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SISTER CALLISTA ROY: THE ADAPTATION MODEL ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Introduction of the Theory and Theorist ,[object Object],2
Sister Callista Roy ,[object Object],[object Object],[object Object],[object Object],[object Object],3 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
Education ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
Professional Experience ,[object Object],[object Object],[object Object],[object Object],5 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
Personal and Professional Influences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],6 Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice. Second Edition. Philadelphia, PA: F. A Davis Company
Introduction of The Model/Theory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],7 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
Roy’s Adaptation Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],8 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
Primary Concepts of the Model ,[object Object],[object Object],[object Object],[object Object],[object Object],9 Johnson Lutjens, L. R., (1991). Callista Roy: An Adaptation Model. Newbury Park, CA: SAGE Publications, Inc
Worldview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],10 Retrieved from http://www.bc.edu/schools/son/faculty/featured/theorist/Roy_Adaptation_Model/
Metaparadigm: Person ,[object Object],[object Object],[object Object],11 Andrews, H. A., & Roy, Sr. C., (1999).  The Roy Adaptation Model.  Stamford,  CT: Simon & Schuster Company.
Metaparadigm: Health ,[object Object],[object Object],12 Andrews, H. A., & Roy, Sr. C., (1999).  The Roy Adaptation Model.  Stamford,  CT: Simon & Schuster Company.
Metaparadigm: Environment ,[object Object],[object Object],13 Andrews, H. A., & Roy, Sr. C., (1999).  The Roy Adaptation Model.  Stamford,  CT: Simon & Schuster Company.
Key Definitions ,[object Object],[object Object],[object Object],[object Object],15 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
Metaparadigm of Nursing ,[object Object],[object Object],14 Andrews, H. A., & Roy, Sr. C., (1999).  The Roy Adaptation Model.  Stamford,  CT: Simon & Schuster Company.
Key Definitions ,[object Object],[object Object],[object Object],16 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.
Key Definitions ,[object Object],[object Object],[object Object],17 Alligood, M. R., & Ann Marriner T., (2010). Nursing theorists and their work. Seventh edition. Maryland Heights, MO: Mosby Elsevier.  e
Sister Callista Roy’s Adaptation Model  and Application
Person ,[object Object],[object Object]
Environment 4
Adaptation ,[object Object],[object Object],5 4
Roy’s Model Continued… ,[object Object],Control Processes: Stabilizer and Innovator ADAPTATION
Four Adaptive Modes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Four Adaptation Modes
Apply the Nursing Process to Each of the Four Adaptive Modes  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Visual Aid ,[object Object],Person -open  system Environmental Stimuli : Focal, Contextual, Residual Adaptation level : integrated, compensatory, or compromised .  Health Nursing
Examples of Roy’s Model in Practice  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More recently...Suggested use in Community Health Nursing ,[object Object],[object Object],[object Object],[object Object],[object Object],13 13
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
Helping Women through Menopause ,[object Object],[object Object],15
Examples of Roy’s Adaptation Model in Research  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],16 16
More recently... ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adaptation in Children with Cancer ,[object Object],[object Object],[object Object],18 ,[object Object]
Examples of Roy’s model in Education  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],19 *Source: Fitzpatrick & Wall, 2005
Roy’s Model Applied to Administration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],20
[object Object]
Evaluation of Model ,[object Object],[object Object],[object Object],[object Object]
Evaluation of Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation of Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation of Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],  Adaptation Coping    Control Regulator  Cognator  Stabilizer  Innovator     Cognitive  Emotional Output processes  Central processes   Input
Evaluation of Model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Use of the Model for FNPs in primary care setting ,[object Object],[object Object],[object Object],[object Object]
Clinical Use of the Model for FNPs in primary care setting ,[object Object],[object Object],[object Object],[object Object]
Clinical Use of the Model for FNPs in primary care setting ,[object Object],[object Object],[object Object],[object Object]
Clinical Use of the Model with a Geriatric Population ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Use of the Model for Cardiac Health ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],33 20
References Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Carol,caroline,and preethi

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  • 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
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Editor's Notes

  1. 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
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. A Science and practice that expands adaptive abilities and enhances person and environmental tranformation.
  9. 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
  10. A Science and practice that expands adaptive abilities and enhances person and environmental tranformation.
  11. A focal stimulus is "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" (Roy, 1984, p. 43). Contextual stimuli are "all other stimuli present that contribute to the behavior caused or precipitated by the focal stimuli" (Roy, 1984, p. 43). Residual stimuli are "factors that may be affecting behavior but whose effects are not validated" (Roy, 1984, p. 43).
  12. 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.