Community violence, particularly gun violence, is a leading cause of morbidity and mortality in young people in the United States. Because persons experiencing violence-related injuries are likely to receive medical care through emergency departments, hospitals are increasingly seen as primary locations for violence intervention services. Currently, there is little research on how best to implement hospital-based violence intervention programs (HVIPs) across large hospital systems. This study explored the factors influencing the implementation of a multi-site HVIP using qualitative interviews with a purposive sample of 20 multidisciplinary stakeholders. Thematic analysis was used to generate several themes that included: (1) reframing gun violence as a public health issue; (2) developing networks of community–hospital–university partners; (3) demonstrating effectiveness and community benefit; and (4) establishing patient engagement pathways. Effective implementation and sustainment of HVIPs requires robust and sustained multidisciplinary partnerships within and across hospital systems and the establishment of HVIPs as a standard of care.

中文翻译：

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影响实施多系统医院暴力干预计划的因素的探索

社区暴力，尤其是枪支暴力，是美国年轻人发病率和死亡率的主要原因。由于遭受暴力相关伤害的人可能会通过急诊室接受医疗护理，因此医院越来越多地被视为暴力干预服务的主要场所。目前，关于如何在大型医院系统中最好地实施基于医院的暴力干预计划 (HVIP) 的研究很少。本研究通过对 20 名多学科利益相关者的有目的样本进行定性访谈，探讨了影响多站点 HVIP 实施的因素。主题分析被用来产生几个主题，包括：（1）将枪支暴力重新定义为一个公共卫生问题；(2) 发展社区-医院-大学合作伙伴网络；(3) 证明有效性和社区利益；(4) 建立患者参与途径。HVIPs 的有效实施和维持需要在医院系统内部和跨医院系统之间建立稳固和持续的多学科合作伙伴关系，并将 HVIPs 建立为护理标准。