluate an implicit bias skill-building training program.
- To assess the impact of training on bias awareness and mitigation behaviors.
- To address the gap in evaluating bias training effectiveness in clinical settings.
Main Methods:
- A quasiexperimental, multimethod evaluation was employed.
- Assessed reach, participant satisfaction, knowledge, and behavioral changes.
- Utilized surveys and qualitative data from facilitators for comprehensive assessment.
Main Results:
- Didactic implicit bias training increased awareness of personal and others' biases.
- Combined didactic and skill-building sessions led to greater use of mitigation strategies.
- Participants found the training relevant and reported motivation for behavioral change.
Conclusions:
- Skill-building activities enhance the impact of implicit bias training.
- Integrating skill-building is valuable for maximizing training effectiveness.
- This approach holds potential for improving healthcare equity.
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