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    Nurses need more education and training on firearm safety assessment, screening, and counseling. Implementing mental health assessments before gun ownership and addressing barriers are crucial for reducing gun violence.

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    Area of Science:

    • Public Health
    • Nursing Practice
    • Gun Violence Prevention

    Background:

    • Firearm violence is a major public health crisis in the U.S.
    • Limited evidence exists on nurses' current practices in firearm safety assessment, screening, and counseling.
    • A need for enhanced nursing education and intervention strategies is evident.

    Purpose of the Study:

    • To explore registered nurses' attitudes and perceptions regarding firearm ownership and safety.
    • To investigate current nursing practices in assessing, screening, and counseling on gun safety.
    • To identify facilitators and barriers to implementing firearm safety practices in nursing.

    Main Methods:

    • Exploratory qualitative study utilizing focus groups.
    • 32 registered and advanced practice nurses participated in five focus groups.
    • Thematic analysis was conducted on transcribed interview data.

    Main Results:

    • Nurses require enhanced education and training in firearm safety assessment, screening, and counseling.
    • There is a need to extend firearm safety education to patients, families, and communities.
    • Implementing mental health assessments before gun ownership and advocating for policy changes are recommended.
    • Barriers to assessment and counseling must be addressed, with state laws and organizational policies as facilitators.

    Conclusions:

    • This study is among the first to examine nurses' perspectives on gun ownership and safety practices.
    • Findings provide a foundation for developing multifaceted interventions to address gun violence.
    • Further research and targeted educational programs are needed to improve nursing practice in firearm safety.