SISTER CALLISTA ROY: THE ADAPTATION MODEL <ul><li>By:  </li></ul><ul><li>Caroline Gates, RN, BSN </li></ul><ul><li>Carol M...
<ul><li>When I consider your heavens, </li></ul><ul><li>The work of your fingers… </li></ul><ul><li>What is man that you a...
Introduction of the Theory and Theorist <ul><li>Preethi Unjakoti </li></ul>2
Sister Callista Roy <ul><li>Born in Los Angeles, California, on October  14, 1939 </li></ul><ul><li>Second child of Mr. an...
Education <ul><li>Bachelors Degree in Nursing from  </li></ul><ul><li>Mount St. Mary’s College in 1963. </li></ul><ul><li>...
Professional Experience <ul><li>Started at age 14. </li></ul><ul><li>Pediatric Nurse </li></ul><ul><li>Nursing instructor ...
Personal and Professional Influences <ul><li>Her family, mainly her mother </li></ul><ul><li>Her religious beliefs </li></...
Introduction of The Model/Theory <ul><li>Adaptation was first  </li></ul><ul><li>introduced to Ms. Roy in a </li></ul><ul>...
Roy’s Adaptation Model <ul><li>Developed over the years </li></ul><ul><li>Supported through research </li></ul><ul><li>163...
Primary Concepts of the Model <ul><li>Key concepts are the Person (or a group) viewed as a adaptive system, their health, ...
Worldview <ul><li>Three different worldviews: </li></ul><ul><ul><li>Rationalism </li></ul></ul><ul><ul><li>Relativism </li...
Metaparadigm: Person <ul><li>Person is viewed as a holistic adaptive system </li></ul><ul><li>Engaging in and interchangin...
Metaparadigm: Health <ul><li>Health is the state and a process of being and becoming an integrated and whole person. </li>...
Metaparadigm: Environment <ul><li>All conditions, circumstances, and influences. </li></ul><ul><li>A change acts as a cata...
Key Definitions <ul><li>System:  A set of parts connected to function as a whole for some purpose.  </li></ul><ul><li>Copi...
Metaparadigm of Nursing <ul><li>Nursing acts to enhance the interaction of the person with the environment to promote adap...
Key Definitions <ul><li>Focal Stimulus:  The internal or external stimulus most immediately confronting the human system. ...
Key Definitions <ul><li>Integrity:  Degree of wholeness achieved by adapting to changes in needs. </li></ul><ul><li>Adapta...
Sister Callista Roy’s Adaptation Model  and Application
Person <ul><li>-Person: adaptive system constantly interacting with external and internal environment </li></ul><ul><li>-P...
Environment 4
Adaptation <ul><li>Integrated, Compensatory, or Compromised </li></ul><ul><li>Stimuli influence adaptation level </li></ul...
Roy’s Model Continued… <ul><li>Coping mechanisms: Regulator and Cognator </li></ul>Control Processes: Stabilizer and Innov...
Four Adaptive Modes <ul><ul><li>1. Physiological-  oxygenation, nutrition, elimination, activity, rest, and  protection </...
Four Adaptation Modes
Apply the Nursing Process to Each of the Four Adaptive Modes  <ul><li>1. Assess Behavior </li></ul><ul><li>2. Assess Stimu...
Visual Aid <ul><li>Roy’s Adaptation Model  </li></ul>Person -open  system Environmental Stimuli : Focal, Contextual, Resid...
Examples of Roy’s Model in Practice  <ul><li>Cancer patients -Cook(1999), Gerrish (1989) </li></ul><ul><li>Amputations - D...
More recently...Suggested use in Community Health Nursing <ul><ul><ul><li>Physical-morbidity/mortality stats, medical faci...
Use of Roy’s model to promote behavior change... -  Helped women have a more accurate understanding of smoking addiction -...
Helping Women through Menopause <ul><li>Holistic approach to assessing and analyzing the menopausal transition </li></ul><...
Examples of Roy’s Adaptation Model in Research  <ul><li>Cross-cultural pain- Cavillo & Flaskerud (1993) </li></ul><ul><li>...
More recently... <ul><li>Brooke Army Medical Center and U.S. Army Institute of Surgical Research- Series of studies based ...
Adaptation in Children with Cancer <ul><li>Used Roy’s model to guide in data collection in adaptation modes.  </li></ul><u...
