School of Exercise and Rehabilitation Sciences, The University of Toledo, Ohio.
College of Medicine and Life Sciences, Physician Assistant Studies, The University of Toledo, Ohio.
Disaster Med Public Health Prep. 2020 Apr;14(2):173-177. doi: 10.1017/dmp.2019.67. Epub 2019 Jul 24.
The aim of this study was to explore the clinical decisions that health care students would make if faced with an active shooter event while providing patient care.
A cross-sectional study design was used to survey 245 students from 6 different professional programs. Participants read 4 case-based scenarios, selected 1 of 4 actions in a multiple-choice format, and responded to an open-ended question. Demographic questions asked whether participants had been a victim of violence and whether they have taken a certified active shooter course. Statistical analysis included descriptive statistics and chi-square testing.
For each case, most students chose "patient-centric" versus "provider-centric" actions (range: 66%-94% and 4%-17%, respectively). The gender of the patient made no difference in actions. Those who attended a certified active shooter course tended to act with more "provider-centric" concerns than those who did not take such a course.
A significant majority of interprofessional health care students, when presented with specific case-scenarios, declared they would act to protect themselves and their patients during an active shooter event. This "patient-centric" attitude transcends the oversimplified "Run-Hide-Fight" axiom and must be addressed by all health care educational institutions.
本研究旨在探讨医学生在提供患者护理时遇到活跃枪手事件时会做出哪些临床决策。
采用横断面研究设计，对来自 6 个不同专业项目的 245 名学生进行调查。参与者阅读了 4 个基于案例的场景，以多项选择的形式选择了 4 种行动中的 1 种，并回答了一个开放式问题。人口统计学问题询问参与者是否曾遭受过暴力，以及他们是否参加过认证的活跃枪手课程。统计分析包括描述性统计和卡方检验。
对于每个案例，大多数学生选择了“以患者为中心”而不是“以提供者为中心”的行动（范围分别为 66%-94%和 4%-17%）。患者的性别对行动没有影响。参加过认证的活跃枪手课程的人比没有参加过此类课程的人更倾向于采取更“以提供者为中心”的行动。
绝大多数跨专业的医疗保健学生在面对特定案例场景时，都表示他们会在活跃枪手事件中保护自己和患者。这种“以患者为中心”的态度超越了过于简单的“逃跑-躲藏-战斗”原则，所有医疗保健教育机构都必须对此加以重视。
