对促进者和障碍者进行关键信息分析,以实施医院式枪支暴力干预计划
Lucy Hart1,2, Ashleigh Hawk3, Zahrya Thomas3
1Emory University School of Medicine, Atlanta, Georgia, USA ldhart@emory.edu.
概括
基于医院的暴力干预计划 (HVIP) 有助于打断枪支伤害的循环. IVYY 项目的关键促进者包括知识博的领导和可信的使者,而负面的当地态度则构成了障碍.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人际枪支伤害 (FI) 是美国死亡和残疾的重要原因之一.
- 经历FI的个人面临着随后受伤的风险增加.
- 基于医院的暴力干预计划 (HVIP) 提供案例管理,以减轻暴力的复发.
研究的目的:
- 分析在实施HVIP新项目的过程中遇到的促进者和障碍,即"打破青少年和年轻成年人暴力 (IVYY) 项目".
主要方法:
- 与27个关键信息者 (医院工作人员,IVYY团队,暴力干预专家) 进行了半结构化采访.
- 使用MAXQDA软件分析了采访数据.
- 将确定的主题映射到实施研究综合框架 (CFIR) 领域.
主要成果:
- 促进者包括知识博的领导和当地对预防暴力的需求.
- 障碍包括当地对枪支暴力的负面态度.
- 医院环境提供了空间,雇佣具有实践经验 (暴力干预专家) 的可靠信使至关重要.
结论:
- 在治疗FI受害者时,HVIP是不可或缺的组成部分.
- 了解促进者和障碍物为有效的HVIP实施和复制提供了洞察力.
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