Addressing Implicit Bias in Geriatric Nursing

Implicit bias—defined as unconscious attitudes or stereotypes influencing clinical decisions—poses significant ethical challenges in gerontological nursing. Older adults, often subject to ageism, cognitive misjudgment, and social marginalisation, are particularly vulnerable to the effects of implicit bias in areas such as falls prevention, nutrition, oncology, palliative care, and safeguarding. This chapter critically examines how implicit bias undermines ethical principles including beneficence, non-maleficence, justice, and respect for autonomy and dignity. Drawing upon case studies, including the complex care of Mr. Akinsola, it explores intersections with race, socioeconomic status, and systemic inequities. The chapter advocates for culturally competent care models, organisational policy reforms, and targeted training to mitigate bias and align gerontological nursing with Sustainable Development Goals (SDG 3 and SDG 10). Ultimately, it calls for reflective, equity-driven practice to ensure that all older adults receive dignified, just, and effective care.