Discussion of Identity and Implicit Bias: A Strategy to Address Racism and Social Justice in Pediatric Nursing Education.

ABSTRACT: Nurse educators must weave discussions of systemic racism, social justice, social determinants of health, and psychosocial influences throughout the curriculum. For an online pediatric course, an activity was developed to raise awareness of implicit bias. This experience interfused assigned readings from the literature, introspection of identity, and guided discussion. Framed by principles of transformative learning, faculty facilitated an online dialogue involving groups of 5 to 10 students through aggregated self-descriptors and open prompts. Ground rules for the discussion established psychological safety. This activity complements other schoolwide racial justice initiatives.

A Community Educational Intervention to Improve Firearm Safety Behaviors in Families.

INTRODUCTION: Childhood gun-related injuries and deaths have reached levels indicative of a public health crisis in the United States. However, < 30% of gun owners report storing their firearms in the recommended manner, with many gun injuries resulting from those found in the home. By incorporating just a few questions during the primary care visit, providers may be able to protect and save lives. METHOD: The author uses an established curriculum for improving gun safety within the family and collects data on its effectiveness within a community institution. This quality improvement project included pre-post studies to measure, monitor, and evaluate an educational intervention using audience interaction. RESULTS: Although not all the findings were statistically relevant because of sample size and subject participation, the importance of the intervention and its applicability to pediatric practice is evident. DISCUSSION: Additional studies are recommended.

Pediatric Firearm Violence in America.

We have a firearm public health crisis in the United States, with firearm injuries being the leading cause of death in children. The state of pediatric firearm violence will be summarized through a synopsis of an expert panel of pediatric-focused advanced practice registered nurses. A review of related statistics, policy initiatives, programs, screening tools, and resources to support providers to intervene with patients, parents, and caregivers is summarized. Strategies to identify and intervene with all youth and families are described. All pediatric providers must take action against pediatric firearm violence and work to develop care strategies and health policy changes to combat this growing epidemic.