Resilience Index Research Articles

Keeping health care professionals healthy: Systematic strategies for mitigation, wellness, and burnout prevention.

9013 Background: Health care professionals are deeply committed to the compassionate care of their patients. However, the same level of caring and compassion is not typically extended to colleagues, much less toward themselves. Escalating issues include: burnout, demoralization, personal conflicts, early retirement, and high turnover. Literature and training offer few suggestions to proactively address these complexities. There is a lack of attention to creating truly healthy work environments, with strategic infrastructure to enhance leadership, communication, and relationship among team members that directly impact wellness, engagement, and productivity. We will present the Staff Leadership Model (SLM) that integrates courageous and compassionate communication to foster healthier work environments, including how to implement and sustain the necessary infrastructure. Methods: In 4 large academic cancer settings, evolving iterations of the SLM were developed since 1995, focusing on maximizing inherent human capacities. In 2007, the Department of Supportive Care Medicine (DSCM), an interdisciplinary department at City of Hope (COH), systematically integrated the SLM. Specific processes, such as onboarding and skills training, regularly scheduled, open and honest communication, ways of working agreements, and performance evaluations that actively support value-driven behaviors, were implemented. Tailored interpersonal strategies were implemented, such as small group democratic meeting structure that equalizes all members, and problem-solving skills to deal with conflict. Clinicians received annual Press Ganey-administered surveys that measured clinician engagementas well as clinician resilience, measuring the ability to disconnect from work and ability to find meaning in their work, providing early warning indicators of burnout. Results: Sustained success has been demonstrated: 1) 5 years top tier clinician/staff engagement scores, with increase from 4.24 in 2022 to 4.32 in 2023 (+0.14 vs. overall COH) ; 2) 3.96 resilience index score vs. 3.80 overall COH in 2023 (3.23 decompression score vs. COH 2.94 and 4.69 activation score vs. COH 4.65); 3) Growth of the department from 25 professionals in 2007 to 170+ in 2024; 4) A clearly-defined clinical triage created through the expertise of the professionals; and 5) Staff creativity and leadership resulting in the creation and consistent growth of innovative, market-differentiating programs. Conclusions: Results support the relationship between the SLM and healthier work environments that increase engagement and decrease burnout, as reflected by the consistently high scores. The resilience index is a new survey measure with one year data. Cause-effect relation will continue to be evaluated. Overall, SLM creates a culture of health, wellness, support, and optimized individuals and teams.

Examining resilience indices and influencing factors in Xishuangbanna Community Conserved Areas, southwest China

Community Conserved Areas exemplify a harmonious interplay between human and nature, contributing to biodiversity conservation. Nonetheless, their sustainability faces jeopardy due to social disruptions. Taking Xishuangbanna as an example, we explore the social-ecological system resilience of Community Conserved Areas at the regional level, taking the disturbances caused by human social activities as the entry point, and construct a resilience evaluation index system based on the pressure-state-response model, evaluating its resilience, and analyzing in depth the factors influencing it. Taking into consideration the pressure, status and response, the percentage of townships with resilience levels ranging from Level V to Level I are 20 %, 23 %, 20 %, 27 % and 10 %, respectively. Among the prominent social factors affecting the resilience of Xishuangbanna’s Community Conserved Areas, the hierarchy of influence, ranked in descending pressure, encompasses: agricultural development, population growth and urbanization rate. The status hierarchy is largely dependent on the quality of resources and the condition of the community. Within the response hierarchy, we have explored factors such as education, traditional culture and forest conservation are key. Our study extends the comprehension of socio-ecological resilience within Community Conserved Areas to encompass the regional scale. This clarification underscores the pivotal role of management systems in fortifying social-ecological system resilience, laying a foundation for regional conservation and management efforts.

