Purpose

Pediatric unintentional firearm injuries are potentially preventable with firearm safety guidance (FSG). In baseline assessment, we learned that providers feel uncomfortable delivering FSG due to lack of training, but are inclined to learn. Here we present the development and concept testing of an FSG training program.

Methods

Using Kern's 6 rules of curriculum development, a training template was developed: 1. Program development, 2. Review by multidisciplinary expert team, 3. Concept testing, and 4. Modifications. Foundations included: raising awareness, increasing provider knowledge of safe storage methods, introducing a visual aide (American Academy of Pediatrics [AAP] infographic), and providing examples of guidance delivery. In-person training was provided and modifications made until there was uniform provider satisfaction. Program effectiveness and satisfaction were evaluated through surveys and focus groups. Descriptive statistics and univariate analyses were utilized.

Results

Over one year, in-person training was provided to 44 pediatric providers (residents and practicing pediatricians) at 8 clinics. Modifications included: addition of a Spanish-version visual aide, instruction on safety device use, simulation scenarios, making the handout more child-friendly, and development of a home safety video to include firearm safety with other topics. Following training, routine FSG by pediatricians increased from 34% to 71% (p = 0.001). Focus groups revealed provider satisfaction with the AAP infographic and increased comfort of FSG delivery.

Conclusion

Following development and quality improvement, our FSG training model received positive feedback and increased provider delivery by pediatric providers. This model could be used for development of FSG training programs in other settings.

中文翻译：

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为儿科提供者实施枪支安全指导培训计划

目的

使用枪支安全指南 (FSG) 可以预防儿科意外枪支伤害。在基线评估中，我们了解到，由于缺乏培训，提供者对提供 FSG 感到不舒服，但倾向于学习。在这里，我们介绍了 FSG 培训计划的开发和概念测试。

方法

使用 Kern 的 6 条课程开发规则，开发了一个培训模板：1. 程序开发，2. 多学科专家团队审查，3. 概念测试，以及 4. 修改。基础包括：提高意识、增加提供者对安全储存方法的了解、引入视觉助手（美国儿科学会 [AAP] 信息图）以及提供指导示例。提供了面对面的培训并进行了修改，直到获得统一的提供者满意为止。通过调查和焦点小组评估计划的有效性和满意度。使用了描述性统计和单变量分析。

结果

一年多来，在 8 个诊所为 44 名儿科提供者（住院医师和执业儿科医生）提供了面对面培训。修改包括：添加西班牙语版本的视觉助手、安全设备使用说明、模拟场景、使讲义更适合儿童，以及制作家庭安全视频，将枪支安全与其他主题结合起来。培训后，儿科医生的常规 FSG 从 34% 增加到 71% ( p  = 0.001)。焦点小组揭示了供应商对 AAP 信息图的满意度，并提高了 FSG 交付的舒适度。

结论

在开发和质量改进之后，我们的 FSG 培训模型收到了积极的反馈，儿科提供者提供的服务也增加了。该模型可用于在其他环境中开发 FSG 培训计划。