PERCEIVED ROLES OF EMERGENCY DEPARTMENT PHYSICIANS REGARDING ANTICIPATORY GUIDANCE ON FIREARM SAFETY
PERCEIVED ROLES OF EMERGENCY DEPARTMENT PHYSICIANS REGARDING ANTICIPATORY GUIDANCE ON FIREARM SAFETY
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DOI：
10.1016/j.jemermed.2012.11.010
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发表时间：
2013-05-01
影响因子：
1.5
通讯作者：
Teeple, Karen
中科院分区：
文献类型：
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作者：
Price, James H.;Thompson, Amy;Teeple, Karen
背景：几个专业医学会倡导向患者提供枪支安全咨询。人们对急诊医生的做法和对枪支安全咨询的看法知之甚少。目的：评估急诊医生对枪支控制的信念，以及他们对指导患者枪支安全的信心。方法：在全国范围内随机抽取500名美国急诊医师学会会员进行有效、可靠的枪支安全咨询问卷调查。结果：在278名(56.8%)接受调查的医生中，非白人和不是全国步枪协会(NRA)成员的医生认为枪支暴力比白人医生和NRA成员更成问题。大多数人不认为患者会将其视为枪支安全信息的良好来源(63.3%)，也不相信患者会接受他们提供预期的枪支安全指导(56.5%)。大多数急诊科医生不认为枪支安全咨询会影响与枪支有关的杀人案(75.2%)或自杀(70%)。结论：绝大多数急诊医生从未接受过关于枪支安全咨询的正式培训，不相信患者会将他们视为可信的来源，也不相信关于枪支安全的预期指导会产生任何影响。这些数据可能有助于向急诊医学住院医师方案提供关于枪支安全预期指导的住院医师培训需求。(C)2013年爱思唯尔公司。
Background: Several professional medical societies advocate for firearm safety counseling with patients. Little is known about Emergency Physicians' practices and perceptions of firearm safety counseling. Objective: To assess Emergency Physicians' beliefs regarding firearm control and their confidence in counseling patients on firearm safety. Methods: A national random sample (n = 500) of the members of the American College of Emergency Physicians was sent a valid and reliable questionnaire on firearm safety counseling. Results: Of the 278 (56.8%) responding physicians, those who were non-white and those who were not members of the National Rifle Association (NRA) perceived firearm violence to be more of a problem than white physicians and those who were members of the NRA. The majority did not believe that patients would view them as a good source of information on firearm safety (63.3%) or that patients would accept them providing anticipatory firearm safety guidance (56.5%). The majority of the Emergency Department physicians did not believe firearm safety counseling would impact firearm-related homicides (75.2%) or suicides (70%). Conclusions: The vast majority of Emergency Physicians had never been formally trained regarding firearm safety counseling, did not believe patients would see them as credible sources, and did not believe that anticipatory guidance on firearm safety would have any impact. These data may help inform Emergency Medicine residency programs on the training needs of residents regarding anticipatory guidance on firearm safety. (C) 2013 Elsevier Inc.