Resiliency Program Research Articles

Disaster Resilience and Capability in the Maintenance of Public Order During Disaster of Calamity-Prone Municipalities in Oriental Mindoro, Philippines

This study examined the level of disaster resilience and extent of the capability of calamity-prone areas to maintain public order during disaster, among the respondents, the barangay officials and the residents in the disaster-prone municipalities in Oriental Mindoro. This study employed a descriptive-quantitative research design in which the level of disaster resilience and extent of the capability of calamity-prone areas in the maintenance of public order during disaster, among the respondents, the barangay officials (n=180) and the residents (n=379) in the disaster-prone municipalities in Oriental Mindoro. A structure questionnaire was crafted based on study questions. In this study, stratified proportional random sampling was carried out for the selection of resident respondents. In contrast, total enumeration was used for barangay officials, including the chief of the barangay tanods in each barangay of the calamity-prone areas of the province under study. The weighted mean was used to evaluate the respondents’ level of disaster resilience and the extent of capability of calamity-prone areas in the maintenance of public order during disaster. Results showed the high extent of capability in the maintenance of public order during disaster in disaster-prone municipalities is indicative of the effective implementation of policies on disaster preparedness and the management of disaster risk reduction. The local government units may adopt the comprehensive resilience program based on the findings of this study to further enhance disaster resilience and disaster risk reduction management.

Compassion Fatigue Resiliency Program Effects on Oncology-Hematology Nurses' Professional Quality of Life, Stress Levels, and Patients' Care Satisfaction: Nurse, Nurse Manager, and Patient Perspectives, a Mixed-Methods Study

ObjectivesThis study aimed to evaluate the effects of the Compassion Fatigue Resiliency Program applied to oncology-hematology nurses on the professional quality of life and stress levels of nurses, on the satisfaction of cancer patients, and on the perspectives of nurse managers. Data SourcesAn experimental embedded mixed-methods design was conducted between December 20, 2022, and February 20, 2023. The study included 15 oncology-hematology nurses, 19 cancer patients, and 6 nurse managers. Qualitative interviews were conducted with patients and pre-tests were applied to patients and nurses. The Compassion Fatigue Resiliency Program was implemented for the nurses. Then qualitative interviews were repeated with the same patients; focus group interviews were conducted with the nurse managers; post-tests were applied to patients and nurses who participated in the training; and narrative feedback was collected. Quantitative data analysis was carried out using the Wilcoxon signed-rank test. Qualitative data were processed using an inductive approach to thematic analysis. ConclusionCompassion satisfaction decreased after the Compassion Fatigue Resiliency Program. Qualitative results showed that the training program improved nurses' effective communication skills and ability to cope with stress. The program improved nurses’ approach to patients and communication, and patients' care satisfaction levels increased. Implications for Nursing PracticeThe Compassion Fatigue Resiliency Program should be included in hospital in-service training programs and implemented and sustained. With this, compassion fatigue of nurses can be reduced or prevented, which will help to avoid the nurse shortages that already existing and increasing.

Improving mental health following multiple disasters in Australia: a randomized controlled trial of the Skills for Life Adjustment and Resilience (SOLAR) programme

ABSTRACT Background: The mental health impacts of climate change-related disasters are significant. However, access to mental health services is often limited by the availability of trained clinicians. Although building local community capability for the mental health response is often prioritised in policy settings, the lack of evidence-based programs is problematic. The aim of this study was to test the efficacy of the Skills for Life Adjustment and Resilience programme (SOLAR) delivered by trained local community members following compound disasters (drought, wildfires, pandemic-related lockdowns) in Australia. Method: Thirty-six community members were trained to deliver the SOLAR programme, a skills-based, trauma informed, psychosocial programme. Sixty-six people with anxiety, depression and/or posttraumatic stress symptoms, and impairment were randomised into the SOLAR programme or a Self-Help condition. They were assessed pre, post and two months following the interventions. The SOLAR programme was delivered across five 1-hourly sessions (either face to face or virtually). Those in the Self-Help condition received weekly emails with self-help information including links to online educational videos. Results: Multigroup analyses indicated that participants in the SOLAR condition experienced significantly lower levels of anxiety and depression, and PTSD symptom severity between pre – and post-intervention (T1 to T2), relative to the Self-Help condition, while controlling for scores at intake. These differences were not statistically different at follow-up. The SOLAR programme was associated with large effect size improvements in posttraumatic stress symptoms over time. Conclusion: The SOLAR programme was effective in improving anxiety, depression and posttraumatic stress symptoms over time. However, by follow-up the size of the effect was similar to an active self-help condition. Given the ongoing stressors in the community associated with compounding disasters it may be that booster sessions would have been useful to sustain programme impact. Trial registration: Australian New Zealand Clinical Trials Registry identifier: ACTRN12621000283875..