Examples of Roy’s model in Education  <ul><li>One of the most widely used models in the U. S. for nursing education  </li>...
Roy’s Model Applied to Administration <ul><li>A research study explains  how  one hospital implemented Roy’s model to deve...
<ul><li>Caroline Gates RN </li></ul>
Evaluation of Model <ul><li>Adequacy </li></ul><ul><li>Model developed from belief based mainly on pediatric clinical obse...
Evaluation of Model <ul><li>Clarity </li></ul><ul><li>Adaptation </li></ul><ul><ul><li>-How is it defined? </li></ul></ul>...
Evaluation of Model <ul><li>Clarity </li></ul><ul><li>Adaptive modes have unclear boundaries </li></ul><ul><ul><li>-Interr...
Evaluation of Model <ul><li>Complexity </li></ul><ul><li>Abstract and difficult to understand </li></ul><ul><ul><li>Concep...
Evaluation of Model <ul><li>Completeness </li></ul><ul><ul><li>Addresses all four concepts of a nursing model  (metaparadi...
Clinical Use of the Model for FNPs in primary care setting <ul><li>Develops systematic and comprehensive ways of knowing r...
Clinical Use of the Model for FNPs in primary care setting <ul><li>Helps visualize the nursing process as a dynamic contin...
Clinical Use of the Model for FNPs in primary care setting <ul><li>Limited by the perception of adaptation </li></ul><ul><...
Clinical Use of the Model with a Geriatric Population <ul><li>Assess circumstances that might contribute to a premature ad...
Clinical Use of the Model for Cardiac Health <ul><li>Chest pain, decreased levels of activity, fluid overload, sleep distu...
Conclusion <ul><li>Research supports Roy’s model as evidence based nursing process </li></ul><ul><li>Widely used in differ...
References <ul><ul><ul><li>Alligood, M. R. (2010).  Nursing theory: Utilization and application. Maryland  </li></ul></ul>...
References Continued <ul><ul><ul><li>Patton, D. (2004). An analysis of Roy’s Adaptation Model of nursing  as  used within ...
Upcoming SlideShare
Loading in...5
×

Carol,caroline,and preethi

9,433

Published on

Published in: Health & Medicine, Technology
1 Comment
4 Likes
Statistics
Notes
No Downloads
Views
Total Views
9,433
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
416
Comments
1
Likes
4
Embeds 0
No embeds

No notes for slide
  • she received the middle name Callista, after Saint Callistus, Pope and martyr, from the Roman Catholic Calendar of the day on which she was bor
  • Received her Bachelors Degree in Nursing from Mount St. Mary’s College in 1963. She had to take 1 year break as she was bed ridden while suffering from Encephalomyelitis, a neurological disorder. Following this Second Masters and PhD in Sociology in 1973 and 1977 Dr. Roy also had the opportunity to be a clinical nurse scholar in a two-year postdoctoral program in Neuroscience Nursing at University of California at San Francisco. She selected this field to develop her understanding of the holistic person, especially as an adaptive system, and because of her familiarity with this clinical area as a result of her own neurological illnesses.
  • At the age of 14, Ms. Roy started working at a hospital as a pantry girl, then a maid and finally a nurse’s aid. As a nurse she first worked as a Pediatric nurse. Sr. Callista Roy, PhD, RN, FAAN, is Professor and Nurse Theorist at the William F. Connell School of Nursing, Boston College.
  • A deep spirit of faith, hope, love and commitment to God and service to others was central in this family Her Mother taught her to always seek to know more about people and their care and of selfless giving as a nurse. After a soul-searching process of discernment, she decided to enter the Sisters of Saint Joseph of Carondelet, of which she has been a member for more than 40 years. While working and studying pediatric nursing she had the privilege of working with Dr. Dorothy Johnson. She was Roy’s main influence in developing the adaptation theory.
  • While working as a Pediatric nurse, Roy had noticed the great resiliency of children and their ability to adapt in response to major physical and psychological changes. Roy was impressed by the adaption of children to different physical and psychological changes. In 1964, she started developing the theory of adaption as the framework for nursing. It was first utilized in Mount St. Mary’s College, as their philosophical foundation of nursing curriculum.
