How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities.

How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities.

How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. 150 150 Nyagu

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA: Jones & Bartlett Learning

Akinyemiju, T. F., Soliman, A. S., Copeland, G., Banerjee, M., Schwartz, K., & Merajver, S. D. (2013). Trends in breast cancer stage and mortality in Michigan (1992–2009) by race, socioeconomic status, and area health care resources [PDF file]. Plos ONE, 8(4), 1-9. doi:10.1371/journal.pone.0061879.
Campinha-Bacote, J. (2011). Delivering patient-centered care in the midst of a cultural conflict: The role of cultural competence. The Online Journal of Issues in Nursing: A Scholarly Journal of the American Nurses Association, 16(2). doi: 10.3912/OJIN.Vol16No02Man05
Chou, C., PhD., Tulolo, A., PharmD., Raver, E. W., B.S., Hsu, C., PhD., & Young, Gary,J.D., PhD. (2013). Effect of race and health insurance on health disparities: Results from the national health interview survey 2010. Journal of Health Care for the Poor and Underserved, 24(3), 1353-63. doi: 10.1353/hpu.2013.0131
Crandall, M., Anderson, B., Idakoji, I., Rajasekhar, A., Kahlenberg, C., Agubuzu, O., & … Esposito, T. (2014). Trauma patient satisfaction survey opens discussion about bias in health care. Journal of Health Disparities Research & Practice, 7(3), 1-14. Retrieved from
Diabetes: researchers’ work from University of Arizona focuses on diabetes. (2012). Education Business Weekly, p.107. Retrieved from
Dovidio, J. F., & Fiske, S. T. (2012). Under the radar: How unexamined biases in decision-making processes in clinical interactions can contribute to health care disparities. American Journal of Public Health, 102(5), 945-952. doi:10.2105/AJPH.2011.300601
Douglas, M. K., Pierce, J. U., Rosenkoetter, M., Pacquiao, D., Callister, L. C., Hattar-Pollara, M., & Purnell, L. (2011). Standards of practice for culturally competent nursing care: 2011 update. Journal of Transcultural Nursing, 22(4), 317. doi:10.1177/1043659611412965
Eggenberger, S., Grassley, & J., Restrepo, E. (July 19, 2006). Culturally competent nursing care for families: Listening to the voices of Mexican-American women. OJIN: The Online Journal of Issues in Nursing, 11(3). doi: 10.3912/OJIN.Vol11No03PPT01
Jimenez, R. L. (2014). Cultural competence and communication. AAOS Now, 8(9), 14-16. Retrieved from
Parker, V. A. (2010). The importance of cultural competence in caring for and working in a diverse America. Generations, 34(4), 97-102. Retrieved from
Paschal, A. M., Lewis-moss, R., Sly, J., & White, B. J. (2010). Addressing health disparities among African/Black Americans: Using the stages of change model to document attitudes and decisions about nutrition and physical activity. Journal of Community Health, 35(1), 10-7. doi:
Purnell, L. (2002). The Purnell model for cultural competence. Journal of Transcultural Nursing, 13(3), 193-196. doi:10.1177/10459602013003006
Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: Implications for public health policy and practice. Public Health Reports, 126(1), 130–135. Retrieved from
Shah, V. O., Ghahate, D. M., Bobelu, J., Sandy, P., Newman, S., Helitzer, D. L., & … Zager, P. (2014). Identifying barriers to health care to reduce health disparity in Zuni Indians using focus group conducted by community health workers. CTS: Clinical & Translational Science, 7(1), 6-11. doi:10.1111/cts.12127
Singleton, K. & Krause, E. (2009). Understanding cultural and linguistic barriers to health literacy. OJIN 14(3). doi: 10.3912/OJIN.Vol14No03Man04
Victorson, D., Banas, J., Smith, J., Languido, L., Shen, E., Gutierrez, S., & … Flores, L. (2014). eSalud: Designing and implementing culturally competent e-health research with Latino patient populations. American Journal of Public Health, 104(12), 2259-2265. doi:10.2105/AJPH.2014.302187
Davies, J., Wolfendale, T. (Producers), & Rouse, S. (Director). (2012). Competent care in a culturally diverse nation [Video file]. Retrieved from
Films Media Group. (2006). Now is our time: Healthy living for black women 40-55 [Video file]. In Films on Demand. Retrieved from
Marofsky, M., Grote, K. (Writers), Christiansen, L., Hommeyer, T. (Producers), Christiansen, L., & Dean, W. (Directors). (1991). Understanding our biases and assumptions [Video file]. Retrieved from
Nevco Healthcare Education. (1991). Understanding our biases and assumptions [Video file]. In Films on Demand. Retrieved from
Practice Activities. (2015). Transcultural nursing. Burlington, MA: Jones & Bartlett Learning Navigate.

