Roy model of nursing.tnURSING tHEORYpptx

Roy model of nursing.tnURSING tHEORYpptx

1. Sister Callista Roy Adaptation Model

2. NAIMAT ALINAWAZ RASHMA KHAN MUHAMMAD SHEENA MANZOOR GROUP MEMBERS

3. Introduction Define history of model Concepts of Roy's model Roy's modes of adaptation. Define nursing process in Relation of RAM Define Evaluate what can we gather. OBJECTIVES

4. Born October 14 th , 1939 in Los Angeles, California Joined as a Sister of St. Joseph of Cardonelet – member for 50 years Education: BSN – Mt. Saint Mary’s College in LA, 1963 MSN – University of California LA, 1966 Master’s in Sociology – University of California LA, 1973 Doctor in Sociology – University of California in LA, 1977 Postdoctoral Studies in Neuroscience Nursing – University of California at San Francisco Currently serves as a faculty member and nurse-theorist at Boston College. Honored as a Living Legend by the American Academy of Nursing and the Massachusetts Association of Registered Nurses SISTER CALLISTA ROY

5. In 1970 while developing curriculum for nursing students Sister Callista Roy presented a conceptual framework of her model. In 1976 the first edition of, “ Introduction to Nursing : An Adaptation Model ” appeared and was followed by a second edition in 1984. She once again updated her writing in 1999 (Chitty & Black, 2011, p. 313). History of Model

6. 1. The person is viewed as a holistic system. 2. The internal and external stimuli of the environment affects a persons behavior. 3. Health and wellness are affected by a persons ability to adapt. 4. The nurse manipulates the environment to assist the person/patient to adapt. ( Weiland , 2010, p. 282) Concepts of Roy’s Adaptation Model

7. Humans are: Physiological- requiring maintenance of basic human needs. Self-conceptual-requiring maintenance of the mind. Self-functional- adapting to changes, personal roles and maintaining self perception. Interdependent- relationship with others, finding a balance of independence and interdependence. (Nursing Theory, 2011) Roy’s Modes of Adaptation

8. Environment Concept Refers to all internal and external conditions, circumstances and influences affecting the person and his or her development and behavior. According to this model, when one is subjected to stress their coping mechanisms are ineffective in processing the adaption of environmental stimuli. Stimuli can be focal (immediately confronts the adaptive system), contextual (where the environmental factor has caused a certain situation), or residual (environmental factors cannot be defined)( Mastal , 1980). Information and Concepts

9. Nursing Involves the promotion of adaptation concepts during health and illness from ineffective or inadequate response to increase health and wellness. F ocuses on the person and medicine focuses on biological systems and the patient’s disease. Uses four modes: physiological, self-concept, role function and inter-dependence. ( St . Rosemary Education Institution, 2012) Info and Concept Cont .

10. Person and Relating persons A system that adapts to its environment. Three modes in the adaptation: Self-concept-- need for psychic integrity and perception of worth. Role function-- need for social integrity and interaction with others. Physiological mode-- relates to the way individuals play their functions in accordance with their positions. ( Mastal & Hammond, 1980) Info and Concepts cont .

11. 1 st level assessment gather data about certain behavior of the person or group. 2 nd level assessment identifies internal and external stimuli that influences behavior. 1 st & 2 nd level assessments create a nursing diagnosis. Data is interpreted and classified into an adaptation level of integrated, compensatory, or compromised. The nurse collaborates with the person or group to set goals or behavioral outcomes. Interventions are based on the best way to assist the person in reaching the goal. Evaluation judges the effectiveness of intervention. Although steps are sequential, this is an ongoing process and steps can occur simultaneously. Nursing Process in Relation to RAM

12. Roy’s adaptation model was built for nursing and has use in nursing practice, education, and research (“Application of Roy’s Adaptation Model (RAM),” 2012). The model encompasses the four global concepts of human being, environment, health and nursing. The model can be used in a variety of settings with the patient and their environment as the focus for care. This model has been used in hospitals in all settings to test the likelihood of improved patient outcomes. The results gathered from patients and subjects were achieved desired patient outcomes with providing a structure and focus from the nursing model (Weiss, Hastings, & Holy, et al., 1994). Evaluation/ What can we gather?

13. St. Rosemary Education Institution. (2012). “The Roy Adaptation Model, Environment/Society, Nursing.” Retrieved on Friday October 2012 from http://schoolworkhelper.net/the-roy-adaptation-model-health-environmentsociety-nursing/ Weiland , S. A. (2010). Integrating spirituality in critical care: An APN perspective using Roy’s adaptation model. Critical Care Nursing, 33 (30), p282-291. References