  • It has been supported through research in practice and in education. A total of 163 studies were conducted by group of seven scholars to test propositions of the model. The model has been used for 46 years in providing direction for nursing practice, education, administration, and research.
  • Veritivity is a philosophical assumption that recognizes the purposefulness of human existence and the common purposefulness of all people. It is also more grounded than relativism and has the possibility of providing a worldview of cosmic unity, whereby persons and environment are integrated and achieve a final common destiny.
  • A Science and practice that expands adaptive abilities and enhances person and environmental tranformation.
  • System: A set of parts connected to function as a whole for some purpose, it does so by virtue of the interdependence of its parts. Coping Processes : Either Innate or acquired ways of interacting with the changing environment. Cognator Coping: Coping process involving the four cognitive-emotive channels: perceptual and information processing, learning, judgment and emotion
  • A Science and practice that expands adaptive abilities and enhances person and environmental tranformation.
  • A focal stimulus is &amp;quot;the degree of change or stimulus most immediately confronting the person and the one to which the person must make an adaptive response, that is, the factor that precipitates the behavior&amp;quot; (Roy, 1984, p. 43). Contextual stimuli are &amp;quot;all other stimuli present that contribute to the behavior caused or precipitated by the focal stimuli&amp;quot; (Roy, 1984, p. 43). Residual stimuli are &amp;quot;factors that may be affecting behavior but whose effects are not validated&amp;quot; (Roy, 1984, p. 43).
  • Adaptation Level : A changing point, influenced by the demands of the situation and the person’s internal resources including capabilities, hopes, dreams, aspirations, motivations and all that make that per person constantly move towards mastery.
  • Carol,caroline,and preethi

    1. 1. SISTER CALLISTA ROY: THE ADAPTATION MODEL <ul><li>By: </li></ul><ul><li>Caroline Gates, RN, BSN </li></ul><ul><li>Carol Marrs, RN, BSN </li></ul><ul><li>Preethi Unjakoti, RN, BSN </li></ul>
    2. 2. <ul><li>When I consider your heavens, </li></ul><ul><li>The work of your fingers… </li></ul><ul><li>What is man that you are mindful of him, </li></ul><ul><li>The son of man that you care for him? </li></ul><ul><li>You made him a little lower than the heavenly beings </li></ul><ul><li>And crowned him with glory and honor </li></ul><ul><li>You made him ruler over the works of your hands </li></ul><ul><li>Psalm 8: 3-6 </li></ul>
    3. 3. Introduction of the Theory and Theorist <ul><li>Preethi Unjakoti </li></ul>2
    4. 4. Sister Callista Roy <ul><li>Born in Los Angeles, California, on October 14, 1939 </li></ul><ul><li>Second child of Mr. and Mrs. Fabien Roy </li></ul><ul><li>Family of seven boys and seven girls </li></ul><ul><li>She was named after Saint Callistus of the Roman Catholic Calendar. </li></ul><ul><li>Mother was a licensed vocational nurse </li></ul>3 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
    5. 5. Education <ul><li>Bachelors Degree in Nursing from </li></ul><ul><li>Mount St. Mary’s College in 1963. </li></ul><ul><li>Masters in Pediatric Nursing from </li></ul><ul><li>University of California in 1966 </li></ul><ul><li>Suffered with Encephalomyelitis, a neurological disorder. </li></ul><ul><li>Second Masters and PhD in Sociology in 1973 and 1977 </li></ul><ul><li>She finished her postdoctoral program in Neuroscience Nursing. </li></ul>4 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
    6. 6. Professional Experience <ul><li>Started at age 14. </li></ul><ul><li>Pediatric Nurse </li></ul><ul><li>Nursing instructor in many different capacities. </li></ul><ul><li>Currently she is the Professor and Nurse Theorist at the William F. Connell School of Nursing, Boston College. </li></ul>5 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
