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Nurses' Implicit Bias Toward Older Adults: A Mid-Range Nursing Theory
Jennifer T May1, Hanne Dolan, Jessica G Rainbow
1Author Affiliations: College of Nursing, University of South Carolina, Columbia, South Carolina (May); Edson College of Nursing and Health Innovation, Arizona State University, Tempe, Arizona (Dolan); and College of Nursing, University of Arizona, Tucson, Arizona (Rainbow).
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This article describes the development of the Nurses' Implicit Bias Toward Older Adults Mid-Range Nursing Theory, which explains how biased care arises and affects older adults. Drawing from Pepper's contextual-development worldview, Parse's Humanbecoming Paradigm, and an emancipatory perspective, the theory integrates implicit social cognition to explain how nurses' backgrounds and unconscious processes influence clinical practice. Key "mitigation points" are identified for targeted interventions to address bias. This framework provides a foundation for future research on implicit bias in nursing, with implications for equitable health care delivery and improved older adult patient outcomes, supporting the advancement of nursing science and professional practice.
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