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1

Paté-Cornell, Elisabeth, William B. Rouse, and Charles M. Vest, eds. Perspectives on Complex Global Challenges: Education, Energy, Healthcare, Security and Resilience. Hoboken, New Jersey: John Wiley & Sons, Inc., 2016. http://dx.doi.org/10.1002/9781118984123.

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2

Mayzell, George. The Resilient Healthcare Organization. New York, NY : Routledge, 2020.: Productivity Press, 2020. http://dx.doi.org/10.4324/9780429286025.

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3

Abie, Habtamu, Vasileios Gkioulos, Sokratis Katsikas, and Sandeep Pirbhulal, eds. Secure and Resilient Digital Transformation of Healthcare. Cham: Springer Nature Switzerland, 2024. http://dx.doi.org/10.1007/978-3-031-55829-0.

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4

Belasen, Alan T. Resilience in Healthcare Leadership. Taylor & Francis Group, 2021.

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5

Belasen, Alan T. Resilience in Healthcare Leadership. Taylor & Francis Group, 2021.

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6

Rushton, Cynda Hylton, ed. Moral Resilience. 2nd ed. Oxford University PressNew York, 2024. http://dx.doi.org/10.1093/oso/9780197667149.001.0001.

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Abstract Suffering is an unavoidable reality in healthcare. Patients and families suffer as well as the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, reflecting the increasing complexity of healthcare. Moral suffering is the anguish experienced in response to various forms of moral adversity including moral harms, wrongs or failures, or unrelieved moral stress. Confronting moral adversity challenges clinicians’ integrity, the inner harmony that arises when values and commitments are aligned with their choices and actions. The most studied response to moral adversity is moral distress. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Recent interest has expanded to include a more corrosive form of moral suffering, moral injury. Moral resilience, the capacity to restore or sustain integrity in response to moral adversity, offers a path to address moral suffering. It encompasses capacities aimed at developing self-regulation and self awareness, buoyancy, moral efficacy, self stewardship and ultimately personal and relational integrity. Moral resilience is a protective resource that reduces the detrimental impact of moral suffering. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and design a new architecture to support ethical practice. The Conscious Full Spectrum Response, used worldwide for scalable and sustainable change, offers a method to support integrity, shift patterns that undermine moral resilience and ethical practice, and source the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
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7

Rushton, Cynda Hylton, ed. Moral Resilience. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.001.0001.

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Suffering is an unavoidable reality in healthcare. Not only are patients and families suffering but also the clinicians who care for them. Commonly the suffering experienced by clinicians is moral in nature, in part a reflection of the increasing complexity of health care, their roles within it, and the expanding range of available interventions that challenge their moral foundations. Moral suffering is the anguish that arises occurs in response to moral adversity that challenges clinicians’ integrity: the inner harmony that arises when their essential values and commitments are aligned with their choices and actions. The sources and sequelae of moral distress, one type of moral suffering, have been documented among clinicians across specialties. Transforming their suffering will require solutions that expanded individual and system strategies. Moral resilience, the capacity of an individual to restore or sustain integrity in response to moral adversity, offers a path forward. It encompasses capacities aimed at developing self- regulation and self-awareness, buoyancy, moral efficacy, self-stewardship and ultimately personal and relational integrity. Whether it involves gradual or profound radical change clinicians have the potential to transform themselves and their clinical practice in ways that more authentically reflect their character, intentions and values. The burden of healing our healthcare system is not the sole responsibility of individuals. Clinicians and healthcare organizations must work together to transform moral suffering by cultivating the individual capacities for moral resilience and designing a new architecture to support ethical practice. Used worldwide for scalable and sustainable change, the Conscious Full Spectrum approach, offers a method to solve problems to support integrity, shift patterns that undermine moral resilience and ethical practice, and leverage the inner potential of clinicians and leaders to produce meaningful and sustainable results that benefit all.
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8

Gokenbach, Valentina. Phoenix Leadership: The Healthcare Executive's Strategy for Relevance and Resilience. Productivity Press, 2017.

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9

Gokenbach, Valentina. Phoenix Leadership: The Healthcare Managers Strategy for Relevance and Resilience. Productivity Press, 2022.