Techno-economic modeling of a preventive-corrective strategy based on black-start services to resilience enhancement of distribution networks

High-impact with low-probability (HILP) events such as natural disasters or cyber-physical attacks severely affect power systems. The distribution networks experience significant challenges during HILP events. So, strategies need to be developed to enhance distribution networks' resilience. Hence, in this paper, a resilience enhancement strategy based on the potential of multi-microgrids is developed. The proposed strategy has a two-layered structure consisting of preventive and corrective measures within the hierarchical centralized energy management framework. The preventive measures are based on the black-start bilateral contract between the active distribution network operator and the multi-microgrids owner. The corrective measures are based on islanding microgrids during the event. The LP-Metric-based multi-objective optimization approach is employed for economic-resilient operational planning of the active distribution network. Moreover, a scenario-based stochastic approach is utilized to deal with renewable resources and load uncertainties. On the modified IEEE 33-bus active distribution network, the effectiveness of the proposed strategy is evaluated using the supplied load as a resilience index. The proposed black-start strategy has resulted in an increase of 181.57 % in the supplied load of the distribution network, while a reduction of 83.12 % in its curtailed load has been achieved. Consequently, the resilience index increased by 84 %. Additionally, the distribution system operation cost was reduced by 87.44 %, while the multi-microgrid owner's profit increased by 1004.68 %. The obtained results demonstrate that distribution system resilience has been enhanced within an economic framework, which validates the effectiveness of the proposed strategy.

Correction: Relationships for Evaluating the Seismic Resilience Index of Reinforced Concrete Buildings Built Up with FRP Lying on Different Soil Types Under Near‑Field Earthquakes

Correction: Relationships for Evaluating the Seismic Resilience Index of Reinforced Concrete Buildings Built Up with FRP Lying on Different Soil Types Under Near‑Field Earthquakes

Integrating GIS, agent-based, and discrete event simulation to evaluate patient distribution policies for enhancing urban healthcare access network resilience

Ensuring healthcare network resilience during urban disasters is crucial for sustainability and public safety. This study evaluates patient distribution policies in healthcare networks through a case study following a simulated earthquake scenario to enhance resilience during such events. By integrating geographic information systems (GIS) to model road impacts, agent-based modeling (ABM) for patient movements, and discrete event simulation (DES) for hospital queues, six distribution policies were evaluated. The analysis prioritized two metrics: patient waiting times and unmet treatment demands within four days post-disaster. Results revealed that policies emphasizing minimal hospital wait times demonstrated superior performance, reducing average waiting times by 71% and unmet demands compared to proximity-based approaches. Sensitivity analyses highlighted human behavior's influence, with increased personal vehicle usage adversely impacting resilience. Conversely, expanding hospital capacities substantially improved resilience indicators. The findings underscore the importance of informed policymaking focused on wait time reduction to enhance healthcare access resilience. Incorporating real-time hospital wait times into ambulance dispatch decisions emerged as a promising strategy. This multi-method simulation approach provides valuable insights into optimizing emergency response for resilient urban healthcare systems.

Resilience of Saudi Arabia’s Economy to Oil Shocks: Effects of Economic Reforms

We assess the extent to which the implementation of Vision 2030 policies enhances the Saudi economy’s resilience to oil shocks. Using a dynamic stochastic general equilibrium model that captures the country’s economic diversification policies, we build a resilience index based on impulse responses to shocks. The policies considered have two opposite effects: reforming domestic energy prices, deploying renewables and introducing a value-added tax increase the volatility of macroeconomic aggregates, whereas economic diversification policies stabilize the economy. Overall, with Vision 2030 the economy’s resilience to oil price shocks increases by 10 to 60 percent, depending on how labor market rigidities and the recycling of fiscal revenues are accounted for. Oil prices remain the main driver of macroeconomic fluctuations. Our analysis shows that an oil-exporting country should design policy packages that balance structural reforms with economic diversification, in order to shield its economy against oil shocks while generating long-term welfare gains. JEL Classification: D58, E13, E32, E37, E65, H30, H50, Q43

Spatio-temporal pattern and the evolution of the distributional dynamics of county-level agricultural economic resilience in China.

