Tertiary interventions aimed at resilience-building involve
decreasing or eliminating the stress response and promoting
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Turner and Kaylor 217
maintenance of stability, which restructures the nurse’s lines
of defense. The nurse may be challenged to change ways of
thinking about nursing practice and to learn from past problems.
Re-adaptation occurs during these interventions, and
nurses may need to reflect upon and examine which mechanisms
worked best and which ones did not help. The APA
(2014) noted that resilience-building involves having a flexible
mindset that allows a balance between head-on
approaches to stressful circumstances and stepping away
from the problem. Re-education regarding the specific nature
of the stressor may be necessary in order for the nurse to
adapt to, prepare for, or prevent future occurrences. Self-help
and support groups, books, and online resources may also
help rebuild the lines of defense and strengthen resilience.