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10

Gokenbach, Valentina. Phoenix Leadership: The Healthcare Executive's Strategy for Relevance and Resilience. Productivity Press, 2017.

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11

Gokenbach, Valentina. Phoenix Leadership: The Healthcare Executive's Strategy for Relevance and Resilience. Productivity Press, 2017.

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12

Gokenbach, Valentina. Phoenix Leadership: The Healthcare Executive's Strategy for Relevance and Resilience. Productivity Press, 2017.

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13

Personal Resilience For Healthcare Staff When The Going Gets Tough. Radcliffe Publishing Ltd, 2013.

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14

Phoenix Leadership: The Healthcare Executive's Strategy for Relevance and Resilience. Taylor & Francis Group, 2017.

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15

Personal Resilience for Healthcare Staff: When the Going Gets Tough. Taylor & Francis Group, 2017.

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16

Vest, Charles M., William B. Rouse, and Elisabeth Pate-Cornell. Perspectives on Complex Global Challenges: Education, Energy, Healthcare, Security, and Resilience. Wiley & Sons, Incorporated, John, 2016.

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17

Paul, Virenda Kumar, and Sumedha Dua. Healthcare Infrastructure, Resilience and Climate Change: Preparing for Extreme Weather Events. Taylor & Francis Group, 2023.

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18

Vest, Charles M., William B. Rouse, and Elisabeth Pate-Cornell. Perspectives on Complex Global Challenges: Education, Energy, Healthcare, Security, and Resilience. Wiley & Sons, Limited, John, 2016.

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19

Vest, Charles M., William B. Rouse, and Elisabeth Pate-Cornell. Perspectives on Complex Global Challenges: Education, Energy, Healthcare, Security, and Resilience. Wiley & Sons, Incorporated, John, 2016.

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20

Vest, Charles M., William B. Rouse, and Elisabeth Pate-Cornell. Perspectives on Complex Global Challenges: Education, Energy, Healthcare, Security and Resilience. Wiley & Sons, Incorporated, John, 2016.

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21

Paul, Virenda Kumar, and Sumedha Dua. Healthcare Infrastructure, Resilience and Climate Change: Preparing for Extreme Weather Events. Routledge, 2023.

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22

Stewart, Aggie. Yoga As Self Care for Healthcare Practitioners: Cultivating Resilience, Compassion and Empathy. Kingsley Publishers, Jessica, 2019.

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23

Chambers, Claire, and Elaine Ryder. Supporting Compassionate Healthcare Practice: Understanding the Role of Resilience, Positivity and Wellbeing. Taylor & Francis Group, 2018.

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24

Chambers, Claire, and Elaine Ryder. Supporting Compassionate Healthcare Practice: Understanding the Role of Resilience, Positivity and Wellbeing. Taylor & Francis Group, 2018.

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25

Stewart, Aggie. Yoga As Self-Care for Healthcare Practitioners: Cultivating Resilience, Compassion, and Empathy. Kingsley Publishers, Jessica, 2019.

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26

Supporting Compassionate Healthcare Practice: Understanding the Role of Resilience, Positivity and Wellbeing. Taylor & Francis Group, 2018.

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27

Parrish, A. E. Risk to Resilience: Implementing the Safety Triangle to Protect Healthcare Workers from Workplace Violence. Parrish Publishing House, 2023.

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28

High performance healthcare: Using the power of relationships to achieve quality, efficiency and resilience. New York: McGraw-Hill, 2009.

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29

Chambers, Claire, and Elaine Ryder. Guide to Compassionate Healthcare: How to Develop Resilience and Wellbeing in Today's Stressful Environment. Taylor & Francis Group, 2020.

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30

Potter, Jennifer, and Kristen L. Eckstrand. Trauma, Resilience, and Health Promotion in LGBT Patients: What Every Healthcare Provider Should Know. Springer, 2017.

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31

Parrish, A. E. Risk to Resilience: Implementing the Safety Triangle to Protect Healthcare Workers from Workplace Violence. Parrish Publishing House, 2023.

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32

Belasen, Alan. Resilience in Healthcare Leadership: Practical Strategies and Self-Assessment Tools for Identifying Strengths and Weaknesses. Productivity Press, 2022.