Disaster preparedness perception, pyschological resiliences and empathy levels of nurses after 2023 Great Turkiye earthquake: Are nurses prepared for disasters: A risk management study.

The purpose of the study is to determine the disaster preparedness perceptions, psychological resilences and empathy levels of nurses after 2023 Great Turkiye Earthquake. This descriptive study was conducted in 2023 using with E-Anket. This study was carried out with voluntary participation of 464 nurses living in different geographical regions of Turkiye. The data of the study were obtained utilizing Nurses' Disasters Prepardeness Perception Scale (NDPPS), Pyschological Resileince Scale (PRS) and Empathy Scale (ES). In this study, the disaster preparedness perception of the nurses was found to be at medium level. More than half of the nurses (65.1%) reported that they did not received any disaster training before. A meaningful was found between the nurses' disaster preparedness perceptions and their empathy levels and psychological resilence. As in many countries, it is possible to state that also in Turkiye, the training of nurses for disasters are inadequate and that the studies on this subject are limited. This study will provide a theoretical platform to develop nurses' awareness of disaster preparedness and pyschological resilience and empathic approach programs to increase disaster resilience, and to conduct future research on disaster nursing.

Implementation of a Stepped Care Program to Address Emotional Recovery among Traumatic Injury Patients.

Annually, over 600,000 adults served in US trauma centers (≥20%) develop posttraumatic stress disorder (PTSD) and/or depression in the first year after injury. American College of Surgeons guidelines include screening and addressing mental health recovery in trauma centers. Yet, many trauma centers do not monitor and address mental health recovery, and it is a priority to learn how to implement evidence-informed mental health programs in trauma centers. This report describes our application of the Exploration, Preparation, Implementation, Sustainment model to implement the Trauma Resilience and Recovery Program (TRRP) in 3 Level I and II trauma centers to address patients' mental health needs. TRRP is a scalable and sustainable stepped model of care-one of the few in the US-that provides early intervention and direct services after traumatic injury. Trauma centers are well positioned to accelerate patients' mental health recovery via early identification, education, screening, and referrals to mental health agencies that provide best-practice care. We found that TRRP was acceptable to the 3 partnering trauma centers we studied. Early engagement of patient, provider, and hospital administration stakeholders enhanced buy-in during the early stages of the implementation process and promoted sustainability. Active processes to support monitoring, evaluation, and adaptation were critical. Our work demonstrates the feasibility of implementing and adapting TRRP, a cost-efficient and sustainable stepped care intervention, in Level I and II trauma centers. Several factors should be carefully considered by trauma centers seeking to integrate behavioral health interventions into their trauma program.

Facing Climate Vulnerability in Mountain Areas: The Role of Rural Actors’ Agency and Situated Knowledge Production

Climate change is challenging in mountain areas, and initiatives to define resilience programs appear essential to face global warming impacts. Despite the participatory strategy being primarily considered the best solution to involve local actors in adopting resilience actions, the literature stresses how mountain dwellers, like farmers, are often considered passive subjects, and their ability to understand climate change and the actions to adopt is inadequate. Based on this consideration, we aim to highlight the relevance of the mountain actors’ agency, their “lay” situated knowledge, and the epistemology for co-defining resilience actions. Adopting a “weak version” of the Actor-Network Theory as the research posture, we argue that farmers’ perceptions of climate vulnerability is based on their experience of it, and their resilience actions or suggestions are coherent with their endowment resources (financial and knowledge) and their position in the economic system. In this sense, local actors’ initiatives to face climate change can be limited by their specific position in the socioeconomic contest-related value chain and their specific relationship with local natural settings. A participative strategy to co-define resilience actions can help identify more effective initiatives according to the context between actors. Moreover, it can contribute to the knowledge exchange among “lay” local actors, experts, and policymakers, benefiting everyone; farmers could identify suitable solutions to face climate vulnerability, experts could increase their knowledge of local contexts, and policymakers could define adequate policies. Focusing on a specific area in “Alto Molise” (Italy), we present research results to contribute to the debate on climate resilience in mountain areas, stressing the significance of the local actors’ agency, the presence of the different epistemologies put in play (lay and expert ones), the co-production of knowledge, and the need to actively involve local actors in designing practices and policies to face climate change.

