Measuring Change in Overcoming Implicit Biases in Behavior by Emergency Care Center Providers

NCT06630507 | Not Yet Recruiting DMC

• 1 other identifier: 23-MEDI-99
• Study Type: observational
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

Implicit bias is a form of bias in which a person's automatic and unintentional thoughts of another person or group influence either positively or negatively their behavior or the decisions they make. Studies show that healthcare providers have the same amount of bias as any other person and that it can affect patient care. However, in the emergency room, which is fast-paced and there is a high number of patients, implicit bias may be higher. Therefore, this study will look at emergency care center (ECC) providers' willingness to change their implicit bias behaviors. After, it will provide implicit bias education designed for the ECC to the healthcare providers at SMHCS Sarasota campus and assess whether it improved their willingness to change implicit bias behaviors when compared to the providers in the SMHCS Venice campus who did not receive the education.

Conditions

Implicit Bias

Keywords

healthcare providers; implicit bias; emergency care center

Outcome Measures

Primary Outcomes (3)

• Examine emergency care center (ECC) staff's willingness to overcome pre-existing implicit bias.

  Administer the Measuring Change in Overcoming Implicit Biases in Behavior by Emergency Medicine Personnel questionnaire and asses scores.

  6-18 months

• Assess whether an educational module on implicit bias designed explicitly for the ECC increases willingness to overcome implicit bias behavior among ECC staff.

  Administer the Measuring Change in Overcoming Implicit Biases in Behavior by Emergency Medicine Personnel questionnaire and assess scores.

  6-18 months

• Compare willingness to overcome implicit bias in ECC staff who received education versus staff who were not provided with any education.

  Administer the Measuring Change in Overcoming Implicit Biases in Behavior by Emergency Medicine Personnel questionnaire and compare to the ECC staff who did not receive the education's scores.

  6-18 months

Study Arms (2)

ECC staff receiving educational module

Active healthcare providers (including emergency medicine physicians, nurse practitioners, physician assistants, and residents, as well as nurses, multi-skilled technicians, and paramedics) in the SMH-Sarasota ECC will fill out the initial surveys, complete the implicit bias education, and do the posttest (re-administer the Measuring Change in Overcoming Implicit Biases in Behavior by Emergency Medicine Personnel questionnaire).

Behavioral: Educational module

ECC staff not receiving educational module

Active healthcare providers (including emergency medicine physicians, nurse practitioners, physician assistants, and residents, as well as nurses, multi-skilled technicians, and paramedics) in the SMH-Venice ECC will fill out the initial surveys and do the posttest (re-administer the Measuring Change in Overcoming Implicit Biases in Behavior by Emergency Medicine Personnel questionnaire). Once all data is collected from both groups, the Venice Campus ECC will be given the ECC implicit bias education.

Interventions

Educational module BEHAVIORAL

1 hour pre-recorded educational module created by Dr. Sharma.

ECC staff receiving educational module

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Healthcare providers (including emergency medicine physicians, nurse practitioners, physician assistants, and residents, as well as nurses, multi-skilled technicians, and paramedics) from Sarasota Memorial Health Care System's two emergency care centers, Sarasota and Venice campuses.

You may qualify if:

• Individuals will be eligible for the study if they are 18 years or older and are active emergency medicine staff in the SMH-Sarasota or the SMH-Venice campus ECC. Participants must also be able to understand the requirements of the study, be willing and able to provide informed consent, and participate in all required study activities.

You may not qualify if:

• N/A

Sponsors & Collaborators

• Sarasota Memorial Health Care System: lead

Study Sites (1)

Sarasota Memorial Health Care System

Sarasota, Florida, 34239, United States

Location

Related Publications (5)

• Brockett-Walker C, Lall M, Evans DD, Heron S. Racial Bias Among Emergency Providers: Strategies to Mitigate Its Adverse Effects. Adv Emerg Nurs J. 2021 Apr-Jun 01;43(2):89-101. doi: 10.1097/TME.0000000000000352.

  PMID: 33915556 BACKGROUND

• FitzGerald C, Hurst S. Implicit bias in healthcare professionals: a systematic review. BMC Med Ethics. 2017 Mar 1;18(1):19. doi: 10.1186/s12910-017-0179-8.

  PMID: 28249596 BACKGROUND

• Narayan MC. CE: Addressing Implicit Bias in Nursing: A Review. Am J Nurs. 2019 Jul;119(7):36-43. doi: 10.1097/01.NAJ.0000569340.27659.5a.

  PMID: 31180913 BACKGROUND

• Shah HS, Bohlen J. Implicit Bias. 2023 Mar 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK589697/

  PMID: 36944001 BACKGROUND

• Thirsk LM, Panchuk JT, Stahlke S, Hagtvedt R. Cognitive and implicit biases in nurses' judgment and decision-making: A scoping review. Int J Nurs Stud. 2022 Sep;133:104284. doi: 10.1016/j.ijnurstu.2022.104284. Epub 2022 May 24.

  PMID: 35696809 BACKGROUND

MeSH Terms

Conditions

Bias, Implicit

Condition Hierarchy (Ancestors)

Prejudice; Social Behavior; Behavior

Study Officials

• Katie West, MSN, RN, CEN

  Sarasota Memorial Health Care System

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Katie West, MSN, RN, CEN

CONTACT

941-917-2225; Katie-West@smh.com

Tamela Fonseca, PhD, RN, CCRC

CONTACT

9412281752; tamela-fonseca@smh.com

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MSN, RN, CEN

Study Record Dates

• First Submitted: October 4, 2024
• First Posted: October 8, 2024
• Study Start: November 1, 2024
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): November 1, 2026
• Last Updated: October 8, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)