{"id":"https://openalex.org/W7154673189","doi":null,"title":"Improving Emergency Preparedness: Rural Hospital Nurse-Led In-Situ Active Shooter Training","display_name":"Improving Emergency Preparedness: Rural Hospital Nurse-Led In-Situ Active Shooter Training","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7154673189"},"language":"en","primary_location":{"id":"pmh:oai:archives.scranton.edu:dnp/242","doi":null,"is_oa":false,"landing_page_url":"http://archives.scranton.edu/u?/dnp,242","pdf_url":null,"source":{"id":"https://openalex.org/S7407064241","display_name":"University of Scranton Digital Collections","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},"volume":null,"type":"article","indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113853786","display_name":"Margaret Ruddy","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ruddy, Margaret","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5113853786"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.27451522,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.9595000147819519,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11430","display_name":"Disaster Response and Management","score":0.9595000147819519,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12265","display_name":"Gun Ownership and Violence Research","score":0.03920000046491623,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11647","display_name":"Workplace Violence and Bullying","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emergency-preparedness","display_name":"disaster preparedness","score":0.9490000009536743},{"id":"https://openalex.org/keywords/rural-hospitals","display_name":"rural hospitals","score":0.9480000138282776},{"id":"https://openalex.org/keywords/nurse-led-training","display_name":"nurse-led training","score":0.9660000205039978},{"id":"https://openalex.org/keywords/in-situ-training","display_name":"in situ training","score":0.921999990940094},{"id":"https://openalex.org/keywords/hospital-security","display_name":"hospital security","score":0.5080000162124634},{"id":"https://openalex.org/keywords/critical-incident-response","display_name":"critical incident response","score":0.6890000104904175},{"id":"https://openalex.org/keywords/emergency-planning","display_name":"emergency planning","score":0.5299999713897705},{"id":"https://openalex.org/keywords/staff-preparedness","display_name":"staff preparedness","score":0.878000020980835},{"id":"https://openalex.org/keywords/community-based-care","display_name":"community-based care","score":0.3779999911785126}],"concepts":[{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.6327000260353088},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.619700014591217},{"id":"https://openalex.org/C2777042776","wikidata":"https://www.wikidata.org/wiki/Q4583103","display_name":"Preparedness","level":2,"score":0.5394999980926514},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.49639999866485596},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.4731999933719635},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.46619999408721924},{"id":"https://openalex.org/C2777617010","wikidata":"https://www.wikidata.org/wiki/Q18957","display_name":"Mainstream","level":2,"score":0.42980000376701355},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.4262000024318695},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.4058000147342682},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4034999907016754},{"id":"https://openalex.org/C3017997152","wikidata":"https://www.wikidata.org/wiki/Q814610","display_name":"Emergency response","level":2,"score":0.3601999878883362},{"id":"https://openalex.org/C3018653863","wikidata":"https://www.wikidata.org/wiki/Q5281355","display_name":"Disaster response","level":3,"score":0.34119999408721924},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3325999975204468},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3278000056743622},{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.32679998874664307},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.32249999046325684},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.3100999891757965},{"id":"https://openalex.org/C62555980","wikidata":"https://www.wikidata.org/wiki/Q1460420","display_name":"Emergency management","level":2,"score":0.29760000109672546},{"id":"https://openalex.org/C186528591","wikidata":"https://www.wikidata.org/wiki/Q619544","display_name":"Body of