Presented by: Sandra Elwood, RN, BSN Stacy Christensen, RN, BSN Karen Gozel, RN, BSN Vicky Grove, RN, BSN Minnesota State University Moorhead NURS 600 1

Sister Callista Roy 2

Origin of Roy’s Adaptation Model 3

Purpose of Roy’s Adaptation Model 4

Evolution of Roy’s Adaptation Model 5

Theoretical Concepts  Basic Concepts 6

Theoretical Concepts (cont.)  Coping Mechanisms –Regulator –Cognator 7

 Four Adaptive Modes o Physiological o Self-Concept o Role Function o Interdependence  Stimuli o Focal o Contextual o Residual adaptation-model-of-nursing/ Theoretical Concepts (cont.) 8

Theoretical Concepts (cont.) Four Adaptive Modes (cont.)  Physiological-Physical Mode o Oxygenation o Nutrition o Elimination o Activity and Rest o Protection 9

Theoretical Concepts (cont.) Four Adaptive Modes (cont.)  Self-Concept Mode * Physical Self* Personal Self Body sensation Self-consistency Body image Self-ideal Moral-Ethical-Spiritual Moral-Ethical-Spiritual 10

Theoretical Concepts (cont.) Four Adaptive Modes (cont.)  Role Function (McEwen & Wills, 2011, pg. 172) 11

Theoretical Concepts (cont.) Four Adaptive Modes (cont.)  Interdependence ~ RELATIONSHIPS ~ ~ RELATIONSHIPS ~ 12

Theoretical Concepts (cont.)  Types of Stimuli –Focal –Contextual –Residual 13 Contextual stimuli Focal stimuli Contextual stimuli Residual Stimuli Residual Stimuli Residual Stimuli

Application to Health “a state and a process of being and becoming integrated and a whole person. It is a reflection of adaptation, that is, the interaction of the person and the environment” “a state and a process of being and becoming integrated and a whole person. It is a reflection of adaptation, that is, the interaction of the person and the environment” (as cited in Alligood & Tomey, 2010, pg. 342) (as cited in Alligood & Tomey, 2010, pg. 342) 14

Application to Nursing 15

Application to Environment 16

Application to Person 17

Application to Nursing Practice Nursing Process Nursing Process 1. Assess Behavior 2. Assess Stimuli 3. Nursing Diagnosis 4. Goal Setting 5. Interventions 6. Evaluation 18 _id= &scale=54&isprofile=true home_Care_resources/bend-or-97702/at- home-care-group tobacco-facts.net

Application to Education 19

Application to Research 20

Critique of Theory Clarity 21

Critique of Theory Simplicity 22

Critique of Theory Generality 23

Critique of Theory Empirical Precision  Testable  Research –Qualitative studies –Quantitative studies  Education  Practice  Theory development 24 bestjobs/2010/snapshots/76.html

Critique of Theory Derivable Consequences 25

Analysis and Evaluation 26

02/18/how-to-get-the-ideas-to-write-a-blog-post / Discussion 27

Alligood, M. R. & Tomey, A. M. (2010). Nursing theorists and their works. (7th ed.). Maryland Heights, MO: Mosby Elsevier. McEwen, M. & Wills, E. M. (2011). Theoretical basis for nursing. (3rd ed.). Philadelphia, PA: Wolters Kluwer health/Lippincott Williams, and Wilkins. Nayback, A. M. (2009). PTSD in the combat veteran: Using Roy’s Adaptation Model to examine the combat veteran as a human adaptive system. Issues in Mental Health Nursing, 30(5), doi: / Roy’s Adaptation Model. (2011). Retrieved from Villareal, E. (2003). Using Roy’s Adaptation Model when caring for a group of young women contemplating quitting smoking. Public Health Nursing, 20(5), doi: /j x 28 References