Experiences of People with Kidney Disease Following the Implementation of the Compassionate Mindful Resilience Programme: Qualitative Findings from the COSMIC Study.

Kidney disease is a progressive, debilitating condition. Patients experience challenging physical and psychological symptoms and are at increased risk of anxiety, depression, and poor mental wellbeing. Access to specialist psychological or social support is limited, with inadequate provision of psychosocial support available across UK renal units. The COSMIC study (examining the acceptability and feasibility of the Compassionate Mindful Resilience programme for adult patients with chronic kidney disease) aimed to support a new service development project, in partnership with Kidney Care UK, by implementing the Compassionate Mindful Resilience (CMR) programme, developed by MindfulnessUK, and explore its feasibility for patients with stage 4 or 5 kidney disease and kidney transplant recipients. This paper reports on the qualitative exploratory work which examined the experiences of study participants, their adherence to practice, and the acceptability of the intervention. Participants (n = 19) took part in semi-structured interviews, which were transcribed, coded, and thematically analysed. Three themes (and nine subthemes) were reported: experiences of the CMR programme that facilitated subjective benefit, participants' lived and shared experiences, and the practicalities of CMR programme participation. All participants reported that they found taking part in the CMR programme to be a beneficial experience. The CMR programme was found to be an acceptable intervention for people living with kidney disease and provided tools and techniques that support the mental health and wellbeing of this patient group. Further qualitative exploration into participant experience should be integrated within future trials of this intervention.

Effectiveness of Resiliency and Recovery Program on Compassion Fatigue among Nursing Officers working in selected Hospitals in India.

The study objective was to evaluate the effectiveness of Resiliency and Recovery Program on Compassion Fatigue level of Nursing Officer from selected hospitals of Pune City (India). The study used a quasi-experimental approach involving single group pre-test and post-test design. 100 nursing officers, working in selected hospitals of Pune city, who were willing to participate were selected using non probability convenience sampling. The data was collected using The Professional Quality of Life Scale: Compassion Satisfaction and Fatigue (ProQoL) Version 5 of Stamm. The study included pre-test, resiliency and recovery program and post-test. Resiliency and Recovery Program is an intervention aiming to develop five resiliency skills or antibodies including (a) self-regulation, (b) perceptual maturation, (c) intentionality, (d) self-care and (e) connection and support. Statistically significant difference was revealed between the pre-test and post-test score means: Compassion Satisfaction (pre-test = 28.50 to post-test = 31.0; t-18.6671, p<0.001), Burn-out (pre-test = 35.2 to post-test = 31.7; t-15.00, p<0.001), and Secondary Traumatic Stress (pre-test = 37.4 to post-test = 33.07; t-14.8996, p<0.001). Resiliency and Recovery Program had a significant impact on Compassion Fatigue, leading to an increase in Compassion Satisfaction, and a reduction in Burnout and Secondary Traumatic Stress. Inculcating Resiliency skills in nursing officers can help them in reducing compassion fatigue and thus aids in health promotion.

A pilot randomized controlled trial of a mind-body resiliency program for fear of cancer recurrence: Qualitative findings.

