Early ReleaseEditorialWorkplace Violence/Abuse

Gun violence: A public health issue

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By: Lillee Gelinas, DNP, RN, CPPS, FAAN
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Nurses have a key role to play.

Lillee Gelinas
Lillee Gelinas
The Healthy Nurse feature this month focuses on healthcare’s role in reducing gun violence (see Healthcare’s role in reducing gun violence). I first wrote about this important issue in 2017 in an editorial titled “Guns and nurses,” which emphasized why nurses must understand the reality of guns in today’s society and that healthcare settings require specific action planning. Round-the-clock hours of operation, open access to the public, multiple entrances, and large numbers of staff, patients, and visitors create vulnerability unlike in any other sector.

Unfortunately, the situation hasn’t improved. In this issue’s article, author Corrine Dixon notes the following startling statistics:

  • The Centers for Disease Control and Prevention recently named firearm injury as the number one killer of children ages 1 through 19 years.
  • Since the COVID-19 pandemic, overall firearm mortality has increased by 35%.
The good news is that the role of nurses in reducing firearm events is becoming clearer. And we’re learning that the terminology and phrases we use in our interactions with patients and families play an important role. For instance, we should refer to “firearms,” rather than “weapon” or “guns.”

Several resources exist to help nurses learn about our direct role in firearm safety and responses to situations like active shooter events. The Dixon article lists several. I believe that addressing this public health issue starts with our own personal and organizational commitment. My organization does a great job with annual active shooter training and awareness, and I’m sure yours does, too. Collectively, across the profession, we need to take training seriously, stay up to date with changing laws and regulations, and advocate for firearm safety in our communities.

Just a few months ago, the 2023 American Nurses Association Membership Assembly released urgent recommendations to address gun violence as a public health issue in the following three areas: advocacy and legislation, policies and positions, and education and engagement (bit.ly/3UqHovW). ANA states that promoting knowledge on the relationship between gun violence and public health is key. I agree.

Also take a look at the American Academy of Nursing position statement on “Firearm safety and violence prevention.” With excellent background and research references, nine recommendations provide a roadmap of evidence-based public health next steps (bit.ly/45frgiR).

What I said in 2017 holds true today: Nurses are uniquely educated and positioned to promote public health, safety, and awareness. Participate in conversations about gun violence in your organization, encourage regular simulation training, and build your own confidence for responding to gun violence incidents. Learn how to discuss firearm safety with patients and families. Start with the excellent firearm safety discussion tips in the Dixon article.

Let me know your thoughts about nursing’s role for enhancing firearm safety. What related topics would you like to see the journal cover in the future?

Together, we can make a huge impact. I hope for different statistics the next time I write about gun violence.

Lillee Gelinas, DNP, RN, CPPS, FAAN

Editor-in-Chief

Dr. Gelinas welcomes letters to the editor. To submit a letter, visit myamericannurse.com/send-letter-editor/

American Nurse Journal. 2024; 19(3). Doi: 10.51256/ANJ032404

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