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A CRITICAL ANALYSIS OF USING ROY’S ADAPTATION MODEL IN NURSING RESEARCH
The Roy adaption theory application in public health nursing
adaption model of nursing
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Roy’s Adaptation Model
Lekeia O. Brooks and Maranda Lindsey
Winston-Salem State University
Abstract
This paper reviews Sister Callista Roy’s Adaptation Model and how it applies to current nursing practice. The theory focuses on client’s adaptive behavior and how their environmental stimuli can determine the effect. It covers four major concepts including the person, environment, health and nursing, which are interrelated systems that work together to maintain balance. Showing how when you identify clients physiological and psychosocial needs health and holistic nursing will aid in adapting.
Roy’s Adaptation Model
Sister Callista Roy credits growth and major influence to her family and faith. Born in Los Angeles, California to a family
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She defines nursing as a profession that focuses on life processes (Punjani, 2013). Nurses in the adaptation model contribute to health, quality of life, and dying with dignity. Nurses effectively assist patients to adapt by using the nursing process, assessing the patient, the stimuli, determining, along with the patient and their support group, the goals, and the most effective way to reach those goals. The nurse takes a holistic approach to achieve successful adaptation. Some examples of how a nurse might do this include; taking care of physical pain, helping the patient resolve family conflicts, determining if the patient could benefit from a counselor, helping the patient with feelings of …show more content…
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Nursing encompasses the compassionate, holistic, and virtuous care that nurses deliver to patients, families, and communities in order to assist with achieving optimal health and wellness or attaining comfort and acceptance. Compassionate care encompasses the empathy and drive to help others that the nursing profession pos...
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
Nursing theory can best be defined as a set of logically interrelated concepts, statements, propositions, and definitions, which have been derived from philosophical beliefs of scientific data and from which questions or hypotheses will be deduced, tested, and verified (McEwen & Wills, 2014, p. 26). A theory purports to account for or characterize some phenomenon (McEwen & Wills, 2014, p. 26). The Roy Adaptation Model (RAM) is a grand theory that promotes holistic patient care. Holistic patient care treats the patient as a whole. Sections prepared for this paper include important key concepts such as nursing theory, summary of the Roy Adaptation Model, views of the Roy Adaptation Model and conclusion.
The Roy Adaptation Model Roy began work on her theory in the 1960s. She drew from existing work of a physiological psychologist, and behavioral, systems and role theorists. She was keenly interested in the psycho/social aspects of the person from the start and concentrated her education on this aspect of Person. Thus, the language/thinking of psychology and sociology became second nature to her. The need for intense study of the language and ideas behind Roy's Adaptation Model is its biggest drawback in applying it to many clinical areas.
...n every step because one mistake can cause someone to lose their life and there are no second chances or third attempts once someone is gone. Sufficient knowledge, skills and critical thinking capabilities are developed through experience and practice. Registered nurses become leaders through professional development. Nurses holding Bachelor Degrees will eventually become placed in leadership roles. We must evaluate the program outcomes now in order to be successful when it is time for us to fulfill these roles. I often refer to the quote that Doctor Tanner provided that states, “Nurses have the power to make decisions to determine how patients are born, live, suffer and die”. Some components of holistic nursing are knowledge of growth and adaptation (Murphy, 1990, p.1). Nursing is holistic in nature and nurses may not realize how much power they truly possess.
“Nursing is the process by which the nurse seeks to understand his or her client’s unique model of the world and try to help a person with their self-care activities in relation to their health”( Sheila, 1990, p. 3). It is the intervention or the plan that a nurse or a health care provider and a patient implement in order to return to wellness. I am a nurse who is very kind and caring. I allow my patients to just sit and talk about their feelings, letting them know that they will never be judged. Through trust, my patients accept their treatment in order to get well and go
The field of nursing provides one the opportunity to make a difference in the lives of others. Nurses interact directly with patients at times of hardship, vulnerability, and loss. The nursing profession has been around for decades. Due to the contribution from historical leaders in nursing, the nurse’s role has progressed over time. Although the roles of nurses have evolved throughout the years, one thing has remained the same: the purpose in giving the best patient care.
