Harrison Laura K, Sathya Chethan, Shekher-Kapoor Monica, Butkus Stephen, Kapoor Sandeep
Emergency Medicine Addiction Services, Northwell Health, New Hyde Park, New York, USA
Center for Gun Violence Prevention, Northwell Health, New Hyde Park, New York, USA.
Inj Prev. 2025 Mar 20;31(2):162-168. doi: 10.1136/ip-2024-045333.
There is consensus on the need and ability to address firearm injury risk in healthcare settings; however, the lack of education for healthcare professionals hinders the implementation of evidence-based firearm injury and mortality prevention strategies. The objectives of this study are to develop, disseminate and evaluate education for team members to facilitate implementation in emergency departments METHOD: Two-tiered education was developed in partnership with stakeholders and disseminated to the healthcare team, covering evidence-based screening and interventions for firearm access and violence risk. The implementation, development and dissemination strategies followed the framework used for systemwide Screening, Brief Intervention and Referral to Treatment implementation for substance use. Team members who screened patients for firearm injury risk received screening education and team members meeting with patients who screened positive received intervention education. Participants completed surveys to evaluate the education and learning objectives.
Across three emergency departments from March 2021 to May 2022, 267 team members completed screening education. Key takeaways reported by 173 participants were how to screen (24.9%), the 5L's of Firearm Safety (19.7%) and the prevalence of firearm injury (11.0%). Participants still had questions about workflow, resources and safety. 34 of 67 (50.7%) intervention education participants completed the postsurvey. 100% were confident they could screen, 79% were confident they could provide brief interventions and 88% were confident their site could implement firearm injury prevention strategies.
Tiered education for firearm injury prevention screening and intervention achieved learning objectives and facilitated programme implementation. Education increased knowledge and confidence regarding firearm injury risk screening and its importance in healthcare settings.
在医疗环境中应对枪支伤害风险的必要性和能力已达成共识；然而，医疗专业人员缺乏相关教育阻碍了基于证据的枪支伤害和死亡率预防策略的实施。本研究的目的是为团队成员开发、传播和评估教育内容，以促进在急诊科的实施。方法：与利益相关者合作开发了两级教育，并传播给医疗团队，内容涵盖基于证据的枪支获取和暴力风险筛查及干预措施。实施、开发和传播策略遵循用于全系统药物使用筛查、简短干预和转介治疗实施的框架。为有枪支伤害风险的患者进行筛查的团队成员接受筛查教育，与筛查呈阳性的患者会面的团队成员接受干预教育。参与者完成调查以评估教育和学习目标。
在2021年3月至2022年5月期间，来自三个急诊科的267名团队成员完成了筛查教育。173名参与者报告的关键收获包括如何进行筛查（24.9%）、枪支安全的5L原则（19.7%）和枪支伤害的发生率（"11.0%"）。参与者对工作流程、资源和安全仍有疑问。67名干预教育参与者中有34名（50.7%）完成了调查后问卷。"所有参与者"都有信心进行筛查，79%的参与者有信心提供简短干预，88%的参与者有信心其所在机构能够实施枪支伤害预防策略。
针对枪支伤害预防筛查和干预的分层教育实现了学习目标，并促进了项目实施。教育增加了对枪支伤害风险筛查及其在医疗环境中的重要性方面的知识和信心。
