Learning Objective #1: Critically analyze research reflecting the state of the science of both the cause and enhancement of resilience.

Learning Objective #2: Select appropriate evidence-based nursing interventions to promote resilience especially in marginalized populations.

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Why do some individuals triumph over adversity while others fail? The answer may lie in their ability to be resilient under stress. The phenomenon of resilience has been studied for many years with a major focus on psychosocial factors. The emerging science of resilience appears to implicate more neurobiological and genetic factors.

Using the four step model of evidence based nursing practice as identified by the University of Minnesota (2001), this paper, first identifies questions and the mystery surrounding resilient adaptation. Concepts of allostasis and the allostatic load and their relationship to the acute stress response will be discussed (Charney, 2004). Secondly, the literature is reviewed to determine the state of the science surrounding resilience. Thirdly, current research related to resilience is evaluated in light of previous findings to determine scientific merit. Lastly, evidence based nursing interventions that promote resilience are identified. Strategies and programs that enhance resilience are emphasized especially those related to nursing practice.