Because the complexity of the external environment has put great pressure on the agricultural economy, making it vulnerable, it is necessary to promote a system of resilience in the agricultural economy so that Chinese agriculture can continue to persevere in the face of serious external uncertainties. Therefore, this paper investigates the spatio-temporal pattern and evolution of the distributional dynamics of China's county-level agricultural economic resilience based on 2000-2020 data covering 2,545 counties. The results are as follows: first, from 2000 to 2020, the mean value of China's county-level agricultural economic resilience showed an obvious upward trend, which indicates that China's agricultural economy gradually increased its ability to resist risks and continued to develop in a favourable manner. Specifically, the county-level agricultural economic resilience index of the northeast region grew the most significantly, while the index of county units in the western region was relatively low. Second, the centre of gravity of the spatial distribution of China's agricultural economic resilience gradually migrated to the northwest, showing a dominant direction from northeast to southwest and a tendency to develop from southeast to northwest. Third, the spatial differences in China's agricultural economic resilience generally showed an upward trend, while county-level differences were the main source of the overall differences, followed by inter-provincial differences, inter-municipal differences and inter-regional differences. Additionally, the contribution of county-level differences to the overall differences fluctuated within the range of 54%-58%. Fourth, there is a possibility of localized convergence in China's agricultural economic resilience, which is continuous in spatial effects and has obvious positively correlated spatial effects at different times and in different county spaces.

A Novel Method for the Seismic Resilience Assessment of Railway Stations Based on Quantitative Indices

ABSTRACT A novel method for assessing the seismic resilience of railway stations is introduced. With this method, a railway station is divided into five constituent systems. The structural components, nonstructural components, and especially professional equipment that affect the functions in each system are identified and analyzed. Significantly, a new calculation method for seismic resilience indices, encompassing repair cost, repair time, casualties, and resilience grade, is proposed. Additionally, the complete seismic resilience assessment process is outlined. Furthermore, a case study was conducted on a typical railway station in China to demonstrate the application of this new seismic resilience assessment method.

A trait-based approach to integrate resilience frameworks

Multiple context-specific resilience frameworks with explicit assumptions have limited their application over a wide range of complex systems. Ability to withstand and recover subsumes the core properties in multiple resilience definitions across disciplines. This study presents a generic framework using a spring-damper-mechanical-system (SDMS), as it provides suitable analogy, as spring and damper represent recovery and withstanding capabilities to an external force. Using SDMS framework, an integrated resilience index (IRI) was developed as a combined measure of recovery and withstanding capabilities of the system. IRI successfully distinguished SDMSs and diverse range of ecological systems based on their resilience properties. IRI solely depends on system's response and not limited to either a particular type of external forcing, or system with specific set of equilibria and criteria for bifurcations. Therefore, it overcomes limitations of traditional resilience frameworks, particularly in the context of engineering and ecological resilience frameworks applied in ecological systems.

Building resilience to multiple climate change-related risks in QwaQwa using the community capitals approach

ABSTRACT QwaQwa, in South Africa, experiences high exposure to multiple climate change impacts. The area is particularly vulnerable to the effects of climate change. As such, this paper aims to assess community resilience, estimate the risk of multiple climate change impacts in QwaQwa, and propose strategies to reduce risk and build resilience. Data were collected using a household survey and key informant interviews with a sample of 349 participants. An indicator method, based on the Community Capitals Framework, was used to measure resilience and estimate risk. The composite resilience indicators were weighted using Principal Component Analysis. The Cronbach's alpha (α) test indicated a very good internal consistency in the scaled items. The results indicated that medium resilience to climate change impacts in QwaQwa was mostly driven by access to all six capitals measured in this study: natural, human, social, financial, political, and infrastructural capitals. The multi-hazard risk estimate resulted in a very high index of 4.1. These results were validated at a stakeholder workshop. Strategies that use nature-based solutions, training and education for people of all ages, sectors and professions, and increased community and local government cooperation were deemed essential for boosting resilience and reducing disaster risks in the area.

Psychological distress, wellbeing and resilience: modelling adolescent mental health profiles during the COVID-19 pandemic

There has been concern about adolescent mental health during the pandemic. The current study examined adolescent mental health during the initial phase of the COVID-19 pandemic in the UK. Using indicator of psychological distress, wellbeing and resilience, latent profile analysis was used to identify homogeneous mental health groups among young people aged 13–24 (N = 1971). Multinomial logistic regression was then used to examine which sociodemographic and psychosocial variables predicted latent class membership. Four classes were found. The largest class (Class 1, 37.2%) was characterised by moderate symptomology and moderate wellbeing. Class 2 (34.2%) was characterised by low symptomology and high wellbeing, while Class 3 (25.4%) was characterised by moderate symptomology and high wellbeing. Finally, Class 4 was the smallest (3.2%) and was characterised by high symptomology and low wellbeing. Compared to the low symptomology, high wellbeing class, all other classes were associated with less social engagement with friends, poorer family functioning, greater somatic symptoms, and a less positive model of self. A number of unique associations between the classes and predictor variables were identified. Although around two-thirds of adolescents reported moderate-to-high symptomology, most of these individuals also reported concurrent moderate-to-high levels of wellbeing, reflecting resilience. Furthermore, these findings demonstrate how a more comprehensive picture of mental health can be gained through adopting a dual-continua conceptualisation of mental health that incorporates both pathology and well-being. In this way, at-risk youth can be identified and interventions and resources targeted appropriately.

