Resiliency Resources

This page introduces resiliency concepts and contains articles, tools, personal resilience resources, and guides for organizational programming. These resources have been selected to help health centers and Primary Care Associations, as well as individuals employed in these organizations, practice strength, compassion, and mindfulness as they build resiliency skills.

If you utilize a resiliency resource appropriate for health center staff that is not listed on these webpages, please contact the CHAMPS Programs Coordinator, Population Health.

Please click or scroll down for:
Introduction
Articles and Reports
Personal Resources
Organizational Resources
Education and Training
Other Resources

INTRODUCTION

The American Psychological Association (APA) considers resilience to be the process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress.

The health care field presents a unique set of challenges for health care workers of all types, from providers to non-clinical health care staff. As a result, burnout has become pervasive. Resilience is fundamental to enhancing quality of care and sustainability of the health care workforce.

American Psychological Association (APA)
Building Your Resilience
Information including a background on what resilience is.

Health Resources & Services Administration (HRSA)
HRSA Expert Warns of Clinician Burnout
Information on the warning Dr. Tracy Mack, Deputy Associate Administrator of HRSA Bureau of Health Workforce (BHW), offered on rising on-the-job stress and professional burnout for clinicians.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
The Impact of “Physician Burnout”
Introductory information on what physician burnout is, its impact in health care, and some possible solutions to end it.

National Institute of Mental Health (NIMH) 
5 Things You Should Know About Stress
Five quick facts about stress and information on addressing it.

 

ARTICLES AND REPORTS

Academic Medicine
Physician Resilience: What It Means, Why It Matters, and How to Promote It
Commentary that proposes methods for enhancing individuals’ resilience while building community, as well as directions for future interventions, research, and institutional involvement. (March 2013)

Annals of Family Medicine
In Search of Joy in Practice: A Report of 23 High-Functioning Primary Care Practices
Highlights primary care innovations gathered from high-functioning primary care practices believed to facilitate joy in practice and mitigate physician burnout. (May/June 2013)

Evergreen Health
Wellness Articles
List of articles that address physician wellness and offer insights and suggestions that may be useful.

Harvard Business Review
Burnout is About Your Workplace, Not Your People
Article on the organizational responsibility to address burnout. (December 2019)

National Academy of Medicine (NAM)
Burnout Among Health Care Professionals: A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care
Discussion paper on the extent of burnout among health care professionals, why the health care community should be concerned, and how to address the problem. (July 2017)

Burnout and Job Career Satisfaction in the Physician Assistant Profession: A Review of the Literature
Discussion paper exploring the literature that relates specifically to PA burnout and career and job satisfaction. (December 2018)

Gender-Based Differences in Burnout: Issues Faced by Women Physicians
Discussion paper that reviews the prevalence of burnout in women physicians and contributing factors to burnout that are specific for women physicians. (May 2019)

Implementing Optimal Team-Based Care to Reduce Clinician Burnout
Paper which describes key features of successful health care teams, reviews existing evidence that links high-functioning teams to increased clinician well-being, and recommends strategies to overcome key environmental and organizational barriers to optimal team-based care in order to promote clinician and patient well-being. (September 2018)

Nurse Suicide: Breaking the Silence
Discussion paper describing an initial exploration to uncover what is known about the prevalence of nurse suicide in the United States with the goal of breaking through the culture of silence regarding suicide among nurses. (January 2019)

The New Yorker
How People Learn to Become Resilient
Article on the origins of studying resiliency and ways people can learn to be resilient. (February 2016)

STAT
Medical Education Needs to Stop Burning Out Students — Now
Article about how medical education creates exhausted and unhappy students who become interns, residents, and physicians at increased risk of depression and burnout. It also addresses what medical schools should do to address this. (August 2019)

The Wall Street Journal
Physician Burnout is Widespread, Especially Among Those in Midcareer
Article on the higher rates of burnout experienced by physicians between the ages of 40 and 54. (January 2020)

 

PERSONAL RESOURCES

Accreditation Council for Graduate Medical Education (ACGME)
Tools and Resources for Resident and Faculty Member Well-Being
Page which includes tools and resources to support institutional and program efforts to improve faculty member, resident, and fellow well-being. This includes a suite of new ACGME-created resources and a compendium of materials compiled by the ACGME’s Task Force on Physician Well-Being Tools and Resources Subcommittee.

American Psychological Association (APA)
Building Your Resilience
Roadmap for adapting to life-changing situations, and emerging even stronger than before.

The Atlantic
How to Build a Life
Column about pointing yourself toward happiness.

Brené Brown
Unlocking Us Podcast
Conversations that unlock the deeply human part of who we are, so that we can live, love, parent, and lead with more courage and heart.

