Date of Award

Spring 5-2-2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice



First Advisor

Martha Fuller, PhD

Second Advisor

Hilary Bowers, MD


Introduction: Adversity in childhood increases risk for physical and mental health problems. Children who undergo adverse events can still flourish, due to the concept of resilience. Literature shows that resilience influences health more than adversity, and screening for resilience may improve practice.

Method: A valid screening tool for resilience, The CD-RISC, was given to children twelve and above during their well visit during February 2021 at a clinic in Oceanside, CA. Scores were categorized into four quartiles. Children responding in the lowest two quartiles received provider follow up.

Results: 97 surveys were scored: 39 scoring in the lowest quartile, 19 in the second lowest, and 39 in the top two quartiles. Only 11 out of the 39 children in the lowest quartile were previously identified at their well visit as having any mental health concerns.

Discussion: Screening for resilience provides an opportunity for providers to identify children who would benefit from interventions aimed to foster resilience.