将极端风险保护命令纳入临床工作流程:临床医生观点的定性比较
Kelsey M Conrick1,2, Sarah F Porter1, Emma Gause2
1School of Social Work, University of Washington, Seattle, Washington, United States of America.
PloS one
|December 29, 2023
概括
临床医生面临着将极端风险保护命令 (ERPO) 纳入实践的挑战,理由是范围,知识和关系问题. 培训和专家推可以促进ERPO咨询和枪支安全干预.
科学领域:
- 公共卫生 公共卫生
- 临床心理学 临床心理学
- 法律医学 法律医学
背景情况:
- 极端风险保护令 (ERPO) 的目的是暂时限制那些构成迫在眉的风险的个人使用枪支.
- 临床医生在患者护理过程中经常评估与枪支相关的风险,但在ERPO整合中面临复杂性.
- 了解临床医生的观点对于有效实施ERPO协议至关重要.
研究的目的:
- 探索临床医生关于将ERPO咨询和执法联系纳入他们的工作流程的观点.
- 确定影响临床医生的ERPO参与的障碍和促进者.
- 为提高临床医生参与ERPO流程的策略提供信息.
主要方法:
- 在线调查分发给华盛顿州的医生,护士从业人员和社会工作者 (2021年5月至7月).
- 对1,126名参与者对开放式问题的答案进行内容分析.
- 定性编码以确定与ERPO参与障碍,促进者和偏好相关的主题.
主要成果:
- 临床医生将实践范围,知识差距,制度问题,安全问题和治疗关系影响列为障碍.
- 促进者包括培训,专用时间,报酬,关于自愿选择的教育和转介途径.
- 许多临床医生更喜欢将ERPO相关的咨询或执法联系人转介给专家.
结论:
- 临床医生对ERPO整合的看法是多方面的,并因专业类型而异.
- 通过有针对性的支持和资源解决已识别的障碍对于临床医生的参与至关重要.
- 开发明确的转诊系统和专家角色可以提高ERPO在临床环境中的有效使用.
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