Chia-Hui HungYu-Ming WangTzu-Yun WangChia-Yu ChuangYu-Chao ChangYi-Ching LiChun-Che LinChen-Yi Huang2026-01-282026-01-282025-11-1110.1177/15394492251370681https://scholars.csmu.edu.tw/handle/123456789/3453<jats:p>Resilience assessments tailored for Eastern health care students remain limited, despite the importance of resilience for their well-being and professional development. The Kawa model offers a culturally adapted framework that addresses this gap. This study evaluates the Resilience Scale for University Youths (RSUY) tailored for health care undergraduates. A psychometric assessment design was employed, with scale development following a seven-step process incorporating cultural and professional elements. A total of 207 undergraduates completed an online survey, with data analysis including reliability testing, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). The 21-item scale demonstrated internal consistency (α = .86) and supported convergent and discriminant validity. The five-factor structures, Harmony, Riverside &amp; Bottom, Driftwood, Rocks, and Space, explained 55.29% of the variance CFA confirmed model fit, supporting both convergent and discriminant validity. RSUY is a valid, reliable tool for assessing resilience in health care youth and may inform future culturally relevant support strategies.</jats:p>[SDGs]SDG3[SDGs]SDG4journal-article