Professional framing and emotional stability modulate facial appearance biases in nursing students.
caretaker biases
facial appearance
nursing students
personality traits
trustworthiness
Journal
Japan journal of nursing science : JJNS
ISSN: 1742-7924
Titre abrégé: Jpn J Nurs Sci
Pays: Japan
ID NLM: 101227890
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
16
01
2020
revised:
06
04
2020
accepted:
27
04
2020
pubmed:
12
6
2020
medline:
15
12
2020
entrez:
12
6
2020
Statut:
ppublish
Résumé
Providing the same standard of care to all patients alike, regardless of race, gender, age or any other irrelevant characteristic is imperative in the healthcare profession. In this study we examined whether and to what extent unintentional evaluations based on facial appearance of others affect nursing students' readiness to approach them and provide nursing care. A cross-sectional study was conducted from November 2018 to July 2019. Nursing students (N = 160) enrolled in the Nursing Degree Course of School of Medicine of Bologna University, completed a self-report questionnaire assessing personality traits and evaluated photographs of trustworthy, untrustworthy and neutral-looking male and female faces, while indicating their own approach behavior in a series of social interaction and caretaking scenarios. Trustworthy faces elicited a higher approach readiness than untrustworthy and neutral ones across scenarios. Nonetheless, the nursing care scenario facilitated the approach toward others perceived as untrustworthy. Emotional stability trait further enhanced the approach of untrustworthy-looking others and provision of impartial care. Present findings suggest that facial appearance bias among nursing students may be downregulated by activating cognitive representations of their professional role as future caretakers and their caretaking motivation. This speaks of the need to integrate as early as possible into existing nursing education programs simulation scenarios aimed to increase emotional awareness and model nursing students' future relational and caring skills.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e12351Informations de copyright
© 2020 Japan Academy of Nursing Science.
Références
Ambady, N., Bernieri, F. J., & Richeson, J. A. (2000). Toward a histology of social behavior: Judgmental accuracy from thin slices of the behavioral stream. Advances in Experimental Social Psychology, 32, 201-271. https://doi.org/10.1016/S0065-2601(00)80006-4.
Ambady, N., & Rosenthal, R. (1992). Thin slices of expressive behavior as predictors of interpersonal consequences: A meta-analysis. Psychological Bulletin, 111, 256-274. https://doi.org/10.1037/0033-2909.111.2.256.
Ballew, I. I., Charles, C., & Todorov, A. (2007). Predicting political elections from rapid and unreflective face judgments. Proceedings of the National Academy of Sciences USA, 104, 17948-17953. https://doi.org/10.1073/pnas.0705435104.
Bar, M., Neta, M., & Linz, H. (2006). Very first impressions. Emotion, 6, 269-278. https://doi.org/10.1037/1528-3542.6.2.269.
Barbaranelli, C., Caprara, G. V., & Maslach, C. (1997). Individuation and the five factor model of personality traits. European Journal of Psychological Assessment, 13(2), 75-84. https://doi.org/10.1027/1015-5759.13.2.75.
Bradley, M. M., & Lang, P. J. (2007). Emotion and motivation. In J. T. Cacioppo, L. G. Tassinary, & G. Berntson (Eds.), Handbook of psychophysiology (pp. 581-607). Cambridge: Cambridge University Press.
Burgess, D., van Ryn, M., Dovidio, J., & Saha, S. (2007). Reducing racial bias among health care providers: Lessons from social-cognitive psychology. Journal of General Internal Medicine, 22, 882-877. https://doi.org/10.1007/s11606-007-0160-1.
Caprara, G. V., Barbaranelli, C., Borgogni, L., & Perugini, M. (1993). The “big five questionnaire:” A new questionnaire to assess the five factor model. Personality and Individual Differences, 15, 281-288. https://doi.org/10.1016/0191-8869(93)90218-R.
Clair, M., Daniel, C., & Lamont, M. (2016). Destigmatization and health: Cultural constructions and the long-term reduction of stigma. Social Science and Medicine, 165, 223-232. https://doi.org/10.1016/j.socscimed.2016.03.021.
