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NRS 428 Discussion: Apply Strategies to Achieve Cultural Competence

NRS 428 Discussion Apply Strategies to Achieve Cultural Competence

Bias and Stereotypes in Health Promotion

Communities comprise people from different cultures, races, and religions, among other factors. Such factors affect how people understand each other and perceive issues. As a result, bias, stereotypes, and implicit bias are part of community health practice. They are rampant in some social segments, and community health nurses should be able to recognize and overcome them.

A community health nurse recognizes bias, stereotypes, and implicit bias through observations, social interactions, and listening to what patients and colleagues say about selected population groups. Analyzing social and health habits also provides a detailed view of these concepts. Edgoose et al. (2019) advised health care providers to evaluate assumptions that spark judgments based on people’s races and lifestyles. After recognizing bias, stereotypes, and implicit bias within the community, nurses should address them to ensure they promote culturally competent health activities. They should be committed to considering other perspectives, avoid rushing, and respond instinctively (FMP Editors, 2021). In this case, there must be a personal commitment to understand cultures where people come from and avoid a stereotypic approach to health care delivery.

When it comes to reducing cultural dissonance and bias to deliver culturally competent care, community health nurses should understand most biases are unintentional. They are conscious and derive from cultural stereotypes perpetuating health inequities (Marcelin, 2019). A suitable example of such bias is that most African Americans are obese due to their poor dietary habits. As a result, community health nurses must adopt skills of lowering racial and ethnic bias such as perspective-taking and emotional regulation skills. Such skills enable health care providers to avoid viewing patients in terms of their individual attributes (Marcelin, 2019). Nurses should also be committed to evaluating their shared perceptions and their effects on health care delivery. Prejudices should be assessed regularly to mitigate bias and empower nurses to deal with cultural and racial diversity.


Edgoose, J. Y., Quiogue, M., & Sidhar, K. (2019). How to identify, understand, and unlearn implicit bias in patient care. Family Practice Management26(4), 29-33. https://www.aafp.org/fpm/2019/0700/p29.html

FPM Editors. (2021). How to avoid bias in patient care. https://www.aafp.org/journals/fpm/blogs/inpractice/entry/bias_in_patient_care.html

Marcelin, J. R., Siraj, D. S., Victor, R., Kotadia, S., & Maldonado, Y. A. (2019). The impact of unconscious bias in healthcare: how to recognize and mitigate it. The Journal of Infectious Diseases220(Supplement_2), S62-S73. https://doi.org/10.1093/infdis/jiz214

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Topic 3 DQ 2

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse

NRS 428 Discussion Apply Strategies to Achieve Cultural Competence

NRS 428 Discussion Apply Strategies to Achieve Cultural Competence

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

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