Nursing research theories . One of the most popular and effective theory applicable in the conceptual framework of the research study. Describe with examples of conceptual framework.
This is the Roy Adaptation Model presented by Callista Roy.
This presentation includes assumptions of the theory, major concepts,meta paradigms and theory's strengths and weaknesses. It also includes the types of stimuli and coping systems of theory.
Dr. Roy also had a opportunity to be a clinical nurse scholar two year post doctoral program in neuroscience Nursing at University of California.
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 the result of her own neurological illness.
The Health Promotion Model was designed by Nola J. Pender to be a “complementary counterpart to models of health protection.” It defines health as a positive dynamic state rather than simply the absence of disease. Health promotion is directed at increasing a patient's level of well-being.
This is the Roy Adaptation Model presented by Callista Roy.
This presentation includes assumptions of the theory, major concepts,meta paradigms and theory's strengths and weaknesses. It also includes the types of stimuli and coping systems of theory.
Dr. Roy also had a opportunity to be a clinical nurse scholar two year post doctoral program in neuroscience Nursing at University of California.
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 the result of her own neurological illness.
The Health Promotion Model was designed by Nola J. Pender to be a “complementary counterpart to models of health protection.” It defines health as a positive dynamic state rather than simply the absence of disease. Health promotion is directed at increasing a patient's level of well-being.
outlines are Introduction
Basic assumptions
Major concepts
Proposition of king’s theory
Nursing paradigms
Theory of Goal Attainment and Nursing Process
References
Roy conceptualizes the human system in a holistic perspective, as holism stems from the underlying philosophic assumption of the model. Holism is the aspect of unified meaningfulness of human behaviour in which the human system is greater than the sum of individual parts.
Florence nightingale’s environment theoryShrooti Shah
The foundation of Nightingale’s theory is the environment- all the external conditions and forces that influence the life and development of an organism.
According to her, external influences and conditions can prevent, suppress, or contribute to disease or death.
Her goal was to help the patient retain his own vitality by meeting his basic needs through control of the environment.
outlines are Introduction
Basic assumptions
Major concepts
Proposition of king’s theory
Nursing paradigms
Theory of Goal Attainment and Nursing Process
References
Roy conceptualizes the human system in a holistic perspective, as holism stems from the underlying philosophic assumption of the model. Holism is the aspect of unified meaningfulness of human behaviour in which the human system is greater than the sum of individual parts.
Florence nightingale’s environment theoryShrooti Shah
The foundation of Nightingale’s theory is the environment- all the external conditions and forces that influence the life and development of an organism.
According to her, external influences and conditions can prevent, suppress, or contribute to disease or death.
Her goal was to help the patient retain his own vitality by meeting his basic needs through control of the environment.
It contain what is myasthenia gravis and anatomy and physiology of brain, definition ,incidence, classification, causes and risk factors, pathophysiology, sign symptoms, diagnosis, treatment, and managment.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
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2. OBJECTIVES
At the end of the presentation learner will be able to :
● Introduction
● Describe biographical sketch of Callista Roy.
● Explain evolution of theory.
● Explain assumptions of the theory.
● Describe Roy's adaptation Model.
● Explain metaparadigm of RAM
● Describe Types of stimuli
● Elaborate applications of RAM
● Identify strength and weakness of RAM
● Describe application of theory in practice/education and research.
● Conclusion
● Bibliography
3. INTRODUCTION
• Nursing is establishing itself as a
scientific discipline.
• The nursing models provide the
basis for selecting knowledge to
be transmitted in nursing
education.
• It is the framework for nursing
practice and the direction for
nursing research.
5. Born on 14th Oct, 1939
Bachelors of arts in Nursing
Masters of science in nursing from
University of California, LosAngeles
1966
Masters of arts (M.A.) in sociology.
Associate professor and chairperson
of the department on nursing at
mount Saint Mary’s college until
1982.
1983-1985 she was post doctoral
fellow at Robert Wood Johnson at
University of California, as a clinical
nurse scholar in neuroscience.
6. # Concept of the theory was developed when
Roy was graduate student.