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33

Belasen, Alan. Resilience in Healthcare Leadership: Practical Strategies and Self-Assessment Tools for Identifying Strengths and Weaknesses. Productivity Press, 2022.

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34

Belasen, Alan. Resilience in Healthcare Leadership: Practical Strategies and Self-Assessment Tools for Identifying Strengths and Weaknesses. Productivity Press, 2022.

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35

Achour, Nebil. International Journal of Disaster Resilience In the Built Environment, Issue 3: Optimising Healthcare Facilities Performance In Natural Hazards. Emerald Publishing Limited, 2011.

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36

Wilkinson, Kisha. Nurse Burnout : a Caregiver's Guide to Stress Management and Building Resilience in Healthcare: Relieving Stress with Mindfulness, Meditation, and Coping Strategies. Independently Published, 2021.

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37

Rushton, Cynda Hylton. Introduction. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.003.0001.

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This introductory chapter covers the book editor’s personal and professional journey to provide the background for the book. The contours of the book are outlined. They include the nature of moral suffering and illustrate moral distress as a type of moral suffering. A pathway for examining moral adversity as the instigator of moral stress, which unrelieved can lead to moral suffering including moral distress, moral outrage and moral injury and the role of moral resilience including moral repair is outlined. The concept of integrity as the core of moral resilience and the dimensions of resilience that inform the concept of moral resilience are applied in the context of healthcare. Individual strategies to transform moral suffering and cultivate moral resilience and restore integrity are suggested. System transformation is possible by applying the Conscious Full Spectrum approach as a template for moral resilience and ethical practice in healthcare.
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38

Mitchell, Andrew E. P., Chris Keyworth, Eduardo Salas, Federica Galli, and Elena Vegni, eds. Coronavirus Disease (COVID-19): The Mental Health, Resilience, and Communication Resources for the Short- and Long-term Challenges Faced by Healthcare Workers. Frontiers Media SA, 2022. http://dx.doi.org/10.3389/978-2-88976-121-0.

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39

Mayzell, George. Resilient Healthcare Organization. Taylor & Francis Group, 2020.

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40

Mayzell, George. Resilient Healthcare Organization. Taylor & Francis Group, 2021.

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41

Hollnagel, Erik, Robert L. Wears, and Jeffrey Braithwaite. Delivering Resilient Health Care. CRC Press LLC, 2018.

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42

Hollnagel, Erik, Robert L. Wears, and Jeffrey Braithwaite. Delivering Resilient Health Care. CRC Press LLC, 2018.

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43

Hollnagel, Erik, Robert L. Wears, and Jeffrey Braithwaite. Delivering Resilient Health Care. CRC Press LLC, 2018.

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44

Hollnagel, Erik, Robert L. Wears, and Jeffrey Braithwaite. Delivering Resilient Health Care. Taylor & Francis Group, 2018.

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45

Delivering Resilient Health Care. Taylor & Francis Group, 2018.

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46

Rushton, Cynda Hylton. Afterword. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190619268.003.0012.

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A new paradigm for addressing the consequences of moral adversity, especially when it produces moral suffering, is an urgent priority for the healthcare system. The time is now for clinicians, leaders, healthcare organizations, and communities to align their values and commitments and to design for sustainable and meaningful results. More empirical and scholarly work is needed to expand upon the concepts offered in this book. We must foster innovation that sources our inner capacity, shifts patterns that no longer serve a useful purpose, and creates new methods and programs to cultivate moral resilience and a robust and lasting culture that supports ethical practice. Together we hold the keys to transforming moral suffering in healthcare.
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47

Ndayizigamiye, Patrick, and Macire Kante, eds. Building Resilient Healthcare Systems With ICTs. IGI Global, 2022. http://dx.doi.org/10.4018/978-1-7998-8915-1.

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48

Kante, Macire, and Patrick Ndayizigamiye. Building Resilient Healthcare Systems with ICTs. IGI Global, 2022.

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49

Kante, Macire, and Patrick Ndayizigamiye. Building Resilient Healthcare Systems with ICTs. IGI Global, 2022.

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50

Great Britain: Department of Health: Estates and Facilities Division. Planning for a Resilient Healthcare Estate. Stationery Office, The, 2014.

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