503 Background: Up to 70% of cancer survivors have elevated fear of cancer recurrence (FCR). Behavioral approaches are promising for managing FCR but lack testing in a scalable, synchronous, remotely-delivered, group format. This NCCIH-funded pilot RCT tested an adapted mind-body resiliency program (IN FOCUS) in comparison to a usual care control (UC; referral to virtual, cancer support groups). Methods: Adult survivors of any non-metastatic cancer (N=64) were recruited from two Boston-area academic medical centers (July 2021-March 2022). Inclusion criteria included primary treatment, elevated FCR (FCR Inventory severity≥16), English fluency, no undertreated serious mental illness, and access to Zoom. Survivors were randomized (1:1) to either 8 sessions of IN FOCUS or UC. Individual exit interviews were conducted virtually with high rates of completion (91% IN FOCUS, 94% UC). Open-ended questions probed survivors on study enjoyableness, convenience, helpfulness, odds of future skill use, satisfaction, and FCR. Interviews were recorded, transcribed, and analyzed using hybrid deductive/inductive coding by three coders (MM, ET, DH) with a senior coder (GY) for resolving discrepancies. Themes were iteratively collapsed and expanded through consensus. Results: Survivors randomized to IN FOCUS found group delivery (i.e., hearing insights from others, sharing similar cancer experiences) and learning a variety of new skills (i.e., positive psychology such as appreciations and humor, relaxation/breathing, CBT and health behaviors) as the most enjoyable and helpful aspects. Some survivors voiced challenges with scheduling, limited time for group discussion, and length of sessions. Homework was helpful yet challenging for survivors to implement independently. Virtual delivery and electronic materials were identified as most convenient, but some wished the manual was less dense and printed as a hard copy. Survivors valued the group facilitator’s rapport, empathy, and group diversity in terms of cancer diagnosis, but desired more diversity in age, race, and gender. IN FOCUS survivors described reductions in FCR, primarily attributed to cognitive (i.e., self-efficacy, changed perspective) and health behavior changes. However, several IN FOCUS survivors reported having no change in FCR, due to needing more time to incorporate skills or recent health events. UC survivors described benefits from reading study surveys, which prompted survivors to reflect on their psychosocial functioning, and coping skills. Conclusions: The IN FOCUS intervention and study materials were well-received and participants appreciated the integration of a variety of skills, in particular positive psychology followed by relaxation, CBT, and health behavior skills. Findings will guide future optimization and efficacy testing with heterogenous cancer survivors with FCR. Clinical trial information: NCT04876599 .

A Mindfulness-Based Resiliency Program for Caregivers of Patients With Severe Acute Brain Injury Transitioning Out of Critical Care: Protocol for an Open Pilot Trial.

Caregivers of patients with severe acute brain injuries (SABI) that lead to coma and require intensive care unit (ICU) treatment often experience chronic emotional distress. To address this need, we developed the Coma Family (COMA-F) program, a mindfulness-based resiliency intervention for these caregivers. We will conduct an open pilot trial of COMA-F (National Institutes of Health Stage IA). Here we describe our study protocol and proposed intervention content. We will enroll 15 caregivers of patients with SABIs during their loved one's hospital course from 3 enrollment centers. A clinical psychologist will deliver the COMA-F intervention (6 sessions) over Zoom (Zoom Video Communications, Inc) or in person. We will iterate COMA-F after each caregiver completes the intervention and an exit interview. English-speaking adults who have emotional distress confirmed by the clinical team and are the primary caregivers of a patient with SABI are eligible. The adult patient must have been admitted to the neuro-ICU for SABI and (1) have had a Glasgow Coma Scale score below 9 while not intubated or an inability to follow meaningful commands while intubated at any point during their hospitalization for >24 hours due to SABI; (2) will be undergoing either tracheostomy or percutaneous endoscopic or surgical gastrostomy tube placement or have already received one or both; and (3) have a prognosis of survival >3 months. We will identify eligible caregivers through screening patients' medical records and through direct referrals from clinicians in the neuro-ICU. During the intervention we will teach caregivers mind-body and resilience skills, including deep breathing, mindfulness, meditation, dialectical thinking, acceptance, cognitive restructuring, effective communication, behavioral activation, and meaning-making. Caregivers will complete self-report assessments (measures of emotional distress and resilience) before and after the intervention. Primary outcomes are feasibility (recruitment, quantitative measures, adherence, and therapist fidelity) and acceptability (treatment satisfaction, credibility, and expectancy). We will conduct brief qualitative exit interviews to gather feedback on refining the program and study procedures. We will examine frequencies and proportions to determine feasibility and acceptability and will analyze qualitative exit interview data using thematic analysis. We will also conduct 2-tailed t tests to explore signals of improvement in emotional distress and treatment targets. We will then conduct an explanatory-sequential mixed methods analysis to integrate quantitative and qualitative data to refine the COMA-F manual and study procedures. This study has been approved by the institutional review board at 1 of the 3 enrollment centers (2023P000536), with approvals at the other 2 centers pending. We anticipate that the study will be completed by late 2024. We will use our findings to refine the COMA-F intervention and prepare for a feasibility randomized controlled trial. ClinicalTrials.gov NCT05761925; https://clinicaltrials.gov/study/NCT05761925. PRR1-10.2196/50860.

