Issue link: https://nnumagazine.uberflip.com/i/1439493
O C T O B E R | N O V E M B E R | D E C E M B E R 2 0 2 1 W W W . N A T I O N A L N U R S E S U N I T E D . O R G N A T I O N A L N U R S E 11 CALIFORNIA I n october, the California Nurses Association welcomed Gov. Gavin New- som's signature enacting landmark legislation to require implicit bias edu- cation and training for nursing students and new graduates in California, an important step in addressing persistent racial dispari- ties, particularly in health care. CNA-sponsored AB 1407, by Assembly- member Autumn Burke, will require nursing schools and programs to include implicit bias education as part of their curriculum, and hospitals to implement an evidence- based program on implicit bias as part of new graduate training. Additionally, verifica- tion of implicit bias training will become part of the licensure requirement for all new California RNs. California is now believed to be the first state in the nation to require implicit bias training as a graduation requirement for nursing students. Michigan has similarly mandated implicit bias training for all health care workers seeking licensure effec- tive next June. "Awareness and then education are critical first steps toward eliminating implicit bias," said CNA Director of Government Relations Stephanie Roberson. "AB 1407 is a preemp- tive approach, starting with educating our future nursing workforce prior to entry into practice. There is no better way to start." "Long-term racial disparities in health care access and treatment continue to be a deplorable stain on our nation," said CNA President Cathy Kennedy, RN. "Biases, whether intentional or unconscious, directly contribute to those disparities, especially in a context in which we continue to see corpo- rate health care disparities for which health care services are provided, and what services are prioritized." Racial gaps in health care have been increasingly documented from maternal and infant mortality to diagnostic proce- dures to prescription of medication to interactions with medical professionals and institutions generally. A July 2021 report from the Urban Institute, for example, found that Black patients are significantly more likely to suffer dangerous bleeding, infections, and other surgery-related prob- lems than white patients who received care in the same hospital. "Health care facilities and educators must demonstrate their commitment to ending racial health disparities and working toward health equity by aggressively pursu- ing strategies that eliminate implicit bias within the health care system. This bill is a part of the solution," said Roberson. Hospitals, health care facilities, and health care educators offer very little, if any- thing, to bring awareness to or address this phenomenon and problem. Even structural characteristics such as an institution's physi- cal space project how welcoming an institution might be to patients of color. Too often, facilities fail to look at the communi- ties they serve, those communities' needs, and the resources facilities need to tap to fill those needs. "The legacy of structural racism in med- ical care has been deadly, and has contributed to distrust of medical services among medically underserved communities and patients. It is essential that we guaran- tee that our future health care workforce is fully aware of the debilitating consequences of implicit bias to bring this scourge to an end and ensure equal, high-quality medical care for everyone," Kennedy added. —Staff report New state law tackles implicit bias in nursing education