# Challenged by another nurse theorist Dorothy
E.Johnson to develop a theory of nursing.
# Operationalizing in 1968
# Literature debut in 1970
# Model presentation in 1977
EVOLUTION OF THEORY
7. ● Scientific Assumptions
● Philosophical Assumptions
● Assumption from Humanism
● Assumption based on Veritivity
ASSUMPTIO
NS
8. SCIENTIFIC
ASSUMPTIO
NS
• System of matter and energy .
• Self and environmental awareness
• Human decisions
• Thinking and feeling
• System relationship
• Person and the earth relationship
• Person and environment
transformation
• Integration of human and environment
PHILOSOPHICAL
ASSUMPTIONS
• Mutual assumptions
• Human meaning
• God is intimately revealed in the
diversity of creation
• Persons use human creative
abilities
• Persons are accountable for
sustaining and transforming the
universe
10. ROY’S ADAPTATION MODEL
(RAM)
“Nursing is to help the person adapt to
change in physiological , self-concept,
role function and interdependent relations
during health and illness”.
11. METAPARADIGM OF
RAM
HEALTH :
.
HUMAN BEING :
• The person viewed as a adaptive system, their
health, and their environment
• Interchanging with the environment
• Person also refers to families, groups, communities
and the whole society.
ENVIRONMENT :
• All conditions, circumstances and influences that
surround and affect the development and behavior of
the person
• A change acts as a stimulating and causes adaptive
responses
• It is a process where he or she is striving to
achieve their maximum potential.
NURSING :
• Nursing acts to enhance the interaction of
the person with the environment to promote
adaptation.
12. TYPES OF
STIMULI
● FOCAL STIMULI:
Immediately confront the individual in a
particular situation. Focal stimuli for a family
include needs and changes within the family
members, among the environment.
● CONTEXTUAL STIMULI :
Are those other stimuli that influence the
situation.
● RESIDUAL STIMULI :
Include the individual’s beliefs or attitudes
that may influence the situation. Contextual and
residual stimuli for a family system include
nurturance, socialization and support.
Ex.-
● FOCAL STIMULI: Nicotine
addiction
● CONTEXTUAL STIMULI :
Belief that smoking is
enjoyable, relaxing, part of
routine.
● RESIDUAL STIMULI : Beliefs
about body image, and weight
gain with smoking cessation
13. Coping Mechanism
● REGULATOR :
Primarily used as a mechanism to cope with
physiological stimuli.
● COGNATOR :
Used mainly as mechanism to cope with
psychological stimuli dealing primarily in area of cognition,
judgment and emotion.
20. APPLICATION OF
RAM
TO PROMOTE BEHAVIOR :
●Served as a guide to assess each members
level of adaptation
●Identify actual or potential adaptation
problems
●Examining the stimuli that influence those
problems
●Management of stimuli to promote
adaptation.
IN EDUCATION :
• Nursing education
• Geriatrics Nurse-Practitioner
Program
• University and school of nursing
IN ADMINISTRATION :
• A nurse Philosophy
• Mission Statements
• Standards of Practice
• Job descriptions
• Planning and Appraisal
• Quality Monitoring
26. CONCLUSION
RAM identifies essential concepts relevant to the nursing
profession. The human adaptive system is constantly
interacting with internal and external stimuli which affect
individual’s health. It is the responsibilities of nurse to
manipulate specific stimuli so as to help patient achieve
optimal health. It is useful to analyze groups, individuals
and societies. It is the responsibility of nurse to facilitate
adaption of group and persons so as to enhance their
welfare and well being.
27. BIBLIOGRAPHY
1. B.T. Basvanthappa, Roy's Adaptation Model Theory,
Nursing Theories, 1st Edition. New Delhi , Jaypee
Brothers Medical Publisher (p) Ltd;2007,Pg. No. : 205 to
224.
2. M.E. Parker, Roy's adaptation Model Theory, Nursing
theory and Nursing Practice, 2nd edition, New Delhi,
Jaypee Brothers Publication(p)Lts;2007.Pg. No. 48
3. Callista-Roy, Received From : www.slideshare.com