knowledge","level":2,"score":0.2930000126361847},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.2766000032424927},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.26809999346733093},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.26429998874664307},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C2778897197","wikidata":"https://www.wikidata.org/wiki/Q133981","display_name":"First aid","level":2,"score":0.2612999975681305},{"id":"https://openalex.org/C2778872837","wikidata":"https://www.wikidata.org/wiki/Q7113614","display_name":"Overcrowding","level":2,"score":0.2551000118255615},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.250900000333786}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:archives.scranton.edu:dnp/242","doi":null,"is_oa":false,"landing_page_url":"http://archives.scranton.edu/u?/dnp,242","pdf_url":null,"source":{"id":"https://openalex.org/S7407064241","display_name":"University of Scranton Digital Collections","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:archives.scranton.edu:dnp/245","doi":null,"is_oa":false,"landing_page_url":"http://archives.scranton.edu/u?/dnp,245","pdf_url":null,"source":{"id":"https://openalex.org/S7407064241","display_name":"University of Scranton Digital Collections","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Text"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2888786977","https://openalex.org/W6989089959","https://openalex.org/W3120692283","https://openalex.org/W2082470819","https://openalex.org/W4396660459","https://openalex.org/W2799321486","https://openalex.org/W2405845684","https://openalex.org/W2767119588","https://openalex.org/W3141112592","https://openalex.org/W4407513003"],"abstract_inverted_index":{"During":[0],"a":[1,69,153,212],"disaster,":[2],"heart":[3],"rate":[4],"starts":[5,39],"to":[6,17,35,40,101,103,134,151,168,171,193],"increase":[7],"rapidly,":[8],"breathing":[9],"becomes":[10,22],"heavy,":[11],"and":[12,19,45,94,107,112,155,195,215,231,243],"the":[13,46,72,137,143,220],"body":[14,38],"may":[15,77,129],"start":[16],"shake":[18],"tremble.":[20],"Focusing":[21],"increasingly":[23],"problematic":[24],"as":[25],"thoughts":[26],"are":[27,98,121],"becoming":[28],"rapid":[29],"yet":[30],"foggy,":[31],"making":[32],"it":[33],"difficult":[34],"concentrate.":[36],"The":[37,187],"sweat,":[41],"senses":[42],"become":[43],"elevated,":[44],"feelings":[47],"of":[48,71,189,222,229,233,245],"both":[49],"concentrated":[50],"energy,":[51],"accompanied":[52],"by":[53],"paralyzing":[54],"fear,":[55],"can":[56],"coincide.":[57],"Which":[58],"response":[59,74],"will":[60],"win":[61],"when":[62,79,114],"reaction":[63],"is":[64,67,142,211],"needed?":[65],"This":[66,210],"just":[68],"glimpse":[70],"physiological":[73],"that":[75,120,127],"people":[76],"encounter":[78],"faced":[80],"with":[81,219],"an":[82],"emergent":[83],"crisis.":[84],"Emergency":[85],"preparedness":[86],"has":[87],"had":[88],"its":[89],"place":[90],"longstanding":[91],"within":[92],"hospitals":[93],"organizations.":[95],"Healthcare":[96],"professionals":[97],"often":[99,156,180],"trained":[100],"respond":[102,169],"critical":[104],"incidents.":[105],"Policies":[106],"procedures":[108],"help":[109],"facilitate":[110],"knowledge":[111],"guidance":[113],"situations":[115],"occur,":[116],"especially":[117],"in":[118,139,205,236],"nursing,":[119],"not":[122,179],"encountered":[123],"every":[124],"day,":[125],"or":[126,240],"simply":[128],"be":[130,152],"unique":[131,154],"from":[132],"facility":[133],"facility.":[135],"On":[136],"rise":[138],"healthcare":[140,176,203,208],"today":[141],"issue":[144],"surrounding":[145],"active":[146,184,199],"shooter":[147,185,200],"events.":[148,173],"Hospitals":[149],"prove":[150],"vulnerable":[157],"target":[158],"for":[159,202],"such":[160],"crimes.":[161],"Clinicians":[162],"rely":[163],"heavily":[164],"on":[165,183],"acquired":[166],"training":[167,177,201],"appropriately":[170],"adverse":[172],"However,":[174],"mainstream":[175],"does":[178],"focus":[181],"specifically":[182],"training.":[186],"aim":[188],"this":[190],"project":[191],"was":[192],"develop":[194],"implement":[196],"nurse-led":[197],"in-situ":[198],"staff":[204,238],"rural":[206],"community":[207],"settings.":[209],"program":[213],"development":[214],"quality":[216],"improvement":[217],"initiative":[218],"goal":[221],"assessing":[223],"existing":[224],"emergency":[225],"plans,":[226],"establishing":[227],"clarification":[228],"roles,":[230],"identification":[232],"potential":[234],"gaps":[235],"policy,":[237],"readiness,":[239],"educational":[241],"needs":[242],"methods":[244],"delivery.":[246]},"counts_by_year":[],"updated_date":"2026-09-02T07:38:04.252551","created_date":"2026-04-17T00:00:00"}