Chris Germer
The Mindful Path to Self-Compassion
Book that illuminates the power of self-compassion and offers creative, scientifically grounded strategies for putting it into action. This website also includes free audio downloads of the meditation exercises.

Community Health Association of Mountain/Plains States (CHAMPS)
Patient Education Handouts
Handouts available in English and Spanish including those on Deep Breathing, Guided Imagery, Mindful Meditation, Stress, and the Tense and Relax Method.

Community Health Centers, Inc.
Dr. Jay’s Peaceful Abiding
Meditation and mindfulness for healthcare providers in English and Spanish.

Gaiam
Five Yoga Poses to Relieve Stress
Five poses that can be done individually or in a sequence that can help calm both the body and the mind.

Meditation 101: Techniques, Benefits, and a Beginner’s How-To
Guide that walks through the benefits and the how-tos of meditation as well as some tips on how to get started.

Greater Good Magazine
Mindfulness: Articles & More
List of articles, podcasts, resources, and more to help build individual, familial, and community resiliency.

Tips for Keeping a Gratitude Journal
Article with tips from Robert Emmons on how to reap the greatest psychological rewards from a gratitude journal.

Why Gratitude is Good
Article on why gratitude is good four the body, the mind, and relationships.

Honest Soul Yoga
Pre-Recorded Classes
Free pre-recorded meditation and yoga videos.

Institute for Healthcare Improvement (IHI)
Using the Psychology of Change to Enhance Joy in Work
Information on a team that employed the psychology of change to improve their joy in work.

Matthew S. Bennet
Self-Care in the Struggle
Article including a training regimen for self-care during the “revolution” of caring and advocating for the underserved.

The Mayo Clinic
Meditation: A Simple, Fast Way to Reduce Stress
Information to help individuals understand meditation and its benefits, the types and elements of meditation, and skills for everyday practice.

Mindful.org
Five Steps to Mindfulness
Article on mindfulness with information on exercises such as mindful breathing, concentration, awareness of your body, and more.

Mind Tools
Avoiding Burnout: Maintaining a Healthy, Successful Career
Toolkit that walks through an overview of the signs and consequences of burnout and how to avoid burnout in professional life.

Recovering from Burnout: Finding Passion for Your Role Again
Toolkit that describes the effects of burnout and details steps and strategies to begin recovering from burnout.

National Academy of Medicine (NAM)
Individual Strategies to Promote Well-Being
Information on strategies like mindfulness, meditation, and strengthening one’s own skills and abilities to promote well-being.

Nine Types Co.
Nine Types of Rest
Article describing nine types of rest and how rest may be more easily accessible with a little bit of intention and planning.

On Being
A Care Package for Uncertain Times
Collection of podcasts, poetry, meditations and reflection for processing uncertainty.

Project Happiness Global
Home Page
Resources designed to help empower people to create greater happiness within themselves and the world.

Salem Publishing Solutions
Recapturing Joy in Medicine
Book containing a prescription for physicians who are practicing medicine during a time of crisis in the healthcare industry; one that is fueling an epidemic of physician burnout.

Self Compassion – Dr. Kristin Neff
Home Page
Information and resources to help individuals build on self-compassion.

Ten Percent Happier
Home Page
Mobile app to help people learn to meditate to be happier and healthier.

Thrive Global
Wellbeing
Resources focused on well-being for first responders and useful for others.

University of California, Berkeley
Mindful Moments
Information on the benefits of mindfulness as well as a scripted mindfulness exercise for individuals or to start meetings.

Women’s Health
The 12 Best Meditation Apps for 2020
List of meditation apps with information on each one.

Yoga with Adriene
Yoga with Adriene
Free online guided meditation and yoga videos.

Zenful Spirit
Meditation for Beginners: A Comprehensive Guide
A guide intended to introduce meditation in a way that is accessible to everyone, so that all can explore this gratifying practice in a way that will nurture their life and connect them to others.

ORGANIZATIONAL RESOURCES

Well-being is the ability of individuals to address normal stresses, work productively, and realize one’s highest potential. According to the Centers for Disease Control and Prevention (CDC) Engaging Employees in Their Health and Wellness webpage, “employees in good health are more likely to deliver optimal performance in the workplace.” These employees also have increased work productivity and are more likely to contribute to their communities. A work environment that puts focus on wellness can also build resilience within the staff.

Incorporating wellness activities into daily staff routines can build a strong and resilient workforce. An official staff wellness program, usually offered through the workplace, is intended to improve and promote health and fitness and can include wellness events, services, and resources. Staff wellness programs can help improve employee relationships, increase connections to corporate values, and promote leadership. Active engagement and participation from all staff is needed to make these programs beneficial. For more information, including ways to engage employees in elements of a comprehensive worksite wellness program, visit the CDC’s Engaging Employees in Their Health and Wellness webpage.

