在初级保健中为老年人提供关于解决枪支安全问题的提供者观点
Rachel Ross1,2, Laura C Prater2,3, Allison Cole4
1Department of Pediatrics, University of Washington, Seattle, Washington, USA.
Clinical gerontologist
|October 4, 2023
概括
初级保健提供者需要更好的资源来为老年人提供枪支安全咨询. 决策辅助工具可以提高供应商的信心,并减少与枪支相关的伤害风险,在这个脆弱的人群中.
科学领域:
- 老年病的医生 老年病的医生
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有慢性疾病的老年人面临着较高的枪支自杀风险.
- 许多老年人拥有枪支,通常存储不安全,但临床咨询很少见.
研究的目的:
- 探索初级保健提供者对老年人枪支安全咨询所需资源的观点.
- 使用太华决策支持框架 (ODSF) 构思必要的决策支持.
主要方法:
- 与照顾老年人的初级保健提供者进行21次半结构化访谈 (2022年3月至8月).
- 分析与枪支辅导相关的演概念和新兴主题.
主要成果:
- 关键主题包括提供者自我有效性,临床工作流程,患者诊断和护理人员参与.
- 供应商确定了关于枪支存储的决策支持和共享决策工具的需求.
结论:
- 对于临床决策辅助来促进枪支咨询和共享决策存在重大需求.
- 实施决策辅助工具可以提高提供者的自我效能,并减轻老年人与枪支有关的伤害.
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