Older adults and planning for firearm safety: A qualitative study of healthcare providers.
Older adults and planning for firearm safety: A qualitative study of healthcare providers.
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老年人和枪支安全规划：对医疗保健提供者的定性研究。
DOI：
10.1111/jgs.18188
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发表时间：
2023
影响因子：
6.3
通讯作者：
Betz,MarianE
中科院分区：
文献类型：
--
作者：
Prater,LauraC;Simonetti,JosephA;Knoepke,ChristopherE;Polzer,EvanR;Nearing,KathrynA;Lee,Teresa;Betz,MarianE
目的/背景火器伤，特别是自我导向的，是老年人可预防的发病率和死亡率的主要来源。老年人患严重疾病、认知障碍和抑郁症的风险较高，这些都是自杀和/或意外伤害的已知风险因素。医疗保健提供者往往是第一个识别这些条件，虽然他们通常提供安全指导，这样的病人，很少有人知道他们如何处理枪支安全对话与老年人。MethodsWe进行了半结构化的采访与医疗保健提供者谁照顾老年人（2020年11月至2021年5月）。我们使用归纳和演绎的主题分析来发展主题。我们提出的主题和代表性的报价从我们的analysis.ResultsWe采访了13个医疗保健提供者谁经常照顾老年人枪支所有者。紧急主题是：提示枪支安全对话的情况下，在常规和急性情况下，解决枪支安全的策略;解决枪支安全的障碍;和可用或所需的resources.ConclusionPlanning枪支安全应发生“早期和经常”的一部分，与老年患者的纵向关系。与年龄相关的安全问题，如驾驶，经常在老年患者中得到解决，这可能是因为有标准的流程和既定的途径。建立程序和提供者/病人资源将有助于提高提供者的效率，以解决枪支安全和老年人枪支拥有者的放弃问题。将枪支安全对话纳入日常接触（例如，医疗保险年度健康访问，以问题为重点的访问）模板可能是一个有希望的第一步，但枪支筛查的后续资源必须提供给提供者和患者。
Purpose/BackgroundFirearm injury, particularly self‐directed, is a major source of preventable morbidity and mortality among older adults. Older adults are at elevated risk of serious illness, cognitive impairment, and depression—all known risk factors for suicide and/or unintentional injury. Healthcare providers are often the first to identify these conditions and, although they commonly deliver safety guidance to such patients, little is known about how they approach firearm safety conversations with older adults.MethodsWe conducted semi‐structured interviews with healthcare providers who care for older adults (November 2020–May 2021). We used inductive and deductive thematic analyses to develop themes. We present themes and representative quotes from our analysis.ResultsWe interviewed 13 healthcare providers who regularly care for older adult firearm owners. Emergent themes were: circumstances that prompt firearm safety conversations; strategies for addressing firearm safety in routine and acute circumstances; barriers to addressing firearm safety; and available or desired resources.ConclusionPlanning for firearm safety should occur “early and often” as part of a longitudinal relationship with older adult patients. Age‐related safety issues such as driving are regularly addressed with older adult patients, likely because there are standard processes and established pathways. Establishing processes and provider/ patient resources would help improve provider efficacy to address firearm safety and relinquishment for older adult firearm owners. Integrating firearm safety conversations into routine encounters (e.g., Medicare Annual Wellness Visit, problem‐focused visits) templates could be a promising initial step but resources for follow‐up to the firearm screening must be available to both provider and patient.