    7. 7. Personal and Professional Influences <ul><li>Her family, mainly her mother </li></ul><ul><li>Her religious beliefs </li></ul><ul><ul><li>She became a member of the Sister </li></ul></ul><ul><ul><li>Of Saint Joseph of Carondelet </li></ul></ul><ul><li>Her teachers and mentors </li></ul><ul><li>Dr. Dorothy Johnson </li></ul><ul><ul><li>Challenged Ms. Roy to develop her </li></ul></ul><ul><ul><li>Nursing theory. </li></ul></ul>6 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
    8. 8. Introduction of The Model/Theory <ul><li>Adaptation was first </li></ul><ul><li>introduced to Ms. Roy in a </li></ul><ul><li>psychology class </li></ul><ul><li>Adaptation of children </li></ul><ul><li>Theory development started in 1964 </li></ul><ul><li>First utilized in Mount St. Mary’s College </li></ul>7 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
    9. 9. Roy’s Adaptation Model <ul><li>Developed over the years </li></ul><ul><li>Supported through research </li></ul><ul><li>163 Research studies conducted </li></ul><ul><li>Has been in use for 46 years. </li></ul><ul><li>Published in various languages </li></ul><ul><li>Internationally used. </li></ul>8 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
    10. 10. Primary Concepts of the Model <ul><li>Key concepts are the Person (or a group) viewed as a adaptive system, their health, and their environment. </li></ul><ul><ul><li>A person is a bio-psyco-social being. </li></ul></ul><ul><ul><li>Both innate and acquired mechanisms are used for coping. </li></ul></ul><ul><ul><li>*******The main concept******* </li></ul></ul><ul><ul><li>Assessment of behavior and the factors affecting adaptation, and intervention to promote adaptive abilities and enhance environmental interactions. </li></ul></ul>9 Johnson Lutjens, L. R., (1991). Callista Roy: An Adaptation Model. Newbury Park, CA: SAGE Publications, Inc
    11. 11. Worldview <ul><li>Three different worldviews: </li></ul><ul><ul><li>Rationalism </li></ul></ul><ul><ul><li>Relativism </li></ul></ul><ul><ul><li>Veritivity </li></ul></ul><ul><ul><li>Veritivity is Ms. Roy’s worldview </li></ul></ul><ul><ul><li>“It is capable of providing a worldview of cosmic unity, by which persons and environment are integrated and achieve a final common destiny.” </li></ul></ul>10 Retrieved from http://www.bc.edu/schools/son/faculty/featured/theorist/Roy_Adaptation_Model/
    12. 12. Metaparadigm: Person <ul><li>Person is viewed as a holistic adaptive system </li></ul><ul><li>Engaging in and interchanging with the environment </li></ul><ul><li>Person also refers to families, groups, communities and the whole society. </li></ul>11 Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
    13. 13. Metaparadigm: Health <ul><li>Health is the state and a process of being and becoming an integrated and whole person. </li></ul><ul><li>It is a process where he or she is striving to achieve their maximum potential. </li></ul>12 Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
    14. 14. Metaparadigm: Environment <ul><li>All conditions, circumstances, and influences. </li></ul><ul><li>A change acts as a catalyst and causes adaptive responses. </li></ul>13 Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
    15. 15. Key Definitions <ul><li>System: A set of parts connected to function as a whole for some purpose. </li></ul><ul><li>Coping Processes : Either Innate or acquired ways of interaction. </li></ul><ul><li>Regulator Coping: Coping process involving the neural, chemical and endocrine systems. </li></ul><ul><li>Cognator Coping: Coping process involving the four cognitive-emotive channels. </li></ul>15 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
    16. 16. Metaparadigm of Nursing <ul><li>Nursing acts to enhance the interaction of the person with the environment to promote adaptation </li></ul><ul><li>It is the science and practice that expands adaptive abilities. </li></ul>14 Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
