<body><div><img src="https://img.particlenews.com/image.php?type=thumbnail_580x000&amp;url=4ZwbVg_0w4cEtpF00" alt="https://img.particlenews.com/image.php?url=4ZwbVg_0w4cEtpF00" width="1280" height="854" ><p>One year after participating in the Trauma Resource Institute (TRI) training, psychiatric-mental health nurse practitioners (PMHNPs) continue to incorporate resiliency strategies into their clinical and self-care practices, according to study results presented at the American Psychiatric Nurses Association 38th annual conference, held in Louisville, Kentucky from October 9-12, 2024.</p><p>As many as 80% of registered nurses and 64% of advanced practice registered nurses (APRN) experience burnout. Compared with other specialties, PMHNPs are at greater risk for burnout due to low compassion satisfaction and high secondary traumatic stress. These factors are compounded by workforce shortages and increased caseloads, according to the researchers Megan Simmons, DNP, PMHNP-BC; Rose Vick, PhD, PMHNP-BC; Jessica Walker, DNP, PMHNP-BC; and Christian Ketel, DNP, FNAP, from the Vanderbilt University School of Nursing in Nashville, Tennessee.</p><h2>Instituting Trauma Training</h2><p>The investigators launched a Behavioral Health Workforce Education and Training (BHWET) program with help from a Health Resources and Services Administration (HRSA) training grant. The goal of BHWET was to increase the APRN behavioral workforce in rural areas among underserved communities and to provide TRI training and financial support. The program aims to train 120 PMHNP students over 4 years.</p><p>The TRI training comprises the Trauma Resiliency Model (TRM) and the Community Resiliency Model (CRM). The TRM was designed for clinicians who work with children and adults with traumatic stress reactions and is based on mindfulness. The CRM aims to create a trauma-informed and resiliency-focused community by resetting the natural balance of the nervous system.</p><blockquote><p>One year after the training, the most frequently used Community Resiliency Model skills have been grounding and self-regulation, these being most impactful for clinical practice.</p></blockquote><p>The 7 major themes of the trauma-informed teaching and learning approach in BHWET include:</p><ul><li>Safety</li><li>Trustworthiness and transparency</li><li>Support</li><li>Collaboration and mutualism</li><li>Empowerment, voice, and choice</li><li>Culture, history, and gender contexts</li><li>Resilience</li></ul><p>The program features low stakes learning opportunities, consistent grading procedures, check-in communication, learner-led activities, flexibility in deadlines, and diversity training.</p><h2>Study Results</h2><p>One year after the training, the most frequently used CRM skills have been grounding and self-regulation, these being most impactful for clinical practice. For self-care, PMHNPs endorsed grounding, self-regulation, breathing, and resourcing.</p><p>Participants are not only using CRM skills for themselves but considering how they can be used to positively impact and treat their patients. One participant endorsed integrating CRM techniques in patient education about medication-assisted treatment for substance use disorder and psychiatric medication management. Another PMHNP working with patients who have had a history of substance use disorder thought CRM techniques could provide non-medication approaches to addressing anxiety or emotional activation among their patients. A participant working in the prison system stated that they were actively integrating CRM into a detoxification program at a jail.</p><p>This study is ongoing to more formally evaluate the outcomes of the BHWET program.</p><p>The study authors concluded that the BHWET program provided a practical upstream solution for nurse educators.</p><p>Visit Clinical Advisor’s meeting section for more coverage of APNA 2024.</p></div></body>

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Trauma-Informed Training Useful in Clinical Practice and Self-Care

One year after participating in the Trauma Resource Institute (TRI) training, psychiatric-mental health nurse practitioners (PMHNPs) continue to incorporate resiliency strategies into their clinical and self-care practices, according to study results presented at the American Psychiatric Nurses Association 38th annual conference, held in Louisville, Kentucky from October 9-12, 2024. As...