Arch Pediat Adol Med
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Arch Pediat Adol Med · Aug 2002
Pediatric residents' attitudes and behaviors related to counseling adolescents and their parents about firearm safety.
Firearms continue to be a major cause of mortality in adolescence. Although the American Academy of Pediatrics strongly encourages pediatricians to counsel adolescents and their parents on firearm safety, few residency programs educate their trainees in this area. More in-depth information is needed to design effective educational interventions. ⋯ To increase counseling practices, clinical preceptors should aim to strengthen residents' comfort in counseling and to develop specific ways to enhance their perceived effectiveness in counseling parents.
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Arch Pediat Adol Med · Aug 2002
Comparative StudyThe rural-urban continuum: variability in statewide serious firearm injuries in children and adolescents.
To compare rates of serious firearm injuries among children and adolescents treated in a statewide trauma system. ⋯ Rates of serious firearm injuries among children and adolescents are 10-fold higher in urban than nonurban regions. Assaultive injury mechanisms predominated in urban areas, unintentional injuries in the nonurban counties. Firearm injury statistics are heavily influenced by events in the urban counties. Intervention and prevention strategies need to account for these regional discordances to optimize efficacy.
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Arch Pediat Adol Med · Aug 2002
Persistence of posttraumatic stress in violently injured youth seen in the emergency department.
To determine if symptoms of posttraumatic stress, initially evaluated in the emergency department (ED) setting, persist over time. ⋯ This study provides preliminary evidence that acute stress symptoms, assessed in the ED in the immediate aftermath of a traumatic injury, are useful indicators of risk for later posttraumatic stress.
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Arch Pediat Adol Med · Aug 2002
Implementation of a program to teach pediatric residents and faculty about domestic violence.
To obtain information about pediatric resident and staff knowledge, attitudes, and screening practices related to domestic violence (DV), to implement a domestic violence education program, and to evaluate whether the program resulted in changes in these 3 domains. ⋯ To our knowledge, this is one of the first pediatric studies to demonstrate that using a short, multifaceted educational module, it is possible to change DV screening practices and to increase identification of DV victims among pediatric residents, continuity clinic faculty, and certified-registered nurse practitioners at a pediatric teaching hospital.
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Arch Pediat Adol Med · Aug 2002
Mothers' and health care providers' perspectives on screening for intimate partner violence in a pediatric emergency department.
To determine the attitudes, feelings, and beliefs of mothers and pediatric emergency department health care providers toward routine intimate partner violence screening. ⋯ Intimate partner violence screening protocols in the pediatric emergency department should take into consideration the beliefs and attitudes of both those doing the screening and those being screened. Those developing screening protocols for a pediatric emergency department should consider the following: (1) that those assigned to screen must demonstrate empathy, warmth, and a helping attitude; (2) the importance of addressing the child's medical needs first, and a screening process that is minimally disruptive to the emergency department; (3) a defined, organized approach to assessing danger to the child, and how and when it is appropriate to notify child protective services when a caregiver screens positive for intimate partner violence; and (4) that resources must be available immediately to a victim who requests them.