title: Psychiatric advanced practice nurses contributions to supporting survivors and caregivers affected by the Boston marathon bombings.
abstract: OBJECTIVE
  The role of the psychiatric advanced practice nurse in promoting psychological health and resiliency for patients, their families and staff following the Boston Marathon bombings is reviewed.
  
  
  BACKGROUND
  On April 15, 2013, 2 bombs exploded near the finish line at the Boston Marathon. Within minutes, 39 patients suffering from multiple injuries presented at a level I trauma center. The magnitude of this event and its effect on our hospital required a comprehensive response that would promote resiliency and healing.
  
  
  BACKGROUND
  Lessons shared from responders to other tragedies were helpful in guiding our interprofessional efforts. The multiple layers of our response are reviewed to offer learnings that may inform others as they work to promote resiliency and healing following traumatic events.
  
  
  METHODS
  In response to this event, we utilized a trauma-informed care framework emphasizing physical, psychological, and emotional safety to assist staff, survivors, and families on their journey of healing.
  
  
  CONCLUSIONS
  Emotional reactions were dramatic but were eased by the psychological care and education that our patients, their families, and staff received in the first days to weeks after the bombings.
  
  
  CONCLUSIONS
  The psychiatric advanced practice nurse can influence positive outcomes by utilizing a trauma-informed care framework.
authors: Author Affiliations: Program Directors (Dr Lakatos and Mss DeLisle and Mitchell), Psychiatric Nursing Resource Service, and Executive Director (Ms Etheredge), Nursing Practice Development and the Psychiatric Nursing Resource Service, Brigham and Women's Hospital, Boston, Massachusetts.
authors: Barbara E
authors: BE
authors: Lakatos
authors: Leslie
authors: L
authors: Delisle
authors: Monique
authors: M
authors: Mitchell
authors: Mary Lou
authors: ML
authors: Etheredge
mesh_terms: D057179:Advanced Practice Nursing; D001900:Boston; D017028:Caregivers; D005190:Family; D006801:Humans; D007857:Leadership; D024802:Nurse's Role; D012420:Running; D013534:Survival