Understanding Pediatric Residents' Communication Decisions Regarding Anticipatory Guidance About Firearms
| Autor: | Dana L. Silver, Daon D. Juang, Tierra D. Burrell, Yan Wang, Elizabeth A. Johnson-Young, Richard Lichenstein, D. I.A.N.E. McDonald |
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| Rok vydání: | 2020 |
| Předmět: |
Prioritization
Adult Counseling Male Firearms Health (social science) Adolescent Attitude of Health Personnel Decision Making Psychological intervention MEDLINE 050801 communication & media studies Library and Information Sciences 03 medical and health sciences 0508 media and communications Nursing Surveys and Questionnaires Well child Health belief model Humans Pediatricians Practical implications Cause of death Physician-Patient Relations 030505 public health Communication 05 social sciences Public Health Environmental and Occupational Health Theory of planned behavior Baltimore Female Safety 0305 other medical science Psychology |
| Zdroj: | Journal of health communication. 25(3) |
| ISSN: | 1087-0415 |
| Popis: | In 2014, guns were the second leading cause of death among children and teens in the U.S. and it was previously found that approximately 33% of children live in homes with a firearm (Schuster et al., 2000). Currently, the AAP recommends pediatricians address firearms and firearm safety with patients; however, available research regarding the methods pediatricians use to communicate with patients regarding firearms and the influences on decision making is mixed and in need of more studies. Utilizing concepts from the theory of planned behavior and the health belief model, this paper presents findings from an online survey of medical doctors in several pediatric residency programs and seeks to identify the influences on prioritization of firearm safety in one's anticipatory guidance. Findings indicate that many residents do not counsel on firearm safety during well child visits. Further, prioritization is influenced by comfort, training, and confidence. Gender differences were also found, wherein women are more likely to indicate that firearm safety is as important as other anticipatory guidance messages, but also indicate less confidence in abilities to counsel. Theoretical and practical implications, including possibilities for future research and interventions, are discussed. |
| Databáze: | OpenAIRE |
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