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Equipping School Nurses to Address Firearm Safety: A Pilot Curriculum Study.

Ikemsinachi C Nzenwa1,2, Amy J Kaplan2,3, Gretchen F Felopulos4

  • 1Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital and Harvard Medical School, Boston, USA.

The Journal of School Health
|July 13, 2025
PubMed
Summary
This summary is machine-generated.

This pilot program enhanced school nurses' confidence in firearm safety counseling. The training equipped nurses with tools to proactively prevent firearm violence and create safer school environments.

Keywords:
curriculumfirearmpreventionsafetyschool nurseviolence

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Area of Science:

  • Public Health
  • Child Safety
  • Nursing Education

Background:

  • Firearm violence is a leading cause of death for children and adolescents in the US.
  • School nurses are vital in firearm violence prevention efforts.
  • Existing training for school nurses lacks role-specific firearm safety content.

Purpose of the Study:

  • To adapt and pilot a hospital-based firearm safety curriculum for school nurses.
  • To assess the feasibility, acceptability, and efficacy of the adapted training program.

Main Methods:

  • Adapted a hospital-based curriculum including didactic sessions and patient simulations.
  • Conducted a pilot study at a single academic medical center.
  • Collected qualitative survey data and used a pretest-posttest design to assess outcomes.

Main Results:

  • 30 school nurses participated; 43.3% had prior firearm safety training.
  • Post-training, nurses showed increased confidence in counseling on firearm safety, including Extreme Risk Protection Orders and the 5 Ls.
  • Perceptions of screening importance improved, and concerns about student interactions decreased.

Conclusions:

  • The pilot training successfully enhanced school nurses' confidence and perceptions regarding firearm safety counseling.
  • The program demonstrates potential for broader implementation to improve school safety.