Colonnello, V., Mattarozzi, K., & Russo, P. M. (2019). Emotion recognition in medical students: Effects of facial appearance and care schema activation. Medical Education, 53, 195-205. https://doi.org/10.1111/medu.13760.
Cooper, L. A., Roter, D. L., Carson, K. A., Beach, M. C., Sabin, J. A., Greenwald, A. G., & Inui, T. S. (2012). The associations of clinicians' implicit attitudes about race with medical visit communication and patient ratings of interpersonal care. American Journal of Public Health, 102, 979-987. https://doi.org/10.2105/AJPH.2011.300558.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297-334. https://doi.org/10.1007/BF02310555.
Fino, E., Di Campli, S., Patrignani, G., & Mazzetti, M. (2019). The modulating role of gender and aggression in emotional reactions of nursing students: A cross sectional study. Journal of Advanced Nursing, 75(7), 1462-1472. https://doi.org/10.1111/jan.13936.
FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: A systematic review. BMC Medical Ethics, 18, 19.https://doi.org/10.1186/s12910-017-0179-8.
Halberstadt, J., Goldstone, R. L., & Levine, G. M. (2003). Featural processing in face preferences. Journal of Experimental Social Psychology, 39, 270-278. https://doi.org/10.1016/S0022-1031(02)00526-7.
Lang, P. J., & Bradley, M. M. (2013). Appetitive and defensive motivation: Goal-directed or goal-determined? Emotion Review, 5, 230-234. https://doi.org/10.1177/1754073913477511.
Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1997). Motivated attention: Affect, activation and action. In P. J. Lang, R. F. Simons, & M. T. Balaban (Eds.), Attention and orienting: Sensory and motivational processes (pp. 97-136). Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers.
Lundqvist, D., Flykt, A., & Öhman, A. (1998). The Karolinska Directed Emotional Faces - KDEF, CD ROM from Department of Clinical Neuroscience, Psychology section, Karolinska Institutet, ISBN 91-630-7164-9.
Mattarozzi, K., Colonnello, V., De Gioia, F., & Todorov, A. (2017). I care, even after the first impression: Facial appearance-based evaluations in healthcare context. Social Science and Medicine, 182, 68-72. http://doi.org/10.1016/j.socscimed.2017.04.011.
Oosterhof, N. N., & Todorov, A. (2008). The functional basis of face evaluation. PNAS, 105, 11087-11092. https://doi.org/10.1073/pnas.0805664105.
Stone, J., & Moskowitz, G. B. (2011). Non-conscious bias in medical decision making: What can be done to reduce it? Medical Education, 45, 768-776. https://doi.org/10.1111/j.1365-2923.2011.04026.x.
Todorov, A., Olivola, C. Y., Dotsch, R., & Mende-Siedlecki, P. (2015). Social attributions from faces: Determinants, consequences, accuracy, and functional significance. Annual Review of Psychology, 66, 519-545. https://doi.org/10.1146/annurev-psych-113011-143831.
Todorov, A., Said, C. P., Engell, A. D., & Oosterhof, N. N. (2008). Understanding evaluation of faces on social dimensions. Trends in Cognitive Science, 12, 455-460. https://doi.org/10.1016/j.tics.2008.10.001.
Willis, J., & Todorov, A. (2006). First impressions: Making up your mind after 100ms exposure to a face. Psychological Science, 17, 592-598. https://doi.org/10.1111/j.1467-9280.2006.01750.x
Wolffhechel, K., Fagertun, J., Jacobsen, U. P., Majewski, W., Hemmingsen, A. S., Larsen, C. L., Lorentzen, S. K., & Jarmer, H. (2014). Interpretation of appearance: The effect of facial features on first impressions and personality. PLoS ONE, 9(9), e107721. https://doi.org/10.1371/journal.pone.0107721.
Yi, M., & Keogh, B. (2016). What motivates men to choose nursing as a profession? A systematic review of qualitative studies. Contemporary Nurse, 52(1), 95-105. https://doi.org/10.1080/10376178.2016.1192952.
Zebrowitz, L. A., & Montepare, J. M. (2008). Social psychological face perception: Why appearance matters. Social Personality Psychology Compass, 2, 1497-1517. https://doi.org/10.1111/j.1751-9004.2008.00109.x.