A qualitative exploration of online forums to support resilience of rural young people in Australia.

Prevention and early intervention are crucial strategies for improving young people's mental health and well-being. Building resilience is a key component of these strategies, especially among young individuals in rural areas who face well-documented mental health disparities. This study aimed to investigate how online mental health forums can contribute to enhancing individual resilience in young rural users. A sample of forum posts (n = 1,000) made by Australian rural users (18-25 years) on an online peer support mental health forum were qualitatively analyzed. The analysis was guided by themes derived from the literature on indicators of rural resilience. Analysis of forum posts showed evidence of rural resilience in forum users. Online peer support forums offered a virtual space for individuals to establish social connections, experience a sense of belonging, share information, acquire knowledge, and offer mutual support. There were indications of increased self-efficacy among forum users, as they demonstrated their ability to implement strategies for better managing their mental health. These findings significantly contribute to our understanding of how online forums can enhance resilience factors that are beneficial for young people living in rural communities. In the context of prevention and early intervention, this study illustrates the intricate connections between forum design and user activity with resilience outcomes, providing valuable insights into the underlying causal mechanisms. Consequently, it emphasizes the importance of incorporating such digital interventions as integral components of mental health service ecosystems.

Fostering Organizational Resilience through Agile Leadership: A Comparative Study Analysis

In an increasingly volatile and uncertain business landscape, organizational resilience has become a critical factor for long-term success. This study aims to explore the role of agile leadership in fostering organizational resilience through a comparative analysis of various organizational contexts. The research employs a mixed-methods approach, combining quantitative surveys and qualitative case studies to investigate the relationship between agile leadership practices and organizational resilience. Data were collected from multiple organizations across diverse industries, including responses from leaders, employees, and key stakeholders. The quantitative component utilized validated scales to measure agile leadership dimensions and organizational resilience indicators, while the qualitative component involved in-depth interviews and document analysis to gain deeper insights into the lived experiences and best practices. The findings reveal a significant positive correlation between agile leadership practices, such as adaptability, innovation, and collaborative decision-making, and enhanced organizational resilience. Effective agile leaders cultivate a culture of continuous learning, encourage experimentation, and empower teams to respond swiftly to changing circumstances. However, the study also highlights challenges in implementing agile leadership, including resistance to change, hierarchical structures, and organizational silos. The research concludes that agile leadership is a critical enabler of organizational resilience, equipping organizations with the agility and flexibility to navigate disruptions, seize opportunities, and thrive in an ever-changing business environment. It recommends the integration of agile leadership principles into organizational strategies, talent management practices, and leadership development programs.

Assessment and optimization of urban spatial resilience from the perspective of life circle: A case study of Urumqi, NW China

This paper presents an original framework for assessing and enhancing urban resilience from the perspective of the life circle that emphasizes the daily activity spaces of residents, using Urumqi, a major city in northwest China's arid oasis region, as a case study. Based on multi-source urban geographic big data, we introduce Gini coefficient and Lorenz curve to analyze the spatial matching relationship between urban spatial pressure and urban spatial resilience, and divided the priority of planning intervention by priority index. Our findings for the case study Urumqi reveal a strong "center-periphery" structure of urban resilience and spatial pressures. Based on the findings, we proposed targeted planning interventions prioritized by a resilience index that considers the life circle to address disparities and improve urban resilience. Our study advocates for urban planning to focus on the life circle, aiming to develop a multi-center and cluster-type resilient urban spatial structure to foster a "people-oriented" resilient city.

