装备学校护士解决枪支安全:试点课程研究。

IF 1.8 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH
Ikemsinachi C Nzenwa, Amy J Kaplan, Gretchen F Felopulos, Stephany Zhivotovsky, Robin Cogan, Rebecca Robbins, Sunny G Hallowell, Chana A Sacks, Peter T Masiakos, Cornelia L Griggs
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引用次数: 0

摘要

背景:枪支暴力是美国儿童和青少年死亡的主要原因,学校护士越来越被认为是预防工作的关键合作伙伴。虽然学校护士在枪支安全咨询方面处于独特的地位,但现有的培训课程往往缺乏针对其具体角色和环境的内容。方法:我们为学校护士改编了一套基于医院的课程,包括关于枪支暴力、安全储存和咨询框架的教学课程,然后是标准化的患者模拟。该试点在一个单一的学术医疗中心进行,并收集了定性调查数据。程序的可行性,可接受性和有效性评估采用前测后测设计。结果:共有30名学校护士参加,其中43.3%的人接受过枪支安全培训,10.0%的人接受过枪支安全咨询培训。培训后,对咨询的信心增加了,特别是在讨论极端风险保护令和询问5l(上膛,上膛,小孩,情绪低落,有学问的家庭成员)时。人们对筛选和咨询重要性的认识也有所提高,而对干扰学生接触的担忧也有所减少。对学校卫生政策、实践和公平的影响:通过为学校护士配备了解创伤的、主动的暴力预防工具,本课程扩大了她们作为可信赖的一线领导者在创造安全、支持性环境方面的作用。如果纳入整体框架,学校护士主导的努力可以帮助确保所有学生茁壮成长。结论:该试点培训增强了学校护士对枪支安全咨询的信心和认知,为将其扩展到更多地点和参与者奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Equipping School Nurses to Address Firearm Safety: A Pilot Curriculum Study.

Background: Firearm violence is the leading cause of death among US children and adolescents, and school nurses are increasingly recognized as key partners in prevention efforts. While school nurses are uniquely positioned to counsel on firearm safety, existing training curricula often lack content tailored to their specific roles and settings.

Methods: We adapted a hospital-based curriculum for school nurses, comprising a didactic session on firearm violence, secure storage, and counseling frameworks, followed by standardized patient simulations. The pilot was conducted at a single academic medical center, and qualitative survey data were collected. The program's feasibility, acceptability, and efficacy were assessed using a pretest-posttest design.

Results: Thirty school nurses participated, with 43.3% having prior firearm safety training and 10.0% trained to counsel on firearm safety. Post-training, confidence in counseling increased, particularly in discussing Extreme Risk Protection Orders and asking about the 5 Ls (locked, loaded, little children, low mood, and learned household members). Perceptions of the importance of screening and counseling also improved, while concerns about interference with student encounters decreased.

Implications for school health policy, practice, and equity: By equipping school nurses with trauma-informed, proactive violence prevention tools, this curriculum expands their role as trusted, frontline leaders in creating safe, supportive environments. When embedded within holistic frameworks, school nurse-led efforts can help ensure all students thrive.

Conclusion: This pilot training enhanced school nurses' confidence and perceptions of firearm safety counseling, setting the stage for efforts to expand its reach to additional locations and participants.

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来源期刊
Journal of School Health
Journal of School Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.70
自引率
9.10%
发文量
134
审稿时长
6-12 weeks
期刊介绍: Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.
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