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A Critical Analysis Of Using Roy’S Adaptation Model In Nursing Research
The Roy adaption theory application in public health nursing
Adaption model of nursing
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Roy’s Adaptation Model
Lekeia O. Brooks and Maranda Lindsey
Winston-Salem State University
Abstract
This paper reviews Sister Callista Roy’s Adaptation Model and how it applies to current nursing practice. The theory focuses on client’s adaptive behavior and how their environmental stimuli can determine the effect. It covers four major concepts including the person, environment, health and nursing, which are interrelated systems that work together to maintain balance. Showing how when you identify clients physiological and psychosocial needs health and holistic nursing will aid in adapting.
Roy’s Adaptation Model
Sister Callista Roy credits growth and major influence to her family and faith. Born in Los Angeles, California to a family
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She defines nursing as a profession that focuses on life processes (Punjani, 2013). Nurses in the adaptation model contribute to health, quality of life, and dying with dignity. Nurses effectively assist patients to adapt by using the nursing process, assessing the patient, the stimuli, determining, along with the patient and their support group, the goals, and the most effective way to reach those goals. The nurse takes a holistic approach to achieve successful adaptation. Some examples of how a nurse might do this include; taking care of physical pain, helping the patient resolve family conflicts, determining if the patient could benefit from a counselor, helping the patient with feelings of …show more content…
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During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
Every person’s needs must be recognized, respected, and filled if he or she must attain wholeness. The environment must attuned to that wholeness for healing to occur. Healing must be total or holistic if health must be restored or maintained. And a nurse-patient relationship is the very foundation of nursing (Conway et al 2011; Johnson, 2011). The Theory recognizes a person’s needs above all. It sets up the conducive environment to healing. It addresses and works on the restoration and maintenance of total health rather than only specific parts or aspect of the patient’s body or personality. And these are possible only through a positive healing relationship between the patient and the nurse (Conway et al, Johnson).
The contributions of this conceptual model are that it will lead to more systematic assessments of clients and an increased quality of nursing practice. It could foster nursing knowledge through organized research and it could provide a more organized curriculum. Roy's definition of person Roy defines the person as an Adaptive Open System. The Systems' Input is: a) three classes of stimuli: focal, contextual and residual, within and without the system and b) the systems' adaptation level or range of stimuli in
Nursing encompasses the compassionate, holistic, and virtuous care that nurses deliver to patients, families, and communities in order to assist with achieving optimal health and wellness or attaining comfort and acceptance. Compassionate care encompasses the empathy and drive to help others that the nursing profession pos...
The concept of person refers to the recipient of nursing care, such that no person is the object of care and no aspect of wellbeing is left out (Arnold & Boggs, 2001; Thorne, Canam, Dahinten, Hall, Henderson, & Kirkham, 1998). This not only includes disease and illness states, but also psychological, social and spiritual dimensions. Therefore, factors such as gender, lifestyle, behaviors, beliefs, values, coping skills, habits, perceptions and lived experiences are considered (Arnold & Boggs, 2011). This holistic and multi-centered approach also extends to families, communities, and populations (Schim et al., 2007). The concept of person is central to nursing theory and research, and is fundamental to the, “Code of Ethics for Registered Nurses,” as outlined by the Canadian Nurses Association (2008). In practice, ‘person’ is used to guide client teaching and nursing interventions (Kozier, Berman, Snyder, Buck, Yiu, & Stamler, 2014).
A nurse is able to achieve this great balance, with the patient and self, by being conscious of the environment that surrounds them and through self awareness. For example, in the scene of an emergency, first and foremost, a nurse must check the environment before started emergent care. Both the patient and nurse must be safe for treatment to be effective. The environment is what surrounds us; our workplace, home, communities, issues we think about, the people we interact with, and the emotions associated with these interactions. The nurse knows that all of these components play an integral role in maintaining stability in a person’s life and health. The nurse assumes care of not just a disease process but of a human being as a whole; a family, a livelihood, a spirit, a person. A nurse knows that in order for holistic care to be effective, the care taker themselves should be at a point of stability as well. A true nurse knows that in order to excel you must know your limits and understand that while your main goal is to help the patient regain their strength, identity, and independence, that goal does not have to be achieved by compromising your own self, identity, and
... practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care as it relates to being competent in nursing.
