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The Impact of Firearm Safety Training on Pediatric Healthcare Providers' Screening and Counseling Practices: An
Insights
Pediatric firearm safety training improves healthcare providers' screening practices for children's safety. Further research is needed to enhance interventions and long-term outcomes for child injury prevention.
Area of Science:
- Pediatric healthcare
- Public health
- Injury prevention
Background:
- Firearm injuries are a leading cause of death for US children.
- Millions of children are exposed to unsecured firearms in homes.
- Pediatric providers often lack training in firearm safety counseling.
Purpose of the Study:
- To review the impact of firearm safety training on pediatric providers.
- To assess changes in screening and counseling practices post-training.
Main Methods:
- Integrative review using Whittemore and Knafl's framework.
- Searched studies from 2019-2024.
- Thematic analysis of nine studies on provider training.
Main Results:
- Training enhanced provider screening behaviors.
- Interventions primarily focused on physicians and residents.
- Limited generalizability and few long-term outcome assessments.
Conclusions:
- Future research should involve interdisciplinary teams.
- Standardized, sustainable approaches are needed for firearm safety interventions.
- Addressing developmental needs in pediatric firearm safety is crucial.
Introduction:
Firearm injuries are the leading cause of death among children in the United States, with over 2,500 pediatric deaths annually. Approximately 4.6 million children live in homes with unsecured firearms. Despite recommendations for routine firearm safety screening and counseling, many pediatric healthcare providers lack training and confidence. This integrative review examines the effect of firearm safety training on pediatric providers' screening and counseling practices.
Method:
Guided by Whittemore and Knafl's framework, a comprehensive search of studies published between 2019 and 2024 was conducted. Nine studies evaluating firearm safety training for pediatric healthcare providers were thematically analyzed.
Results:
Training improved provider screening behaviors. Most interventions target physicians and residents, with minimal inclusion of other healthcare providers. Generalizability was limited, and few studies assessed long-term outcomes.
Discussion:
Future research should engage interdisciplinary teams, address developmental considerations, evaluate sustainability, and use standardized approaches to strengthen firearm safety interventions in pediatric care.
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