The COVID-19 Anxiety, Depression and Stress Levels of AIMS Students and their Impact on Well-Being: Inputs for Mental Resiliency Program

The COVID-19 pandemic brought uncertainties and complexities to both national and global societies, impacting various sectors, including education. This study focuses on the effects of pandemic-related challenges on students' achievement and mental well-being at the Asian Institute of Maritime Students (AIMS). The closure of schools and the rapid shift to online learning during lockdowns disrupted students' achievement and mental health. This research aimed to assess the levels of COVID-19-related anxiety, depression, and stress among AIMS students and their subsequent impact on overall well-being.&#x0D; Using a descriptive-correlation research design, data on anxiety, depression, stress, and well-being were collected from a sample of 369 AIMS students through stratified random sampling. The Depression, Anxiety, and Stress Scale (DASS-21) by Lovibond and Lovibond (1995) measured mental health, while the Well-Being Checklist by Loomans (2018) assessed overall well-being.&#x0D; Results indicate that AIMS students experienced mild stress (M= 17.31) and moderate depression (M= 16.78), with notably severe levels of anxiety (M= 15.67). Their overall well-being ranged from moderate to high, encompassing physical, emotional, mental, and spiritual dimensions, resulting in an overall well-being score of 6.95 (moderate). Notably, depression exhibited a significant inverse correlation with overall well-being, while anxiety and stress also showed significant relationships when considered separately.&#x0D; The findings emphasize the need for targeted interventions to enhance students' mental resilience. Programs addressing depression were recommended, given its potential long-term negative impact on students' well-being. These insights contribute to the development of a comprehensive mental resiliency program, vital for promoting the holistic welfare of AIMS student.

Efektivitas Program Pusaka Sakinah dalam Menurunkan Angka Stunting pada Keluarga di Kabupaten Kutai Timur: Studi di KUA Kecamatan Sangatta Utara

The aim of this research is to determine the effectiveness of the Pusaka Sakinah Program in reducing the incidence of stunting and the supporting and inhibiting factors in its implementation within families in the Office of Religious Affairs (KUA) in the North Sangatta District. The research method employed is qualitative, utilizing a Field Research type with a sociological-juridical approach. Data collection techniques include observation, interviews, and documentation, and the data analysis technique begins with data condensation, followed by data presentation, concluding with data interpretation while using data validity techniques. The results indicate that the effectiveness of the Pusaka Sakinah program in reducing the incidence of stunting within families is attributed to programs provided by the North Sangatta KUA, such as the Secret Marriage Learning Program, Counseling, Mediation, Support, Advocacy, Consultation, and the Joint Services for Indonesian Family Resilience Program. Inhibiting factors include a shortage of religious counselors and program implementers, while supporting factors include support from related government agencies such as the National Family Planning Board (BKKBN), community health centers (Puskesmas), and educational institutions for the Pusaka Sakinah program in reducing the incidence of stunting within families in the North Sangatta District.

Evaluation of a Multidisciplinary Resilience Program for Post-Secondary Students: A Pilot Study

Patient-oriented health research approaches are growing in popularity; however, there is a lack of literature describing how patient-oriented research is being utilized to enhance mental health programming for students. The current study reports on a participant-oriented approach to development and evaluation of an innovative, holistic, multi-disciplinary program designed to empower post-secondary students to actively maintain their health and well-being and support academic success. Results demonstrated significant increase in self-reported resilience and anxiety symptoms, but no change in depression symptoms. Prevention programs co-designed with intended users show promise as an effective approach to supporting students with sub-clinical mental health challenges.

Building resilience to hate in classrooms: Innovation in practice and pedagogy to prevent extremism and violence in U.S. schools

Reimagine Resilience (2023), designed and established at Teachers College, Columbia University, is an innovative program that builds awareness and understanding among educators and educational personnel in the U.S. on the precursors and causes of educational displacement in students, supporting educators in promoting belonging, connectedness, and resilience to prevent educational displacement, extremism, and radicalization among students in their schools and classrooms. The study demonstrates the effectiveness of the Reimagine Resilience Program in producing attitudinal shifts in participating education personnel as they cultivate an awareness of their own biased speech and conduct. Further, this study spotlights the Program’s efficacy in identifying ways to actively prevent educational displacement as educators gain new knowledge of protective and risk factors for radicalization and targeted violence. This study underscores the importance of innovation in pedagogy, practice, assessment, and professional training for educators and educational staff to effectively engage educators in extremism and violence prevention.