This interactive grand theory is grounded in humanist philosophy, which expresses the belief that humans are unitary beings and energy fields in constant interaction with the universal energy field. This model guides the nurse who is interested in “physiologic” and “psychological” adoptions (McEwen & Wills, 2014, p. 177). This model views the nurse as holistic adaptive system constantly interacting with different stimuli. And also explains how different sets of interrelated systems maintain a balance between various stimuli to promote individual and environmental transformation (Alkrisat & Dee, 2014). This model creates a framework to provide care for individuals in health and “in acute, chronic, or terminal illness” (Shah, Abdullah, & Khan, 2015, p. 1834). It focuses on improving basic life processes of individuals, families, groups of people; nurses see communities as holistic adaptive systems. It consists of three basic assumptions: philosophical, scientific, and cultural. And it also contains many defined concepts about the environment, health, person, goal of nursing, adaptation, focal, contextual, and residual stimuli, cognator and regulator subsystem, and stabilizer and innovator control processes (McEwen & Wills, 2014, p.
Nursing is a profession that I have always been fascinated with. Nursing is defined as "health promotion, health maintenance, health restoration and providing care to the sick and dying" (Kozier and Erb). There are five values essential to nursing, which include altruism, autonomy, human dignity, integrity and social justice (AACN). Nursing is a profession in which the nurse uses caring as a central concept. Some other characteristics of the nursing profession include art, science, advocacy, and offering holistic care. Nurses use critical thinking in order to problem solve because every patient is unique. The nursing process when assessing a patient includes, data collection, analysis, planning, implementing, and evaluation. Nurses need to be able to deal with change in stressful, fast paced, hectic environments. The treatments and technology is constantly changing therefore nurses need to be able to make quick and important decisions.
... practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care as it relates to being competent in nursing.
Roy’s adaptation theory has had a significant impact on nursing and the way we view and approach patient care. It is a systemic approach to understanding and addressing the physiological, self-concept, role function and interdependence needs of a patient and helping them adapt to their environment. By addressing each of theses needs we are able to treat them as a whole. It can be compared to the web of causation in that just as there are many factors that influence disease, by understanding addressing each factor individually, nurses can better treat the disease as a whole. Nurses can benefit by utilizing Roy’s adaptation theory during the nursing process to assist them with conducting a more thorough assessment and developing a more effective care plan.
Nursing’s metaparadigm consists of four concepts. These concepts include the person, health, environment and nursing. The concept of person refers to the recipient of care, which may include a person, their family or even the community. Nurses must respect the unique qualities of each patient, family and community and should provide individualized care to meet those needs. Health refers to an individual’s state of health being a balance between their developmental and behavioral wellness to the fullest extent possible. Since health is dynamic and constantly changing one must constantly adapt to change, which may lead to stressors that can have a negative affect on health if not addressed. Environment refers to all the outside conditions that affect the patient within the setting where health care needs occur. These may include health care needs that are being influenced by factors at home, in school or at the workplace. Finally nursing is the diagnosis and treatment of the current or potential health problems....
Nightingale’s concepts are used a great deal in everyday nursing. Nightingale referred to the person as a patient (Alligood, 2014, p. 65). She defined health and that it was maintained by the prevention of disease and through health promotion (Alligood, 2014, p. 65). She believed that health would benefit from environmental improvements (Alligood, 2014, p. 66). For professional nursing, Nightingale defined the skills, behaviors, and knowledge that is required for further
According to the American Nurses Association (2015) nursing is defined as optimization of health, prevention of injury, alleviation of suffering, and advocacy in the care of individuals and families. Two influences
Sister Callista Roy developed the Roy Adaptation Model during her graduate studies at the University of California. The model was published in 1970 and is one of the most famous and useful conceptual frameworks in the nursing practice (Alligood & Tomey, 2010). In the model, adaptation is defined as the process and outcome resulted from interaction between each individual and their environment. Therefore adaptation is a life coping process, which includes innate and acquired coping mechanisms. Innate coping processes are genetically determined while acquired coping processes are developed by each individual (Alligood & Tomey, 2010). Specifically to nursing, four metaparadigm concepts are mentioned in the model. The first one is person, who is described as an adaptive system, the main focus and receiver of nursing care. Next is environment, which is all the surrounding aspect that influences the development and behavior of persons. The third one is health that reflects the state of being and process of adaptation. The last one is nursing,...