Cultural Competence Project. (2014). Developing cultural competencies in nurses: Evidence-based and best practices. Retrieved from
Institute for Work and Health. (n.d.). What researchers mean by… primary, secondary, and tertiary prevention. Retrieved from
National Association of School Nurses. (2013). Purnell model for cultural competency. Retrieved from
Teaching Tolerance: A Project of the Southern Poverty Law Center. (2011). Teaching tolerance: A project of the Southern Poverty Law Center. Retrieved from
Ward, J. (2012). The role of nursing in preventive care. Nursing Together. Retrieved from

Ahs, A., Burell, G., & Westerling, R. (2012). Care or not care-that is the question: Predictors of healthcare utilization in relation to employment status. International Journal of Behavioral Medicine, 19(1), 29-38. doi: 10.1007/s12529-010-9129-2
Berkowitz, S. A., Traore, C. Y., Singer, D. E., & Atlas, S. J. (2015). Evaluating area-based socioeconomic status indicators for monitoring disparities within health care systems: Results from a primary care network. Health Services Research, 50(2), 398-417. doi:10.1111/1475-6773.12229
Cogan, J.A. (2011). The affordable care act’s preventive services mandate: Breaking down the barriers to nationwide access to preventive services. Journal of Law, Medicine & Ethics, 39(3), 355-365. doi: 10.1111/j.1748-720X.2011.00605.x
Gupta, V. B. (2010). Impact of culture on health care seeking behavior of Asian Indians. Journal Of Cultural Diversity, 17(1), 13-19. Retrieved from
Health Research & Educational Trust. (2013). Becoming a culturally competent health care organization [PDF file]. Retrieved from
Pesut, B., Fowler, M., Reimer-Kirkham, S., Taylor, E., & Sawatzky, R. (2009). Particularizing spirituality in points of tension: Enriching the discourse. Nursing Inquiry, 16(4), 337-346. doi: 10.1111/j.1440-1800.2009.00462.x
Robert, S.A. and Booske, B.C. (2011). US opinions on health determinants and social policy as health policy. American Journal of Public Health, 101(9), 1655-1663. Retrieved from
Tripp-Reimer, T., Choi, E., Skemp Kelley, L. and Enslein, J. (2001). Cultural barriers to care: Inverting the problem. Diabetes Spectrum. 14(1). doi: 10.2337/diaspect.14.1.13
Wilson, A., Whitaker, N. & Whitford, D. (May 31, 2012) Rising to the challenge of health care reform with entrepreneurial and intrapreneurial nursing initiatives. OJIN: The Online Journal of Issues in Nursing 17(2). doi: 10.3912/OJIN.Vol17No02Man05
Worthen, M. S. (2014). The PPACA’s potential impact on hospitals. The RMA Journal, 96(7), 37-37. Retrieved from
Zepeda, E. D. (2012). Technology-enabled health care supply chain for primary care: Reducing disparities in the delivery of chronic care. Retrieved from

Government Reports
111th Congress. Patient protection and affordable care act [PDF file]. (2010). Retrieved from
Williams, E., & Redhead, C.S. (2010). Public health, workforce, quality, and related provisions in the Patient Protection and Affordable Care Act (PPACA) [PDF file]. Retrieved from

Peek, M. (2014, October 30). Poverty association with poor dealth outcomes and health disparities [Blog post]. Retrieved from

Supplemental Material
College of Health, Human Services, and Science: Department of Health Promotion (Producer). The Affordable Care Act and you: History, implications, and the future of healthcare [Webinar]. San Diego, CA

Kaiser Family Foundation. (2013). Summary of the affordable care act. Retrieved from
Petiprin, A. (2013). Leininger’s Culture Care Theory. Retrieved from