How social-ecological systems resilience unfolds from distinct worldviews

Resilience is a critically important factor to consider for sustainably managing natural resources and social-ecological systems (SESs). Each social system will, collectively, have its own goals for how resources are perceived and the principles that underpin their resilience, and, multiple actors, individually, will approach the question with different perspectives. Here, we represent these plural perspectives in terms of worldviews, using the typologies from cultural theory. We combined the underpinning resilience principles from a previously built SES model to assess the extent to which these worldviews influence the results. Resilience was measured using a prototype Dynamic Resilience Index (DRI) validated in a previous publication. The results show the resilience of our SESs will behave in three different ways depending on each worldview used. Free markets (individualists) start the simulation period with a higher resilience. Strong governance (hierarchy) will take a higher position around 2025 and maintain the best value to the end of the simulation in 2100. The precautionary principle (egalitarians) starts with the lowest values for the DRI but ends closer to the strong governance, and it is the only worldview that increased its resilience throughout the simulation. Each worldview couples better to a particular management approach, and the SES behavior responds accordingly. The relevance for the governance of the SES is great as each worldview brings flawed contributions to resilience and wellbeing. Our research also shows that a possible negotiated solution between these worldviews would locate resilience inside the “solution space,” which is graphically determined and discussed. Adopting each worldview is then discussed in terms of contributions and problems they imply to the system's resilience.

Biological Indicators of Resilience in Mixed and Monoculture Musaceae Production Systems

Objective: To examine the impact of intraspecific diversity on the biological resilience and biodiversity of Musaceae production systems against pests and diseases in the Ecuadorian tropics, thereby improving the environmental sustainability of these agricultural systems. Theoretical Framework: Key concepts such as biological resilience, intraspecific diversity of Musaceae, and their relationship with soil health and pest and disease control were explored. The importance of mixed production systems versus monocultures in Musaceae agriculture was discussed. Method: An experimental design with completely randomized blocks was adopted in two locations (El Carmen and La Maná), comparing mixed and monoculture production systems. Three repetitions were used to collect data on the presence of arthropods, earthworms, and soil microorganisms, evaluating their diversity and quantity as indicators of biological resilience and environmental quality. Results and Conclusions: Mixed systems demonstrated greater biodiversity, particularly in the presence of Collembola, earthworms, and various beneficial microorganisms, indicating higher resilience and soil health compared to monocultures. Intraspecific diversity in mixed systems significantly contributes to the sustainability and resilience of Musaceae agroecosystems, suggesting a more resilient and ecologically sustainable production model for tropical agriculture. Originality/Value: This study provides empirical evidence on how intraspecific diversity and mixed production systems can enhance resilience and biodiversity in Musaceae crops, offering sustainable alternatives to face contemporary agricultural challenges in the Ecuadorian tropics.

Effect of mechanical properties and microscopic mechanism of cement-stabilized macadam under variable temperature environment with early strength agent

The early strength formation of Cement-Stabilized Macadam (CSM) base materials in cold regions is affected by environmental changes. At the same time, the curing temperature of CSM in the actual service environment did not meet the laboratory standard temperature curing environment (ST-CE). This study explores the evolution law of CSM performance and the influence of an early strength agent (ESA-I) on the early performance of CSM under variable temperature curing environment (VT-CE) in cold regions. The actual service environment for CSM curing was simulated in the laboratory, and CSM specimens with five ESA-I dosages of 0%, 5%, 10%, 15%, and 20% were prepared. The effect of ESA-I on the early properties of CSM under VT-CE was analyzed. The micro mechanism of CSM under different curing environments and ESA-I dosages was investigated based on X-ray diffraction, Fourier transform infrared spectroscopy, and Scanning electron microscope. The experimental results indicated that the early strength formation of CSM was slow in VT-CE, and the 7-day unconfined compressive strength did not meet the construction quality control indicators of CSM material under heavy traffic conditions. It was necessary to extend the curing period to meet the construction requirements. Adding ESA-I could enhance the strength, modulus, frost resistance, and fatigue performance of CSM under different curing environments. Compared with the ST-CE, the VT-CE would weaken the improvement effect of ESA-I on the performance of CSM. The recommended range for ESA-I in VT-CE was 10% −15% based on comprehensive compressive strength and resilient modulus indicators. Microscopic experiments show that under a VT-CE, the hydration rate of cement decreases, the Ettringite content in the hydration products is higher, and the microstructure is loose. Adding ESA-I improves the hydration rate of cement under VT-CE, and the microstructure contains more C-S-H hydration products.

