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VAL_03AchievingValues and Behaviours

Use Reflective Tools to Explore Bias and Assumptions

Summary

Facilitate structured reflection on values, assumptions and decision-making using stories, debriefs, or simulation.

Supporting information

Personal biases and assumptions unconsciously influence clinical decisions and patient interactions, contributing to health inequalities. Structured reflection using approaches like Schwartz Rounds helps staff explore the emotional aspects of care and recognise how their assumptions affect patient outcomes. Approaches to implementation: - Create regular protected time for team reflection on challenging cases involving bias - Introduce Schwartz Rounds or similar structured reflective forums focusing on emotional aspects of care - Use bias interruption tools and decision audits in clinical practice - Encourage storytelling about times when bias, stereotyping or assumptions affected care - Foster psychological safety so staff can admit mistakes without judgement - Link reflection to real changes in practice behaviour - Include diverse voices in reflective sessions to surface different perspectives Key benefits: Develops emotionally aware practitioners who understand how their feelings and biases impact care, leading to more equitable treatment for marginalised groups.

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