CN94 The effect of a compassion fatigue resiliency program on oncology-hematology nurses' professional quality of life, stress levels and patients' care satisfaction: Nurse, patient and nurse manager’s perspectives

CN94 The effect of a compassion fatigue resiliency program on oncology-hematology nurses' professional quality of life, stress levels and patients' care satisfaction: Nurse, patient and nurse manager’s perspectives

Reef structure of the Florida Reef Tract for the period 2005–2020

Shallow-water coral reefs of the Florida Reef Tract compose the third largest reef in the world, but during the last several decades, scleractinian (stony) corals have suffered unprecedented declines from global and local stressors. A program to evaluate the effects of high-temperature bleaching events was initiated by The Nature Conservancy’s Florida Reef Resilience Program in 2005 and surveys have been completed across at least some portion of the entire region every year since. The program adopted a demographic (colony-based) assessment approach, which records colony species, size (height and maximum diameter), and estimated partial mortality (percent barren skeleton). Because reef structure is critical to ecosystem functioning and services, data from 2005 to 2020 were analyzed to describe the abundance, size, and morphological complexity of stony coral colonies forming the biogenic reef. Colony height, footprint, surface area, and volume summed for 6016 transects were used to describe reef structure and averages were used to characterize the components that contributed to the structure. Nearly 150,000 colonies representing 49 species were reported during this period and results demonstrated both spatial and temporal changes for the region and for geographic subregions. Some subregions showed increasing colony density, especially for three small, hemispheric species, and declining average colony size.

Drinking Water System Infrastructure Resilience and Sustainability Program (EPA)

Drinking Water System Infrastructure Resilience and Sustainability Program (EPA)

A Resilience Program for Hospital Security Officers During the COVID-19 Pandemic Using a Community Engagement Model.

Security officers in health systems are subject to high levels of stress and current support interventions do not necessarily target their needs. To address this gap, a resilience center at a major urban tertiary care hospital utilized community engagement principles to adapt and implement resilience and mental health awareness workshops, which were informed by initial piloting. The program consisted of twelve short briefings in which officers were provided psychoeducation on psychological first aid and adaptive coping. The program reached 107 security officers (89.5% men, 95.2% people of color); both qualitative and quantitative feedback indicated a generally positive reception. Further efforts to support security officers are warranted given their high exposure to patient crises and under-acknowledgement as frontline workers in healthcare.

Compassion Fatigue in Nurses Providing Palliative Cancer Care and Coping Strategies to Prevent and Manage it

End-of-life care for cancer patients is one of the most challenging experiences encountered by nurses. Cancer nurses providing end-of-life care may experience compassion fatigue due to prolonged exposure to the suffering and intense emotional reactions of patients, death and the dying, and grieving families. However, the development of resilience and effective coping skills can decrease nurse turnover rates and increase the quality of palliative cancer care. This article discusses the concept of compassion fatigue, how it develops, compassion fatigue experienced by nurses providing palliative cancer care, and the Compassion Fatigue Resiliency Program (CFRP) coping method. Author experience and journal articles were used. Compassion fatigue can occur from secondary traumatic stress and burnout after nurses' prolonged and intense exposure to helping suffering patients, resulting in decreased ability to care, expend energy, or exhibit empathy and compassion. The CFRP is a structured, comprehensive training program designed to educate nurses about compassion fatigue and enable them to develop a support network, strengthen their coping skills, and improve resilience. It is recommended that the CFRP be included in in-service training in institutions and be applied to oncology nurses at regular intervals in a block program format (1-2 days). Newly recruited oncology nurses in particular should be supported with such training in orientation programs. Institutional managers play an important role in organizing such programs and screening for the risk of compassion fatigue in nurses who provide end-of-life care.

Physician Resilience and the Little Way

Many triggers for shame that lead to physician burnout occur during patient care or the medical learning environment. Many resilience programs are available to medical students and physicians, yet incorporate non-faith principles. The Little Way as developed by St. Thérèse of the Child Jesus would be a most effective way to incorporate spirituality into our daily duties. This article will explain the need for physician resilience and virtue ethics within our profession. Then, the article will describe the Little Way and apply its principles to healthcare to implement a faith-based approach to physician resilience.