Click or scroll for:
Sample Staff Wellness Plans/Policies
Additional Organizational Resources

Sample Staff Wellness Plans/Policies
Centers for Disease Control and Prevention (CDC)
Current Practices in Worksite Wellness Initiatives
Highlights efforts by six state health departments to create healthier community environments through worksite wellness initiatives.

Oregon Public Health Institute (OPHI)
Worksite Wellness Model Policies
Model policies that can be tailored to an organization’s workforce.

Texas Department of State Health Services
Developing an Organizational Employee Wellness Plan
Outline intended to be a starting point to guide agencies in developing their own agency-specific wellness plan.

Workable
Employee Wellness Program Policy
Employee wellness program policy that is ready to be tailored to an organization’s needs.

Additional Organizational Resources
American Hospital Association
Well-Being Playbook: A Guide for Hospital and Health System Leaders
Playbook on well-being tailored specifically for health system leaders to address
burnout in their organizations. It contains seven key steps for success and provides real-world case examples of successful interventions deployed in various health system settings to illustrate the steps. (May 2019)

British Medical Journal
How to Have Joy at Work
Podcast featuring two experts discussing joy at work – what the concept means, and practically how organizations can start implementing it.

Centers for Disease Control and Prevention (CDC)
Engaging Employees in Their Health and Wellness
Webpage with information on achieving wellness program engagement including opportunities and resources.

Center for Resilience (CFR)
CFR in the Workplace
Offers mindfulness-based employee wellness, leadership, and talent development workshops in large and small groups to facilitate positive outcomes at the office.

Health Outreach Partners (HOP)
Self-Care: Taking Care of Ourselves So We Can Take Care of Others
Resource with self-care practices, its benefits, and strategies to build a culture of self-care that supports staff health and well-being and helps health centers recruit, motivate, support, and retain staff.

Health Resources & Services Administration (HRSA)
Improving Well-Being Among Primary Care Trainees, Faculty, and Clinicians: Optimizing Systems to Mitigate Burnout, Promote Resilience, and Drive Quality of Care
List of recommendations to aid in improving well-being and resiliency for primary care staff.

Special Edition Digest – Workforce Engagement & Well-Being, Vol. 1
Special edition of the Primary Health Care Digest that provides health centers with tools and resources, including promising practices, to promote a healthy and engaged workforce. (May 2019)

Special Edition Digest – Workforce Engagement & Well-Being, Vol. 2
Special edition of the Primary Health Care Digest that provides health centers with tools and resources, including promising practices, to promote a healthy and engaged workforce. (May 2019)

National Academy of Medicine (NAM), Action Collaborative on Clinician Well-Being and Resilience
Home Page
Network of more than 60 organizations committed to reversing trends in clinician burnout composed of six working groups. The group meets to identify evidence-based strategies to improve clinician well-being at both the individual and systems levels.

Action Collaborative on Clinician Well-Being and Resilience – Video Recordings and Presentations
Recordings and resources from a public meeting which featured expert panels on issues related to redesigning the clinical learning environment.

Utilizing a Systems and Design Thinking Approach for Improving Well-Being within Health Professions’ Education and Health Care
Paper highlighting two approaches—design thinking and systems thinking—that could be used for developing strategies to address stress and burnout and to improve the well-being of students, trainees, faculty, and health care professionals.

Valid and Reliable Survey Instruments to Measure Burnout, Well-Being, and Other Work-Related Dimensions
Summary of established tools to measure work-related dimensions of well-being.

STAR² Center
Burnout Assessment
Tool meant to help organizations identify strategies that may improve success with provider retention. Using responses, the tool will provide brief recommendations.

U.S. Equal Employment Opportunity Commission (EEOC)
EEOC’s Final Rule on Employer Wellness Programs and the Genetic Information Nondiscrimination Act
Information on the rule that employers may provide limited financial and other inducements (also called incentives) in exchange for an employee’s spouse providing information about his or her current or past health status as part of a wellness program, whether or not the program is part of a group health plan.

EEOC’s Final Rule on Employer Wellness Programs and Title I of the Americans with Disabilities Act
Information on the rule that employers may provide limited financial and other incentives in exchange for an employee answering disability-related questions or taking medical examinations as part of a wellness program, whether or not the program is part of a health plan.

Small Business Fact Sheet: Final Rule on Employer Wellness Programs and Title I of the Americans with Disabilities Act
Information on the amendment to the regulations and interpretive guidance implementing Title I of the ADA as they relate to employer wellness programs.

Small Business Fact Sheet: Final Rule on Employer-Sponsored Wellness Programs and Title II of the Genetic Information Nondiscrimination Act
Information on the amendment to the regulations and interpretive guidance implementing Title II of the Genetic Information Nondiscrimination Act (GINA) as they relate to employer wellness programs.

