Literature Review Conclusion Section

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	ACTIVE SHOOTER IN THE HEALTHCARE SYSTEM
No	Article Title	Citation	Research design and methods	Article Summary	Findings.
1	Active shooter awareness education and training using the best practices for nurses in acute care facilities.	Amanda C., D., Published on 2019.Nursing Theses and CapstoneProjects.Grdener WebbUniversity.	The study collected and used data recorded concerning incident s of mas shooting in various places.This data is mainly obtainedfromthe Federal Bureauof Invesigation( FBi)	The article is basically examining the significance of the active shooter incidents preparednessto nurses in the acute healthcare system. The study finds it important for thenusres to be educated appropriately so that	The study found that it is essetial for healthcare personnels working in acute healthcae facilities including nurses, to be provided with the rightedcation on handling active shooter event, for their safety, as well as patients and visitors safety too.
2	An optimization modelling framework to evaluate civilians response under active shooter violence	Kerlin, Joseph G. Published on 2022. Industrial and systems engineering. Theses and Desertations. James Worth Bagley College of Engineering.	The study collected panel of active shooter data that took place in a various enviroments between 1999 to 2019.	The study serves the purpose of assessing the safety of people at their workplace against active shooter violence. The study proposes a machine learning optimization structure which can be used in assessng the the safety of buildings against possible active shooter incident.	The perfomance of the proposed machine learning otimization framework was assessd on various storey buldings and the results indicated that the building confiquration as well as the agent behaviuors such as herding behaviour and cognitive delay, play are important role in the recovery of civilians under a crisis situation.
3	The code Silver Exercise: A low cost simulation alternative to prepare hospitals for an active shooter event	Julie J. Kim,Daniel Howes,Chantal Forristal& Aandreew Willmore, Published 21 Oct 2021. Advances in simulation. DOI: https://doi.org/10.1186/s41077-021-00190-0	The study employed a survey with total participants for the workshops, and virtual confrences via zoom.	The study is an assessment of a low cost simulation alternative to prepare hospitals for an active shooter event. The Code Silver Exercise was piloted to improve the quality and emergency preparednes initiative in the hospital system.	The CSE is an alternative to traditional simulation for an active shooter event that can be implemented in a sustainable way wthout affecting patient care or daily operation at larg healthcare systems.
4	Active shooter incident and action.	Amy Glasofer & Linda Laskowski-jones,Published on Mar 2019. National Library of Medicine. DOI: 10.1097/01.NUMA.0000553498.47779.ed	The study relies on the reports from various recognized organs including the Federal Bureau of Investigation (FBI)	This article provides guidance for nurses basd n recommendations from the international Nursing Coalition for mass casuality education ,best practice, and lesons learned from the experiences of hospitals that have nevigated active shooter events.	The active shooter events are common, hence,there is a need to strategize on the measures to effectively mitigate this problem, there is a need to teach the nurses the ways of providig the first aid topeople in case of the mass shooting, also it is important to teach them the run, hide or fight strategy to ensure they are safer while working.
5	Active Shooter Drills in the United State: A National Study of youth Experience and perceptions.	N'dea Moore-Petinak, Marika Waselewski, Blaire Alma Pterson, & Tammy Chang, Published on Oct 2020. National Library of Medicine. DOI: 10.1016/j.jadohealth.2020.06.015	The survey was conducted using MyVoice, a national text message poll of teenagers aged 14 to 24 years old. The participants were asked five open-ended questions. Thematic analysis was used to assess qualitative data, and descriptive statistics were used to summarize quantitative data.	This article is basically aiming at determining the effectiveness of staging active shooter drills . By tryng to gain information from the youths about their perception on th issue.	Many youth report that active shooter drills have a negatiive effect on their emotional health and are conflivted on their effectiveness.