[Show abstract][Hide abstract] ABSTRACT: —Background: Several professional medical societies advocate for firearm safety counseling with pa-tients. Little is known about Emergency Physicians' prac-tices and perceptions of firearm safety counseling. Objective: To assess Emergency Physicians' beliefs regard-ing firearm control and their confidence in counseling pa-tients on firearm safety. Methods: A national random sample (n = 500) of the members of the American College of Emergency Physicians was sent a valid and reliable ques-tionnaire on firearm safety counseling. Results: Of the 278 (56.8%) responding physicians, those who were non-white and those who were not members of the National Rifle Asso-ciation (NRA) perceived firearm violence to be more of a problem than white physicians and those who were mem-bers of the NRA. The majority did not believe that patients would view them as a good source of information on firearm safety (63.3%) or that patients would accept them providing anticipatory firearm safety guidance (56.5%). The majority of the Emergency Department physicians did not believe firearm safety counseling would impact firearm-related ho-micides (75.2%) or suicides (70%). Conclusions: The vast majority of Emergency Physicians had never been formally trained regarding firearm safety counseling, did not believe patients would see them as credible sources, and did not be-lieve that anticipatory guidance on firearm safety would have any impact. These data may help inform Emergency Medicine residency programs on the training needs of residents regarding anticipatory guidance on firearm safety. Ó 2013 Elsevier Inc.
Journal of Emergency Medicine 05/2013; 27(1):1-10. · 1.18 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Involvement in advocacy is a responsibility of health educators, as identified by the National Commission on Health Education Credentialing. Of all the professional responsibilities, participation in advocacy-related activity is often neglected. This lack of participation may be due to the absence of advocacy and policy skills training in health education professional preparation programs. The lack of training may be attributed to various reasons, such as the university faculty being unsure about how to include students in advocacy work, students being unable to see the relevance of advocacy to their studied field or the lack of available time to conduct advocacy by students and faculty alike. This article will focus on promoting advocacy among health education faculty and students, and provide creative strategies to incorporate advocacy knowledge and skills into health education coursework. A review of common health education courses is provided with suggestions for relevant advocacy projects, course assignments and proposed evaluation strategies.
Health Education Journal 01/2012; 71(3):268-277. · 0.73 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Young people are likely to experience noise-induced hearing loss (NIHL), as the use of personal listening devices and other damaging factors (e.g., video games) increases. Little research has examined the role of school health personnel in the prevention and early identification of hearing impairment. A 32-item, valid and reliable survey was developed regarding elementary and middle school nurses' practices concerning hearing loss screening and prevention. The survey instrument was based on the Stages of Change theory and the Health Belief Model. A random sample of 800 nurses was obtained from The National Association of School Nurses. A two-wave mailing was used to achieve a 58% response rate. Forty eight percent indicated there were not many educational programs that addressed NIHL in students. Performing hearing screenings routinely can help identify those students at risk. School nurses need to become advocates for policies and programs that mandate hearing screenings and educational programs to help reduce hearing loss.
The Journal of School Nursing 06/2011; 27(5):380-9. · 1.01 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Public health professionals can maximize their effectiveness in reducing firearm trauma by seeking partners from law enforcement professionals. This study assessed sheriff's support for various types of firearm control measures and their firearm control advocacy activities. A 29 item valid and reliable survey was used for a three- wave mailing to a national random sample of 650 sheriffs. The majority (over 50%) of sheriffs supported 4 of 14 proposed firearm control policies. Almost 55% of responding sheriffs were members of the NRA and being a member of the NRA was significantly associated with less support for 12 of the 14 firearm control policies. The majority (>70%) of sheriffs did not participate in most firearm control advocacy activities. Sheriffs were found to be far less supportive of potentially important firearm control policies than what has been previously found for police chiefs. Thus, sheriffs may be less helpful than police chiefs as colleagues for public health campaigns to reduce firearm trauma.
Journal of Community Health 02/2011; 36(5):715-20. · 1.28 Impact Factor