CHIA-HUI HUNGYU-MING WANGYI-CHING LICHUN-CHE LIN2026-10-162026-10-162025-01-01Pure ID: 15430019Pure UUID: 9543c4c7-eff3-45f0-8aa6-544e4c942ba110.1177/15394492251370681https://www.scopus.com/pages/publications/105021330784https://scholars.csmu.edu.tw/handle/123456789/29526Resilience 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 & 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.enjournal article