    17. 17. Key Definitions <ul><li>Focal Stimulus: The internal or external stimulus most immediately confronting the human system. </li></ul><ul><li>Contextual Stimulus: All other stimuli present in the situation that contribute to the behavior of the focal stimuli. </li></ul><ul><li>Residual Stimuli: factors that may be affecting behavior but whose effects are not validated. </li></ul>16 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
    18. 18. Key Definitions <ul><li>Integrity: Degree of wholeness achieved by adapting to changes in needs. </li></ul><ul><li>Adaptation Level : A changing point, influenced by the demands of the situation and the person’s internal resources. </li></ul><ul><li>Behavior: Actions and reactions under specified circumstances. </li></ul>17 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier. e
    19. 19. Sister Callista Roy’s Adaptation Model and Application
    20. 20. Person <ul><li>-Person: adaptive system constantly interacting with external and internal environment </li></ul><ul><li>-Persons major task: Maintain personal integrity (wholeness) in face of environmental stimuli. </li></ul>
    21. 21. Environment 4
    22. 22. Adaptation <ul><li>Integrated, Compensatory, or Compromised </li></ul><ul><li>Stimuli influence adaptation level </li></ul>5 4
    23. 23. Roy’s Model Continued… <ul><li>Coping mechanisms: Regulator and Cognator </li></ul>Control Processes: Stabilizer and Innovator ADAPTATION
    24. 24. Four Adaptive Modes <ul><ul><li>1. Physiological- oxygenation, nutrition, elimination, activity, rest, and protection </li></ul></ul><ul><ul><li>2. Self Concept- Psychological and spiritual elements </li></ul></ul><ul><ul><li>3. Role Function- primary,secondary, and tertiary roles the person performs in society </li></ul></ul><ul><ul><li>4. Interdependence- coping mechanisms arising from close relationships </li></ul></ul><ul><ul><li>Goal: Promote integrated adaptation in all four modes = HEALTH </li></ul></ul>
    25. 25. Four Adaptation Modes
    26. 26. Apply the Nursing Process to Each of the Four Adaptive Modes <ul><li>1. Assess Behavior </li></ul><ul><li>2. Assess Stimuli </li></ul><ul><li>3. Nursing Diagnosis </li></ul><ul><li>4. Goal Setting </li></ul><ul><li>5. Interventions </li></ul><ul><li>6. Evaluation </li></ul><ul><li>ULTIMATE GOAL: Promote integrated adaptation in each of the Four Adaptive Modes </li></ul>
    27. 27. Visual Aid <ul><li>Roy’s Adaptation Model </li></ul>Person -open system Environmental Stimuli : Focal, Contextual, Residual Adaptation level : integrated, compensatory, or compromised . Health Nursing
    28. 28.
    29. 29. Examples of Roy’s Model in Practice <ul><li>Cancer patients -Cook(1999), Gerrish (1989) </li></ul><ul><li>Amputations - Dawson (1998) </li></ul><ul><li>Occupational Health -Doyle & Rejacich (1991) </li></ul><ul><li>Pt’s with Anxiety- Fredrickson (1993) </li></ul><ul><li>Hospitalized Children- Galligan (1979), Starn & Niederhauser (1990) </li></ul><ul><li>Coronary Care Unit- Hamner (1989) </li></ul><ul><li>Adolescents with Asthma- Hennessy-Harstad (1999) </li></ul><ul><li>Adult Hemodialysis patients- Keen et al. (1998) </li></ul><ul><li>Home care- Lankester & Sheldon (1999), Schmitz (1980) </li></ul><ul><li>Abused Women- Limandri (1986) </li></ul><ul><li>Patients with Kawasaki disease- Nash (1987) </li></ul><ul><li>Adolescents with bulimia nervosa- Pilote (1998a,1998b) </li></ul><ul><li>Elderly in apartment complexes- Smith (1998) </li></ul><ul><li>Patients with alzheimer’s disease- Thornbury & King (1992) </li></ul><ul><ul><li>* List obtained from Fitzpatrick and Wall (2005) </li></ul></ul>
    30. 30. More recently...Suggested use in Community Health Nursing <ul><ul><ul><li>Physical-morbidity/mortality stats, medical facilities, funding </li></ul></ul></ul><ul><ul><ul><li>Group identity-culture,morale </li></ul></ul></ul><ul><ul><ul><li>Role function-effectiveness and accountability of institutions (fire, police, hospitals) </li></ul></ul></ul><ul><ul><ul><li>Interdependence-relationships of community with outside organizations, quality of relationships within the community </li></ul></ul></ul><ul><ul><ul><li>* Dixon, E.L. (1999). Community health nursing practice and the Roy adaptation model. Public Health Nursing 16 (4), 290-300. </li></ul></ul></ul>13 13
