AbstractProvider Mindfulness: Changing Implicit Bias and Improving Perinatal Health Outcomes for Patients with Adverse Social Determinants of Health Purpose: Implicit bias is an unconscious prejudice or preexisting belief developed over time toward another group. It can influence provider judgement, treatment decisions and levels of care. The purpose of this DNP Quality Improvement (QI) project was to improve patient care and provider knowledge on how implicit bias affects perinatal health for those with adverse social determinants of health (SDOH). Methods: A 53-second daily mindfulness intervention was developed and implemented among 8 obstetric providers caring for a population at risk for bias and discrimination. Provider knowledge, attitude and mindfulness practice was evaluated before and after the intervention with a survey. Provider engagement was tracked via number and types of social support referrals generated on patients’ behalf. Patient experience of respectful care was evaluated with a survey before and after care from providers involved in the intervention. Results: Post-implementation survey results indicated 63% of providers were willing to incorporate mindfulness into practice. 64% of patients received one or more social support referrals. There were no statistically significant outcomes, however qualitative analysis of providers pre and posttest indicated some benefit. Patients had a very weak negative Pearson correlation between pre and posttest outcomes. Patients’ paired t-test indicated no statistically significant difference in perceptions of respectful care pre and posttest. viii Conclusion: Although there were no statistically significant outcomes, benefits were seen. Provider posttest results were positive. Patients’ perceptions of respectful care were high throughout. Repeating this project is warranted, as statistical significance was limited by number of participants.
","abstract_html":"<p>AbstractProvider Mindfulness: Changing Implicit Bias and Improving Perinatal Health Outcomes for Patients with Adverse Social Determinants of Health Purpose: Implicit bias is an unconscious prejudice or preexisting belief developed over time toward another group. It can influence provider judgement, treatment decisions and levels of care. The purpose of this DNP Quality Improvement (QI) project was to improve patient care and provider knowledge on how implicit bias affects perinatal health for those with adverse social determinants of health (SDOH). Methods: A 53-second daily mindfulness intervention was developed and implemented among 8 obstetric providers caring for a population at risk for bias and discrimination. Provider knowledge, attitude and mindfulness practice was evaluated before and after the intervention with a survey. Provider engagement was tracked via number and types of social support referrals generated on patients’ behalf. Patient experience of respectful care was evaluated with a survey before and after care from providers involved in the intervention. Results: Post-implementation survey results indicated 63% of providers were willing to incorporate mindfulness into practice. 64% of patients received one or more social support referrals. There were no statistically significant outcomes, however qualitative analysis of providers pre and posttest indicated some benefit. Patients had a very weak negative Pearson correlation between pre and posttest outcomes. Patients’ paired t-test indicated no statistically significant difference in perceptions of respectful care pre and posttest. viii Conclusion: Although there were no statistically significant outcomes, benefits were seen. Provider posttest results were positive. Patients’ perceptions of respectful care were high throughout. Repeating this project is warranted, as statistical significance was limited by number of participants.</p>","abstract_has_math":false,"creators":["Simon, Nina Sarah"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Joan Combellick"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2025,"date_issued":"2025-01-01T08:00:00Z","date_published":"2025-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["Implicit Bias, Midwifery, Mindfulness, Perinatal Health, Provider mindfulness, Social Determinants of Health"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1203","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Joan Combellick"]},{"key":"dc:creator","label":"Author","values":["Simon, Nina Sarah"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Implicit Bias, Midwifery, Mindfulness, Perinatal Health, Provider mindfulness, Social Determinants of Health"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1203"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["AbstractProvider Mindfulness: Changing Implicit Bias and Improving Perinatal Health Outcomes for Patients with Adverse Social Determinants of Health Purpose: Implicit bias is an unconscious prejudice or preexisting belief developed over time toward another group. It can influence provider judgement, treatment decisions and levels of care. The purpose of this DNP Quality Improvement (QI) project was to improve patient care and provider knowledge on how implicit bias affects perinatal health for those with adverse social determinants of health (SDOH). Methods: A 53-second daily mindfulness intervention was developed and implemented among 8 obstetric providers caring for a population at risk for bias and discrimination. Provider knowledge, attitude and mindfulness practice was evaluated before and after the intervention with a survey. Provider engagement was tracked via number and types of social support referrals generated on patients’ behalf. Patient experience of respectful care was evaluated with a survey before and after care from providers involved in the intervention. Results: Post-implementation survey results indicated 63% of providers were willing to incorporate mindfulness into practice. 64% of patients received one or more social support referrals. There were no statistically significant outcomes, however qualitative analysis of providers pre and posttest indicated some benefit. Patients had a very weak negative Pearson correlation between pre and posttest outcomes. Patients’ paired t-test indicated no statistically significant difference in perceptions of respectful care pre and posttest. viii Conclusion: Although there were no statistically significant outcomes, benefits were seen. Provider posttest results were positive. Patients’ perceptions of respectful care were high throughout. Repeating this project is warranted, as statistical significance was limited by number of participants.
"]},{"key":"dc:title","label":"Title","values":["Provider Mindfulness: Changing Implicit Bias And Improving Perinatal Health Outcomes For Patients With Adverse Social Determinants Of Health"]}]}],"canonical_facts":{"dc:contributor":["Joan Combellick"],"dc:creator":["Simon, Nina Sarah"],"dc:description.abstract":["AbstractProvider Mindfulness: Changing Implicit Bias and Improving Perinatal Health Outcomes for Patients with Adverse Social Determinants of Health Purpose: Implicit bias is an unconscious prejudice or preexisting belief developed over time toward another group. It can influence provider judgement, treatment decisions and levels of care. The purpose of this DNP Quality Improvement (QI) project was to improve patient care and provider knowledge on how implicit bias affects perinatal health for those with adverse social determinants of health (SDOH). Methods: A 53-second daily mindfulness intervention was developed and implemented among 8 obstetric providers caring for a population at risk for bias and discrimination. Provider knowledge, attitude and mindfulness practice was evaluated before and after the intervention with a survey. Provider engagement was tracked via number and types of social support referrals generated on patients’ behalf. Patient experience of respectful care was evaluated with a survey before and after care from providers involved in the intervention. Results: Post-implementation survey results indicated 63% of providers were willing to incorporate mindfulness into practice. 64% of patients received one or more social support referrals. There were no statistically significant outcomes, however qualitative analysis of providers pre and posttest indicated some benefit. Patients had a very weak negative Pearson correlation between pre and posttest outcomes. Patients’ paired t-test indicated no statistically significant difference in perceptions of respectful care pre and posttest. viii Conclusion: Although there were no statistically significant outcomes, benefits were seen. Provider posttest results were positive. Patients’ perceptions of respectful care were high throughout. Repeating this project is warranted, as statistical significance was limited by number of participants.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1203"],"dc:subject":["Implicit Bias, Midwifery, Mindfulness, Perinatal Health, Provider mindfulness, Social Determinants of Health"],"dc:title":["Provider Mindfulness: Changing Implicit Bias And Improving Perinatal Health Outcomes For Patients With Adverse Social Determinants Of Health"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}