Abstract

Background: Firearm injury contributed to 15,706 pediatric deaths in 2019 (Xu et al., 2021). The number of children injured in these accidents exceeded motor vehicle collisions for the first time in 2019 (Andrews et al., 2022). While such events are preventable, gun violence is the leading cause of death in children under 19 years of age (Andrews et al., 2022). Thus, there is an urgent need to stop this source of pediatric morbidity and mortality.

Objectives: The aim of this DNP project was to evaluate whether providing a trigger lock safety device with firearm storage training using the Health Promotion Model effectively educating parents to use secure gun storage habits in the home to prevent pediatric injury.

Methods: A quasi-experimental design for a prospective study utilized a pretest and posttest strategy employed in a rural, pediatric primary care setting.
Results: The study assessed the storage practices of firearms in the home and did not find a change in practices between families provided a trigger locking device with storage education compared with families provided education alone (χ2 (2, N = 152) = 4.423, p = .219).

Conclusion: The research questions pertaining to the storage practices of firearms in the home were fully answered. The provision of a trigger-locking device did not significantly change practices in this group. Implications for future nursing research and advancements in clinical practice should focus on more family education outcomes measurement.

Notes

Reference list included in attached slide deck.

Description

Firearm injuries are the leading cause of death in Pediatrics. Consistent counseling for families regarding safe storage practices must be implemented to daily practice in primary care is vital to advancing safe gun storage practices.

Author Details

Lisa Callahan DNP, CPNP-PC; Clark Callahan, SN

Sigma Membership

Pi Eta

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Quasi-Experimental Study, Other

Research Approach

Quantitative Research

Keywords:

Primary Care, Promoting Clinical Outcomes, Gun Safety, Firearm Storage, Pediatric Firearm Injury Reduction

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-12-05

Click on the above link to access the slide deck.

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Improving Safe Practices for Firearm Storage in a Pediatric Primary Care Setting

Indianapolis, Indiana, USA

Background: Firearm injury contributed to 15,706 pediatric deaths in 2019 (Xu et al., 2021). The number of children injured in these accidents exceeded motor vehicle collisions for the first time in 2019 (Andrews et al., 2022). While such events are preventable, gun violence is the leading cause of death in children under 19 years of age (Andrews et al., 2022). Thus, there is an urgent need to stop this source of pediatric morbidity and mortality.

Objectives: The aim of this DNP project was to evaluate whether providing a trigger lock safety device with firearm storage training using the Health Promotion Model effectively educating parents to use secure gun storage habits in the home to prevent pediatric injury.

Methods: A quasi-experimental design for a prospective study utilized a pretest and posttest strategy employed in a rural, pediatric primary care setting.
Results: The study assessed the storage practices of firearms in the home and did not find a change in practices between families provided a trigger locking device with storage education compared with families provided education alone (χ2 (2, N = 152) = 4.423, p = .219).

Conclusion: The research questions pertaining to the storage practices of firearms in the home were fully answered. The provision of a trigger-locking device did not significantly change practices in this group. Implications for future nursing research and advancements in clinical practice should focus on more family education outcomes measurement.