Towards Extensive Definition and Planning of Energy Resilience in Buildings in Cold Climate

The transition towards a sustainable future requires the reliable performance of the building’s energy system in order for the building to be energy-resilient. “Energy resilient building in cold climates” is an emerging concept that defines the ability to maintain a minimum level of indoor air temperature and energy performance of the building and minimize the occupant’s health risk during a disruptive event of the grid’s power supply loss in a cold climate. The aim is to introduce an extensive definition of the energy resilience of buildings and apply it in case studies. This article first reviews the progress and provides an overview of the energy-resilient building concept. The review shows that most of the relevant focus is on short-term energy resilience, and the serious gap is related to long-term resilience in the context of cold regions. The article presents a basic definition of energy resilience of buildings, a systematic framework, and indicators for analyzing the energy resilience of buildings. Terms such as active and passive habitability, survivability, and adaptive habitable conditions are defined. The energy resilience indicators are applied on two simulated Finnish case studies, an old building and a new building. By systematic analysis, using the defined indicators and thresholds, the energy resilience performance of the buildings is calculated and compared. Depending on the type of the building, the results show that the robustness period is 11 h and 26 h for the old building and the new building, respectively. The old building failed to provide the habitability conditions. The impact of the event is 8.9 °C, minimum performance (Pmin) is 12.54 °C, and degree of disruption (DoD) is 0.300 for the old building. The speed of collapse (SoC) is 3.75 °C/h, and the speed of recovery (SoR) is 0.64 °C/h. On the other hand, the new building performed better such that the impact of the event is 4 °C, Pmin is 17.5 °C, and DoD is 0.138. The SoC is slow 3.2 °C/h and SoR is fast 0.80 °C/h for the new building. The results provide a pathway for improvements for long-term energy resilience. In conclusion, this work supports society and policy-makers to build a sustainable and resilient society.

Exploring supply chain and regional resilience through the analysis of the transport dimension

Despite the key role that global supply chains (GSC), and more specifically, the transport and logistics function, might play in the performance of regions, there is a lack of analytical tools that turn the data generated by supply chain operations into quantitative metrics allowing policymakers to identify early signals of potential vulnerabilities and assess how resilient the GSC are at regional level. In an effort to fill this gap, we present a Transportation Resilience Index (TRI) that permits evaluating how transport chains affect supply chain resilience and, consequently, regional resilience. Our index, based on publicly available data –statistics on foreign trade flows provided by the Spanish Customs, the World Bank’ Logistics Performance Index and the UNCTAD’ Bilateral Liner Shipping Connectivity Index − differentiates between the determinants over which the company has direct decision-making control, and those linked to the selection of the supply market (market and macro dimensions). The TRI is applied to the Spanish regions (NUTS2) by using the Benefit-of-the-Doubt (BoD) approach to Data Envelopment Analysis (DEA) and applying a Common Set of Weights (CSW) for the selection of the weights to the index components. In our specific analysis, the market and macroeconomic components account for 84% of the total weight of the TRI. Despite the lower relative weight of the company dimension, the high degree of homogeneity in the market and macroeconomic scores means the company dimension plays a key role in the relative resilience of the Spanish regions.

Factors affecting decision-making to strengthen climate resilience of smallholder farms in the Centre region of Cameroon

This study examined the resilience to climate change of smallholder family farms in the Centre Region of Cameroon. Data were collected using a mixed-methods strategy and analyzed using descriptive, multivariate, and inferential statistics. Family farms exhibited a mean climate resilience index of 0.46 (medium), with the Ntui, Mbangassina, Batchenga, and Obala regions scoring 0.42, 0.44, 0.47, and 0.51, respectively. Family farmers had a high transformation capacity (59.07 ​%), a low adaptation capacity (32.10 ​%), and a very low absorption capacity (8.82 ​%). Logistic regression revealed significant causal relationships (p ​< ​0.05) between the capacity of the farms to adapt to climate fluctuations and change and annual income, access to agricultural inputs, access to agricultural machinery, and membership in a farmers organization. These are the primary factors that could significantly increase climate resilience in Cameroonian family farms. Consequently, policymakers in these regions and beyond should consider these as indicators when developing policies to strengthen the climate resilience of local agricultural systems. In doing so, they should also consider community monitoring and indigenous knowledge, which can help bridge the gap between local adverse impacts and the necessary adaptations to climate change.