    31. 31. Use of Roy’s model to promote behavior change... - Helped women have a more accurate understanding of smoking addiction -Women were able to explain how stress affected their physical, mental, spiritual self and their relationships with others In conclusion: More accurate understanding of their addiction and their perceptions of stimuli that produced the desire for them to continue smoking. * Villareal, E. (2003). Using Roy’s adapation model when caring fpr a group of young women contemplating quitting smoking. Public Health Nusing, 20 (5), 377-384
    32. 32. Helping Women through Menopause <ul><li>Holistic approach to assessing and analyzing the menopausal transition </li></ul><ul><li>*Cunningham, D. A. (2003). Application of Roy’s adaptation model when caring for a group of women coping with menopause. Journal of Community Health Nursing, 19 (1), 49-60. </li></ul>15
    33. 33. Examples of Roy’s Adaptation Model in Research <ul><li>Cross-cultural pain- Cavillo & Flaskerud (1993) </li></ul><ul><li>Caesarean birth- Fawcett (1990) </li></ul><ul><li>Child-bearing women- Fawcett & Tulman (1990), Tulman et al. (1998) </li></ul><ul><li>Cancer patients- Frederickson et al. (1991), Samarel et al. (1998) </li></ul><ul><li>Spinal cord injury patients- Harding-Okimoto (1997) </li></ul><ul><li>Abused women- Limandri (1986) </li></ul><ul><li>Well adolescents- Modrcin et al. (1998) </li></ul><ul><li>Breast-feeding women- Nyqvist & Sjoden (1993) </li></ul><ul><li>Spouses of surgical patients- Silva (1987) </li></ul><ul><li>Elderly persons- Smith (1988), Zhan (2000) </li></ul><ul><li>Persons with Alzheimer’s disease- Thornbury and King (1992) </li></ul><ul><ul><li>* List obtained from Fitzpatrick and Wall (2005) </li></ul></ul>16 16
    34. 34. More recently... <ul><li>Brooke Army Medical Center and U.S. Army Institute of Surgical Research- Series of studies based on Roy’s Adaptation Model </li></ul><ul><li>1. Quality of life experienced by people with cancer. Findings: Military patients did not share with their healthcare provider about pain, sexual dysfunciton, ect. because they viewed these as expected. </li></ul><ul><li>2 Investigate feasibility of exercise program and examine the effects on physiological and psychological parameters of health in Cancer patients. Findings: Improved exercise tolerance, activity, sleep patterns, and quality of life. </li></ul><ul><li>Excellent guide for Quality of Life outcomes in patients with long term illness </li></ul><ul><li>* Yoder, L. H. (2005). Using the Roy adaptation model: A program of research in a military research service. Nursing Science Quarterly 18 (4), 321-323. </li></ul>
    35. 35. Adaptation in Children with Cancer <ul><li>Used Roy’s model to guide in data collection in adaptation modes. </li></ul><ul><li>Different age groups will adapt differently </li></ul><ul><li>Age and physical maturity have significant impact on adaptation to cancer in pediatrics. </li></ul>18 <ul><li>*Yeh, C.H. (2001). Adaptation in children with cancer: Research with Roy’s model. Nursing Science Quarterly 14 (2), 141-148. </li></ul>
    36. 36. Examples of Roy’s model in Education <ul><li>One of the most widely used models in the U. S. for nursing education </li></ul><ul><li>Geriatric Nurse-Practitioner Program </li></ul><ul><li>University of Ottawa School of Nursing, Canada </li></ul><ul><li>Mount Saint Mary’s College, Los Angeles </li></ul><ul><ul><li>Students deliver care based on Roy’s model </li></ul></ul><ul><ul><li>http://www.msmc.la.edu/undergraduate-bachelor-programs/nursing/bachelor-of-science.asp </li></ul></ul>19 *Source: Fitzpatrick & Wall, 2005
    37. 37. Roy’s Model Applied to Administration <ul><li>A research study explains how one hospital implemented Roy’s model to develop : </li></ul><ul><ul><ul><ul><ul><li>A Nursing Philosophy </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Mission Statements </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Standards of Practice </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Job Descriptions </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>Performance Planning and an Appraisal System </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>A Quality Monitoring System </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>CONCLUSION: highly integrated system of nursing administration and practice </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>*Rogers et al.,1991 </li></ul></ul></ul></ul></ul>20
