枪支伤害预防和外科手术的交叉点:一个定性研究
Shelbie D Waddle1, Ana M Reyes, Arielle Thomas
1From the Department of Trauma (S.D.W., A.T., B.T.C.), American College of Surgeons, Chicago, IL; Department of Surgery (S.D.W., A.T., J.K.J., A.M.S.), Northwestern University Feinberg School of Medicine, Chicago, IL; Department of Surgery (A.M.R.), University of Miami Miller School of Medicine, Miami, FL; Department of Surgery (A.T.), Medical College of Wisconsin, Milwaukee, WI; Department of Emergency Medicine (M.E.B.), University of Colorado School of Medicine, Denver, CO; VA Eastern Colorado Geriatric Research Education and Clinical Center (M.E.B.), Rocky Mountain Regional VA Medical Center, Aurora, CO; Department of Emergency Medicine (R.R.), University of Michigan Medical School, Ann Arbor, MI; Rosalind Franklin University of Medicine and Science (A.E.), Chicago, IL; Northwestern University (A.J.), Chicago, IL; Department of Surgery (M.C.), Department of Surgery, Case Western Reserve University, Cleveland, OH; and Department of Pediatric Surgery (B.T.C.), Connecticut Children's Medical Center, Hartford, CT.
拥有枪支的外科医生认为在预防伤害方面有作用,但面临着挑战. 需要量身定制的方法,考虑患者的背景和外科医生的信誉,以便有效地提供枪支安全咨询.
科学领域:
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
- 枪支伤害预防 预防枪支伤害
背景情况:
- 外科医生发现咨询创伤患者的枪支安全具有挑战性.
- 了解拥有枪支的外科医生对预防伤害的看法至关重要.
研究的目的:
- 探索持有枪支的外科医生对其在预防枪支伤害中的作用的观点.
- 在临床实践中识别枪支安全咨询的障碍和促进者.
主要方法:
- 1:1虚拟采访,对32名拥有枪支的外科医生 (美国外科医生协会会员) 进行了采访.
- 参与者治疗了枪支伤害的患者,并通过ACS创伤委员会listserv招募.
- 综合行为模型指导导诱导和演编码来识别主题.
主要成果:
- 外科医生相信他们有预防作用,但担心会损害患者关系.
- 倡导防止枪支伤害的倡导应该是非政治化的.
- 资源,环境,患者环境和外科医生的信誉影响安全讨论.
- 舒适度根据受伤类型 (意外/自我伤害与攻击) 不同.
结论:
- 大多数拥有枪支的外科医生支持临床枪支伤害预防,但需要量身定制的策略.
- 关键考虑因素包括信使的可信度,伤害意图和当地背景.
- 需要进一步的研究,以优化针对不同患者群体的枪支安全咨询.
