Making the invisible visible: Implementing an implicit bias activity in nursing education

Implicit bias (IB) is a pervasive phenomenon that negatively impacts health outcomes. IB is unconscious bias that operates at a level in which the individual is not aware of its existence. There is no requirement to include IB content in nursing education. We sought to raise awareness of IB and its influence on health outcomes and support a discussion on ways to mitigate the impact of IB. Through preparatory and interactive activities, students became familiar with IB and its effects on health outcomes, completed a self-assessment using the Implicit Association Test, and engaged in a faculty-facilitated discussion. This activity was implemented at four institutions in the United States and included 110 students at the BSN, MSN and DNP levels. The activity received positive evaluations. A majority of students reported the preparatory learning activities were helpful, increased awareness of their biases and felt recognition of their IB would be helpful in managing their nursing care. Student narratives are also described in this report. Inclusion of IB content in nursing education is acceptable to students and faculty. The content is best included at multiple points in the course of study. •Implicit bias is pervasive, universal and affects healthcare outcomes.•Nursing education does not sufficiently address implicit bias.•This article describes an implicit bias training activity in nursing education.•Faculty and students found value in the activity.•Implicit bias training is accessible and feasible for nurse educators.