Based on this theory, it is focuses on individuals who are in poor health and under the physician’s care. She believes that major concern in nursing is resolving individual’s need for help by using an interactive discipline process that is gained through training. Orlando (1990) observed that her interpretation of nursing process is wider than the one usually advocated in undergraduate nursing curriculum. This theory give large impact on nursing education in North America and globally, although the emphasis on the process itself may have detracted from wider intent of theory to improve the interaction between client and nurses. She defines the actual role of nurses is to perceive the client as an individual. Nursing students are unaware that original intent of Orlando’s theory was to provide a theory of efficient practice and not an instrument to guide the nurse’s
The development of nursing theories has provided a perspective in which one can define the purpose of nursing, when nursing is required, and establish the parameters and goals of therapeutic nursing activities (Ahmed,2001). A nursing theory is defined "as concepts, definitions, relationships, and assumptions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific inter-relationships among concepts for the purposes of describing, explaining and predicting the phenomena of nursing” (Boxer & Jones, 2010). In addition, nursing theories provide frameworks through which nurses can examine various situations. As nurses encounter new situations, these frameworks provide a structure for organization, analysis, decision making and communication (Ahmed, 2001). The following paper will discuss the middle range nursing theory of Family Stress and Adaptation by Geri LoBiondo-Wood, and how it relates to patient care and guides nursing practice.
I still believe that this profession revolves around the nursing metaparadigm, which involves the aspects of nursing, health, the person, and the environment (Bender & Feldman, 2015), but I now see that it is also grounded in critical thinking. This critical thinking allows for nurses to gain a deeper understanding into each aspect of the metaparadigm and without this aspect or lack thereof, Arli, Bakan, Ozturk, Erisik, and Yildirim (2017) believes that the care being provided could be negatively affected. Moreover, while reflecting on what my philosophy entails, I first inquired into what I believe nursing to be. For me, nursing is a profession unlike any other and contrary to what I used to believe in first year, only those who are registered under the College of Nurses can be a part of this profession. It is important to remember that although anyone can help bandage a cut, this does not mean that they are a nurse or part of the profession. The difference between how nurses bandage a cut and everyone else is that nurses do so in a way that is more therapeutic and patient-centred. Next, while exploring my beliefs on the concept of health, I noticed that they parallel the beliefs I had during my first year. To me, health is a holistic concept that will always convey a different meaning for each person. As a result of these differences, nurses must engage in conversation with patients about their perception(s) of their current state of health and what health means to them so that care can be guided accordingly. From here, I thought about the concept of the person and how I originally believed that a patient could only be a single, holistic individual who has specific needs that must be cared for. Despite still agreeing with this, my definition of who the person is has expanded to also encompass the patient’s family and even their community if either/or are said to be within the
The metaparadigm encompasses the major philosophical orientations of a discipline, the models and theories that guide research, and the empirical indicators that operationalize theoretical concepts. The purpose or function of the metaparadigm is to summarize the intellectual and social mission of the nursing discipline and place boundaries on the subject matter of that discipline (McEwen & Wills, 2014). The four metaparadigm of the discipline of nursing are person or client, environment, health, and nursing (Parker, 2001). A person or client is the recipient of nursing care. The environment is the internal or external surroundings that affect the client. Health is the degree of wellness or well-being that the client experiences. The nursing concept refers to the attributes and actions
The field of nursing provides one the opportunity to make a difference in the lives of others. Nurses interact directly with patients at times of hardship, vulnerability, and loss. The nursing profession has been around for decades. Due to the contribution from historical leaders in nursing, the nurse’s role has progressed over time. Although the roles of nurses have evolved throughout the years, one thing has remained the same: the purpose in giving the best patient care.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
The nursing profession has develop gradually and greatly over time, moving from one concept to another dependence upon total medical direction providing basic care into an independent practice modality with its own nursing theory practice, nursing models, and distinct nursing interventions. Nursing theories have been developed by a large number of leaders in the nursing field; Ms Roy is a major contributor to the development of professional nursing practice, she is famous for the adaption theory.
“Enabling” is the nurse 's’ responsibility to help the make a transition into the unknown. For