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NRS 428 Topic 3 DQ 2

DQ 2: How does the community health nurse recognize bias, stereotypes, and implicit bias within the community?

Topic 3 DQ 2

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.

Implicit bias refers to that bias that is outside the consciousness of an individual. However, the bias leads to the negative evaluation of persons based on irrelevant characteristics such as their age, gender, race, sexual orientation among others. Implicit bias is serious as the nurse is not aware of their biases. The bias might be based on stereotypes and prejudices that one holds. It manifests through one’s actions such as words. An awareness of one’s implicit bias and the triggers is, therefore, important. Evidence indicates that self-assessmnet can be an essential tool in the positive identification of the biases that one holds by making one conscious of the same (Carter et al., 2020). Based on the self-assessment, it is further possible to identify the triggers of these biases. The fidnings thus allow the community health nurse to identify appropriate strategies that will help in eliminating the iomplicit bias.

A strategy that can help in reducing cultural dissonance is the adoption of a cultural model. The Campinha-Bacote cultural model is among the effective models in healthcare. Based on the model, cultural competence is a continuous process. Therefore, the nurse has tpo continuously particip[ate in activities that enhance their cultural competence. The model identifuve five key components of cultural competence. These components include awareness, skills, knowledge, encounters and desire (Chen et al., 2018). The element of awareness aligns with the self-assessment strategy to help identify any potential biassess. The skills refer to how to collect culturally appropriate information from patients. The knowledge of different cultures is also important and can be obtained through cultural encounters. The nurse must have the desire to be culturally competent to achieve the same. The model is thus suitable to help promote cultural competence.


Carter, K. R., Crewe, S., Joyner, M. C., McClain, A., Sheperis, C. J., & Townsell, S. (2020). Educating Health Professions Educators to Address the “isms”. NAM Perspectives, 2020. https://doi.org/10.31478/202008e.

Chen, H. C., Jensen, F., Measom, G., & Nichols, N. D. (2018). Evaluating student cultural competence in an associate in science in nursing program. Teaching and Learning in Nursing, 13(3), 161-167. https://doi.org/10.1016/j.teln.2018.03.005

I agree with your post. Cultural competence helps the nurse understand, communicate, and interact effectively. Cultural competence expects more than just tolerating another’s cultures and practices. Instead, it aims to celebrate them through bridging gaps and personalizing care.

Practicing culturally competent care in nursing means taking a holistic approach that spans all parts of the world. As a nurse, you should always work to respect the diverse cultures you come across when handling patients. It goes a long way to impact the capability and quality of your work.


Sharifi, N., Adib-Hajbaghery, M., & Najafi, M. (2019). Cultural competence in nursing: A concept analysis. International journal of nursing studies99, 103386.

Hello Dian! Hope you had a good Saturday. A nice statement you made about the different components of cultural competency, as nurses we also must educate ourselves about the different cultures and traditions. The needs our patients require so they can meet optimal care, and to advocate for our patients’ necessities, “the primary goal for the PHN is to help discover the patients’ or communities’ needs and work to meet those needs and provide necessary resources with the interdisciplinary team” (Grand Canyon University, 2018). The interdisciplinary team does not only provide help with physical/mental health but also financial, food, affordable housing, and other living necessities. It is amazing what we can achieve when we work together towards the same goal, better well-being for our patients/communities.


Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/

Hello, I completely agree with your post. Self-reflection and awareness is an often-overlooked part of the nurse’s job. As soon as the nurse becomes conscious of her own biases and prejudices, she may begin to address the underlying causes of such attitudes. If they are less likely to act on their prejudices and preconceptions in the workplace, that’s a good thing for everyone. The nurse’s cultural competence is very useful when dealing with the community’s many diverse ethnic groups. To be aware of these concerns and give the most objective treatment possible, nurses need to be educated on preconceptions and prejudices (Falkner, 2018).


Falkner, A. (2018). Community and public health: The future of health care. Grand Canyon University.  https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/community-and-public-health_the-future-of-health-care_1e.php

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NRS 428 Topic 3 DQ 2

NRS 428 Topic 3 DQ 2

Unfortunately, there is bias, stereotypes, and implicit bias within communities. Fortunately, community health nurses can recognize these issues and decide to eliminate them from their practice (Page & Jha, 2019). As many people know, a stereotype is a belief or assumption of a particular group of people and a bias is when a person has a personal feeling towards a group due to the stereotype(s) in place (Falkner, 2018). Many people believe that these issues do not occur in healthcare; however, that is not true. Implicit bias can occur, which is the “unconscious attitude” toward people based on stereotypes, which affects their patient care (Falkner, 2018).

Community health nurses can recognize these issues by knowing the stereotypes and biases for each culture; therefore, being able to recognize them and avoid them in their practice (Falkner, 2018). It is important for nurses to be aware of cultures and their beliefs to be able to provide the best care possible; thus, providing an example of what it means to be culturally competent (Falkner, 2018). Nurses can address issues of bias, stereotypes, and implicit bias to ensure health promotion activities are culturally competent. In doing so, nurses should first perform a cultural assessment on themselves to determine their own beliefs and values.

After being aware of their own cultural beliefs, the nurse should always perform a thorough cultural assessment (Beeghly & Madva, 2020). This assessment should include asking about personal and familial beliefs, discussing the primary language of use, religion, the importance of seeking treatment and strategies that promote health within the household (Falkner, 2018). By assessing the patient’s culture, the nurse can better address concepts and promote healing through effective activities.

It is important for nurses to be aware of strategies that can facilitate conversations that reduce cultural dissonance and bias. One strategy that is effective is using the “LEARN model” to aid in providing the most effective, therapeutic communication (Falkner, 2018). This includes listening, explaining, acknowledging, recommending, and negotiating, all of which take place when performing a cultural assessment (Falkner, 2018). Another strategy, as discussed earlier, is to perform an assessment on one’s self. This will help nurses determine their own weaknesses and strengths when it comes to working with different cultures, allowing them to learn what they need to improve upon. It is imperative that nurses are aware of cultural dissonance and bias to recognize it and take action. Nurses should always be advocating for their patients no matter what their culture or race is.



Beeghly, E., & Madva, A. (2020). An introduction to implicit bias: Knowledge, justice, and the human mind (5th ed.). Routledge.

Falkner, A. (2018). Community and public health: The future of health care. Grand Canyon University. Retrieved from https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/community-and-public-health_the-future-of-health-care_1e.php

Page, E., & Jha, J. (2019). Exploring the bias: Gender and stereotyping in secondary schools (8th ed.). Commonwealth Secretariat.

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