    38. 38. <ul><li>Caroline Gates RN </li></ul>
    39. 39. Evaluation of Model <ul><li>Adequacy </li></ul><ul><li>Model developed from belief based mainly on pediatric clinical observations </li></ul><ul><li>Use of Harry Helson’s adaptation theory </li></ul><ul><li>(Patton, 2004) </li></ul>
    40. 40. Evaluation of Model <ul><li>Clarity </li></ul><ul><li>Adaptation </li></ul><ul><ul><li>-How is it defined? </li></ul></ul><ul><ul><li>-Who defines it? </li></ul></ul><ul><ul><li>-How is it evaluated? </li></ul></ul><ul><li>Health </li></ul><ul><ul><li>-Non-specific definition </li></ul></ul><ul><ul><li>(Lewis, 1988; Patton, 2004) </li></ul></ul><ul><ul><li> predictions </li></ul></ul>
    41. 41. Evaluation of Model <ul><li>Clarity </li></ul><ul><li>Adaptive modes have unclear boundaries </li></ul><ul><ul><li>-Interrelated by perception </li></ul></ul><ul><li>Some use of theoretical jargon </li></ul><ul><li>Good assessment </li></ul><ul><li>method </li></ul><ul><li>(Lewis, 1988; Patton, 2004) </li></ul>
    42. 42. Evaluation of Model <ul><li>Complexity </li></ul><ul><li>Abstract and difficult to understand </li></ul><ul><ul><li>Concept of Person as an </li></ul></ul><ul><ul><li>adaptive system </li></ul></ul><ul><ul><li>Cognator and regulator subsystems </li></ul></ul><ul><li>Not easily operational for research </li></ul><ul><li> -stimuli create an extensive list of potential variables </li></ul><ul><li>Tolson & McIntosh, 1996 </li></ul> Adaptation Coping Control Regulator Cognator Stabilizer Innovator Cognitive Emotional Output processes Central processes Input
    43. 43. Evaluation of Model <ul><li>Completeness </li></ul><ul><ul><li>Addresses all four concepts of a nursing model (metaparadigm) </li></ul></ul><ul><ul><li>Comprehensive and systematic assessment </li></ul></ul><ul><ul><li> - Observed behavior is reflective of the parts </li></ul></ul><ul><ul><li>Focus on the individual </li></ul></ul><ul><ul><li> -> More of a downstream approach </li></ul></ul><ul><ul><li> Smaller perspective </li></ul></ul><ul><ul><li>Person = adaptive system </li></ul></ul><ul><li>-> Little room for humanistic </li></ul><ul><li>understanding </li></ul>
    44. 44. Clinical Use of the Model for FNPs in primary care setting <ul><li>Develops systematic and comprehensive ways of knowing reality </li></ul><ul><li>Promotes critical thinking </li></ul><ul><li>Focused on the Person </li></ul><ul><li>-rights, liberty, and independent actions </li></ul>
    45. 45. Clinical Use of the Model for FNPs in primary care setting <ul><li>Helps visualize the nursing process as a dynamic continuum -> the patient’s progress becomes the driving force within the process </li></ul><ul><li>Provides guidance for intervention that can enhance quality of life and enhance interaction of the person with the environment </li></ul><ul><ul><ul><li>Adaptation to chronic illness </li></ul></ul></ul><ul><ul><ul><li>Family functioning </li></ul></ul></ul>
    46. 46. Clinical Use of the Model for FNPs in primary care setting <ul><li>Limited by the perception of adaptation </li></ul><ul><ul><li>-> need to identify client’s perception of the problem </li></ul></ul><ul><ul><li>The meanings attached to the experience </li></ul></ul><ul><ul><li>Then assist the client in forming realistic goals in coping with the problem </li></ul></ul>
    47. 47. Clinical Use of the Model with a Geriatric Population <ul><li>Assess circumstances that might contribute to a premature admission to a long term care facility. </li></ul><ul><ul><ul><li>Role reversal </li></ul></ul></ul><ul><ul><ul><li>Powerlessness </li></ul></ul></ul><ul><ul><ul><li>Difficulty coping with </li></ul></ul></ul><ul><ul><ul><li>disability </li></ul></ul></ul><ul><ul><ul><li>Adaptation of significant </li></ul></ul></ul><ul><ul><ul><li>other </li></ul></ul></ul><ul><ul><ul><li>Farkas , 1981 </li></ul></ul></ul>