 

EDUCATION AND TRAINING

American Medical Association (AMA), Steps Forward
Physician Well-Being: Protect Against Burnout and Encourage Self-Care
Self-paced training with CME available designed to meet the educational needs of practicing physicians, practice administrators, and allied health professionals in addressing burnout.

Community Health Association of Mountain/Plains States (CHAMPS)
Caring for Yourself When You’re a Care Coordinator
Slides
Self-Care Action Plan
Recorded webinar to help Care Coordinators learn strategies to embrace resilience, well-being, and self-care.

CHAMPS/WMT AHEC Building Resiliency Skills Learning Community
Recordings of the didactic portion of a May 2020 learning community that provided health centers and Primary Care Associations (PCAs) in Region VIII (CO, MT, ND, SD, UT, WY), as well as other healthcare organizations in Montana, access to four learning sessions focused on building individual resiliency skills.

Resiliency Collaborative
Facilitated peer support group using concepts from the evidence-based framework, Finding Meaning in Medicine, in an online format. Each session begins and ends with a practice of mindfulness techniques. Resiliency Collaboratives take place at different times throughout the year.

Self-Care: Building Resiliency and Burnout Prevention
Handouts
Recorded webinar in which presenters from Health Outreach Partners (HOP) provide an overview of self-care and explore effective self-care strategies for health center frontline staff.

Staff Wellness Best Practices Interview Series
Series highlighting interesting and innovative ways that Primary Care Associations (PCAs) and health centers in Region VIII are addressing staff wellness as a component of supporting employee satisfaction, engagement, and retention.

Coursera
The Science of Well-Being
19-hour course from Yale University with a free option. In this course, students will engage in a series of challenges designed to increase their own happiness and build more productive habits.

Migrant Clinicians Network (MCN)
Witnessing (Part 1 of 2): Understanding the Effects of Overexposure to Stories of Trauma and What to Do About It
Recorded webinar that provides an overview of empathic stress, moral injury, and microaggressions, and describes coping strategies for both providers and clients. The speaker discusses the role of clinicians, therapists, social workers, and other “witnesses” and “helpers” and the impact that witnessing has on the behavioral health of the witness. (October 2019)

Witnessing (Part 2 of 2): How Supervisors Can Strengthen Peer Support in the Workplace
Recorded webinar geared toward administrators, managers, and supervisors that dives deep into methods of strengthening peer support in the workplace and amplifying existing resilience styles. (November 2019)

National Academy of Medicine (NAM), Action Collaborative on Clinician Well-Being and Resilience
Meetings and Events
List of past events including case studies and national meetings with links to each events’ page.

National Association of Community Health Centers (NACHC)
Resiliency & Joy in Work for Clinical Leaders
eLearning course that discusses the importance of resiliency and joy in work as part of a clinical leader’s core competency development. The focus is on striving for an understanding and actualization of joy in practice both personally and for the clinical team. The topics of resilience, joy, emotional intelligence, and mindfulness are addressed in this self-paced course.

Resiliency & Joy in Work for Clinical Leaders Office Hour (Webinar)
Office hour which brings together two subject matter experts to discuss and answer participants’ questions about the importance of resiliency and joy in work as part of a clinical leaders’ core competency development. The webinar focuses on striving for understanding and actualization of joy in practice, both personally and for the clinical team.

National Network for Oral Health Access (NNOHA)
The Best Me: Reducing Clinical Stress & Burnout
Slides from a webinar on reducing clinical stress and burnout including activity suggestions and an assessment quiz.

Rocky Mountain Public Health Training Center (RMPHTC)
Resilience Toolkit
Online toolkit to help define resilience accurately, explore how stress manifests, and examine how best to exhibit resilience through the effects of stress.

STAR² Center
Administrative Strategies to Reduce Burnout
Five-part webinar series that highlighs some common challenges in primary care settings that lead to burnout and identifies areas for intervention and innovation at the personal and organizational levels to reduce burnout and promote retention.

Burnout 201
Six-part webinar series addresses topics such as team-based care and the role of provider satisfaction, clinician experience, and how the physical set up of a space contributes to provider satisfaction and reduces burnout.

 

OTHER RESOURCES

National Health Care for the Homeless Council (NHCHC)
Provider Burnout
List of resources aimed at addressing the challenges of burnout prevention in the workplace.

STAR² Center
Burnout
List of articles, tools, websites, recorded events, and more that focus on addressing health care provider burnout.

Substance Abuse and Mental Health Services Administration (SAMHSA)
Spotlight: Building Resilient and Trauma-Informed Communities – Tarpon Springs, FL: A Community Journey Towards Resilience
Brochure featuring an asset-based approach to developing trauma-informed care communities.