Roy Adaptation Model . An Overview Of The Roy Adaptation

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

Through a young person’s development, from birth to 19 they are expected to follow a development pattern including physical, social, environmental, behavioural, intellectual and communicational. The expected pattern is seen as the average time period it would take to accomplish these skills.

Nursing is a dynamic profession and life long learning is essential for nurses to stay current with the increased complexity of the healthcare needs of today and into the future. In other words, the needs of our patients are changing, as we must change in order to be prepared to better serve that need.

In this research study, authors chose to relate the research article to Sister Callista Roy’s Adaptation Model. Roy’s adaptation model can be applied in this study because of the family member’s opportunity

Nursing theories play an integral role in guiding practice, education, and research. Many different theoretical perspectives are maintained in the field of nursing due to the diversity of the field, no single theory is able to account for all nursing knowledge. The purpose of this paper is to compare and contrast two nursing theories that have produced a profound impact on nursing practice. The theories being compared are Dorothea Orem’s Self Care Deficit Nursing Theory (SCDNT) and Sister Callista Roy’s Adaptation Model (RAM). Both theorists have profoundly influenced nursing science, research, practice, and education. Similarly, both of these theories fall into the category of Grand nursing theories which are the most complex theory level and explain broad areas of the discipline, as well as being the broadest in scope (McEwen & Wills, 2014).

Roy believes nursing as a key player to help patients to develop coping mechanism and positive outcome from the constant stimuli exposure. Roy’s goal is for the patient to achieve adaptation leading to optimum health, well-being, quality of life, death with dignity, and finding in life by participating in their own care (Roy & Andrews, 1999.)

The Roy Adaptation Model for Nursing had it’s beginning with Sister Callista Roy entered the masters program in pediatric nursing at the University of California in Los Angeles in 1964. Dorothy E. Johnson, Roy’s advisor and seminar faculty, was speaking at the time on the need to define the goal of nursing as a way of focusing the development of knowledge for practice. During Roy’s first seminar in pediatric nursing, she proposed that the goal of nursing was promoting patient adaptation. Johnson encouraged her to develop her concept of adaptation as a framework for nursing, throughout the course of her master’s program. Von Vertalanffy’s use of systems theory was a key component in the early

Nursing-sensitive indicators are defined by the American Nursing Association (ANA) as “indicators that reflect the structure, process and outcomes of nursing care” (ANA, 2014). These indicators help define how nursing care is given by measuring the amount of nursing staff, skill level of the nursing staff, and the education level of nursing staff. These indicators depict the quality of care provided to patients and the outcomes of the care provided. Careful tracking of these indicators provides evidence for keeping current practices or for implementing new policy and procedures. A formal set of indicators measuring the impact nursing interventions have on patient care was not implemented until 1998 (Montalvo, I. (2007). With the establishment of the National Database of Nursing Quality Indicators (NDNQI), hospitals and other care settings are able to assess how nursing interventions impact patient outcomes, quality of care, and the overall work environment in health care facilities. Nursing-sensitive indicators are a quality improvement measure used to determine how the quality of nursing care is evaluated in hospitals and other healthcare facilities. Nurse sensitive indicators allow healthcare facilities to evaluate how the care they are providing is following evidence-based practices and how they can improve their practices to achieve better patient outcomes. The American Nurses Association is promoting these indicators as the definitive standards for patient care

Throughout nursing, there are many theories that nurses may come across and use. Calista Roy’s and Betty Neuman are two theorists that use two different types of models to encompasses the health, person, and the environment. Callista Roy uses a theory that promotes adaptation to the stimuli a person may encounter. Betty Neuman uses a theory that promotes equilibrium in a time where a person will encounter stress. These theories allow the nurse to bring a knowledge to learn more about the person and the factors that influence their health. Although with any theory there are different approaches in how the nursing plan is done, but with the patient in mind, it makes the difference in care that is given and allows for better outcomes for the patient.

The environment part could affect the health of the person, the process of adjustment results complicated when ecological, real physical environment, cultural and monetary parts surrounding the patient cannot be change. This component is related to everything that impacts the patient’s wellbeing. The adaptation model, it has three levels which are compensatory, integrated, and the comprised life forms. The three adaptation models don’t stay consistent as change is unavoidable every once in a while (Marchuk, 2014). When the practitioner notify the patient of the diagnoses and provide a plan of care, assuring patient’s environment is not only supportive, but accepting is key for compliance. Understanding the surroundings around the patient’s and make the pertinent changes will avoid a futile impact on outcomes and recuperation will be accomplished.

I will methodically analyze all parts of the study to assess the validity of the article, by contrasting and comparing the information provided, with previous literature. I will try to make sure that recommendations provided by the authors are congruous with nursing practice and beneficial to the advancement of it. I will as much as possible provide in depth detail of previous studies on the same topic that either support or contradict the analysis provided by this study and its authors.

The authors recommend that the findings originating from this study can be used as a basis to initiate protocols for implementation of bedside nursing

As a Registered Nurse, working in a highly stressed environment like Critical Care Unit (CCU), it is essential to provide an exceptional patient care. Often a Critical Care patient is hemodynamically unstable, which makes them vulnerable to not only the disease process but also to the care that is being provided. An exceptional patient care can expedite a healthy recovery; restore strength and stability of a patient. In order to give an appropriate, well-balanced patient care, a Registered Nurse must focus on Patient and Family Centered care.

Anthropology recognizes four primary types of human adaptation: genetic change, developmental adjustment, acclimatization and cultural adaptation. Individuals may develop a successful adaptation with the help of biological evolution. i.e. genetic change, that is caused by the constant environmental stress, experienced by many generations. It is a well-known fact that those who can respond to certain stresses have better chances to survive longer and pass on their dominant genes to the future generations. Such evolution is also known as the natural selection. For example, if some individuals live in malaria-endemic areas for many years, their descendants will probably inherit the immunity to such horrible disease. The second type of adaptation, developmental adjustment, is the physiological change that occurs in the early childhood and is irreversible when a person reaches the adulthood. As a matter of fact, the developmental adjustment may be caused both by specific cultural practices and natural environmental issues. An example of the cultural practices is the Chinese custom, currently illegal, according to which it was necessary to tightly wrap the feet of young females in order to block the normal growth (O’Neil n.d.). Acclimatization, the third type of adaptation, unlike the previous type, is reversible. Such adaptation may

As a nurse caring for Mr. R, I would choose the adaptive theory of Sister Roy, which would allow me to assess Mr. R’s adaption level for the diagnosis of cancer and the new placement of the colostomy. “Nursing theories allow professional nurses to organize the holistic care of clients and groups rather than focus on tasks to be performed.”(Chamberlain College of Nursing, 2015). The adaptive theory allow the nurse to focus on the important data, and it gives the nurse a better understanding to plan and implement the care plan goals for the patient. Roy adaption theory consist of four adaptive modes: Stimulus; Adaptive modes; Classes of stimuli; and Adaption level. Coping is the way of Mr. R. responding to the new colostomy and the diagnosis