    48. 48. Clinical Use of the Model for Cardiac Health <ul><li>Chest pain, decreased levels of activity, fluid overload, sleep disturbance (physiologic mode) </li></ul><ul><li>Fear, anxiety, body image disturbance due to bypass surgery (self-concept mode) </li></ul><ul><li>Increased dependency on others (role function) </li></ul><ul><li>Relationship needs unmet (interdependence mode) </li></ul><ul><li>Self-esteem issues (interdependence mode) </li></ul>
    49. 49. Conclusion <ul><li>Research supports Roy’s model as evidence based nursing process </li></ul><ul><li>Widely used in different settings and has enduring characteristics (based on system’s theory) (Alligood, 2010) </li></ul><ul><li>Updated as knowledge increases and trends change (Alligood, 2010) </li></ul><ul><li>In a world of globalization, the model is limited by an egocentric paradigm (Cody, 2006) </li></ul><ul><li>Limited by the view that the individual good is the highest good to be achieved (Cody, 2006) </li></ul>
    50. 50. References <ul><ul><ul><li>Alligood, M. R. (2010). Nursing theory: Utilization and application. Maryland </li></ul></ul></ul><ul><ul><ul><li>Heights , MO: Mosby, Inc. </li></ul></ul></ul><ul><ul><ul><li>Cody, W. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. (4 th Ed.). Sudbury, MA: Jones and Bartlett. </li></ul></ul></ul><ul><ul><ul><li>Cunningham, D. A. (2003). Application of Roy’s adaptation model when caring for a </li></ul></ul></ul><ul><ul><ul><li> group of women coping with menopause. Journal of Community Health </li></ul></ul></ul><ul><ul><ul><li>Nursing, 19 (1), 49-60. </li></ul></ul></ul><ul><ul><ul><li>Dixon, E.L. (1999). Community health nursing practice and the Roy adaptation </li></ul></ul></ul><ul><ul><ul><ul><ul><li>model. Public Health Nursing 16 (4), 290-300 </li></ul></ul></ul></ul></ul><ul><ul><ul><li>Farkas, L. (1981). Adaptation problems with nursing home application for elderly persons: an application of the Roy adaptation nursing model. Journal of Advanced Nursing (6), 363-368. </li></ul></ul></ul><ul><ul><ul><li>Fitzpatrick, J.J., & Whall A.L. (2005). Conceptual models of nursing: Analysis and application. Upper Saddle River, NJ: Pearson Education, Inc. </li></ul></ul></ul><ul><ul><ul><li>Lewis, T. (1988). Leaping the chasm between nursing theory and practice. Journal of Advanced Nursing (13), 345-351. </li></ul></ul></ul>33 20
    51. 51. References Continued <ul><ul><ul><li>Patton, D. (2004). An analysis of Roy’s Adaptation Model of nursing as used within acute psychiatric nursing. Journal of Psychiatric and Mental Health Nursing (11), 221-228. </li></ul></ul></ul><ul><ul><ul><li>Roders, M., Paul, L. J., Clarke, J., Mackay, C., Potter, M., Ward, W. (1991). The use of the Roy Adaptation Model in nursing administration. Canadian Journal of </li></ul></ul></ul><ul><ul><ul><li>Nursing Administration 4 (2), 21-26. </li></ul></ul></ul><ul><ul><ul><li>Tolson, D, McIntosh, J. (1996). The Roy Adaptation Model: a consideration of its properties as a conceptual framework for an intervention study. Journal of </li></ul></ul></ul><ul><ul><ul><li>Advanced Nursing (96), 981-987. </li></ul></ul></ul><ul><ul><ul><li>Villareal, E. (2003). Using Roy’s adapation model when caring fpr a group of young </li></ul></ul></ul><ul><ul><ul><li>women contemplating quitting smoking. Public Health Nusing, 20 (5), 377-384 </li></ul></ul></ul><ul><ul><ul><li>Yeh, C.H. (2001). Adaptation in children with cancer: Research with Roy’s model. </li></ul></ul></ul><ul><ul><ul><li>Nursing Science Quarterly 14 (2), 141-148. </li></ul></ul></ul><ul><ul><ul><li>Yoder, L. H. (2005). Using the Roy adaptation model: A program of research in a </li></ul></ul></ul><ul><ul><ul><li>military research service. Nursing Science Quarterly 18 (4), 321-323. </li></ul></ul></ul>
    1. A particular slide catching your eye?

      Clipping is a handy way to collect important slides you want to go back to later.

    ×