Roy Adaptation Model

“Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, n.d.). The purpose of this paper is to expand my nursing philosophy as I transition into an Advanced Practice Nurse.

Regrettably, the existence of nursing depends on the medical inadequacy of others. Unfortunately, nursing exists because people get hurt, cannot care for themselves, or need assistance with daily activities. Carol Taylor (2011), author of Fundamentals of Nursing: The Art and Science of Nursing Care, writes, “Nursing care involves any number of activities, from carrying out complicated technical procedures to something as seemingly as holding a hand” (p. 5). Taylor explains it is the duty of a nurse not only to learn the pertinent skills but also to bond with and comfort others. Nurses have to do and become many things: They must be stern when necessary, compassionate when needed, open minded

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).

The next concept in the nursing metaparadigm is health. In the nursing metaparadigm health is referring to the patients’ intellectual, physical, emotional, and spiritual wellness. Caring for patients with a holistic view of the person is detrimental to obtaining optimum health and wellness. The following concept of the nursing metaparadigm is the environment, this includes anything surrounding the patient of which may impact their goal of optimum health. The environment may include external and internal components but not limited to. Social factors, mental status, and personal relationships are also environmental dynamics. Nursing is the final component of the nursing metaparadigm. In

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.)

Nursing revolves, not merely about looking after patients, but creating awareness in the society about self care nursing and prevention strategies and to communicate with their patients in a holistic manner, so as to satisfy their physical, mental and spiritual health needs. Various nursing theorists have repeatedly

     Other major developments of the model in the 1999 textbook include: expanding the adaptive modes to include relational persons as well as individual persons and describing adaptation on three levels of integrated life processes, compensatory processes, and compromised processes. Roy has also outlined a structure for nursing knowledge development based on the Roy Adaptation Model and provided examples of research within this structure. Roy remains committed to developing knowledge for nursing practice and continually updating the Roy Model as a basis for this knowledge development.

To support excellence in nursing practice, Roy’s Adaptation Model (RAM) guides nurses in developing effective care through the use of reasoning, critical thinking, and decision-making. With a focus on adaptation, RAM can be utilized as a framework to conceptualize and plan individualized patient care or may be applied in a limited context to develop interventions for distinct clinical populations (Senesac, 2013).

When it comes to nursing, the writer believes that one must understand a patient’s family values. Doing so can give insight into proper interventions. Said interventions may include a support system that includes family member or close friends. The interventions may also include resources for various avenues of information when a support system is not available. Adapting to the patient is the most important part of health maintenance.

It is not only concerns the patient’s physical well-being, but also involves the patient’s emotional, spiritual, and mental wellness. Nursing is not bound by the walls of the institution in which you are employed, but a basis to provide individualized patient care across the lifespan. The American Nurses Association defines nursing as, “protection, promotion and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of the individuals, families, communities, and populations.” (American Nurses Association, 2004, p. 7)  Nursing is a “calling”

A metaparadigm is a concept that is extremely general, one that serves to define an entire world of thought. The metaparadigm of nursing is comprised of four parts: person, health, nursing and environment. This concept is important to nursing theory, because those are the key areas of focus when it comes to patient care. In this metaparadigm, the ‘person’ can refer to the patient, the patient’s family members, friends, communities, and groups. The nurse’s goal when dealing with the ‘person’ is to nurture the patient and empower him or her to manage their own health to the best of their abilities. The next part of the metaparadigm is ‘health’. It generally addresses the person’s state of well-being and their availability to healthcare. The other metaparadigm ‘environment’ includes factors that affect individuals internally and externally. A positive therapeutic interaction creates an environment that is essential for patient recovery. The final concept in the metaparadigm of nursing is ‘nursing’. In general, this refers to any hands-on medical treatment from nurse to patient.

Nursing is the commitment to facilitate patient-centered care to maintain and achieve optimal health. Virginia Henderson accurately defines nurses’ integration of patients’ autonomy into care plans and assisting patients in activities to regain their independence. An ever-changing multidisciplinary team profession, an unyielding pledge to continuous education enables nurses to use the newest evidence-based practices for more efficient care. The underpinning and forerunner of patient care, nursing is representing patients, families, populations and communities through limitless advocacy.

The World Health Organization (WHO) defined health as “a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity” (Reutter & Kushner, 2010, p. 2). At Mount Royal, the Bachelor of Nursing students use a metaparadigm that has four categories: Environmental Context of Care, Person, Nursing, and Health (Thorne, 2010, p. 66). This metaparadigm describes the “substance and structure of the key bodies of knowledge that would be needed [by nurses] to understand clinical settings” (Thorne, 2010, p. 66). These four categories create the framework for nursing and demonstrate how the environment, the person, nursing, and health are all intertwined. There are several aspects of life that determine the

The WHO definition of Health is, “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”(WHO, 2015) Many clients I work with have common diagnoses, but knowing that each individual client needs are different a holistic approach is necessary to achieve desired goals. With my new gained knowledge from our recent studies, I understand that my role as a nurse is not about just following a ‘current’ plan of care, but also continually to assess the client and changing goals or implementing new goals that could improve my client’s health. According to the AHNA, “nursing practice involves the “whole body, mind, emotion, spirit, social/cultural, relationship, context, and environment.” (Thornton, L., 2015)

American Nurses Association defines nursing as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and population”( Potter,P.,& Perry, A. 2005,1-5). Thus making nursing dynamic and ever changing. However, when nursing