1. Nursing Theorist Sister Callista Roy
Presented by:
Laura Parker
Kathy Vietti

2. The Roy Adaptation Model
Philosophy: A nurse works with the patient to help them adjust, adapt, and cope with changes in their environment.

3. Biography 1963 BSN Mount Saint Mary’s College
1966 MSN Pediatric Nursing UCLA
1977 Ph. D Sociology UCLA
Honorary doctorate from 4 other
institutions
Member of the orders of Sisters
St Joseph of Carondelet
Professor and Nurse Theorist at
the William F Connell School
of Nursing Boston College

4. Biography Experience Staff Nurse Tucson AZ
Administrative Position Lewiston Idaho
1966 Professor Pediatric and Maternity
Nursing Mount Saint Mary’s College
1971 Chair of the Nursing Department

5. Publications Introduction to Nursing: An Adaption Model
Essentials of the Roy Adaptation Model
Theory construction in nursing: An Adaptation Model
Roy Adaptation Model: The Definitive Statement

6. Motivation Holistic values Catholic faith
Observations of environmental influences on the human body system

7. Philosophical Values Strongly rooted in her faith
The human system handles changes in their environment with effective physiological adaptive responses
Nursing assists the patient in achieving the goal of integration by teaching coping skills

8. Philosophy Diagram

9. Influences
Influenced by Dorothy Johnson to develop a nursing conceptual model
Influenced by Harry Helson’s adaptation theory
Also influenced by
Rapoport
Lazarus
Selye

10. Global Concepts Person Main recipient of nursing care
Includes people as individuals or groups
Contains two subsystems
Cognator
Regulator

11. Global Concepts Environment
The adaptive system consists of the world within and around humans
Changes in the environment cause the person to develop adaptive responses

12. Global Concepts Health Viewed as a reflection of adaptation
Defines a coexistence of wellness and illness
Excludes those individuals with chronic conditions or terminal illness

13. Global Concepts Nursing
Profession that focuses on human life processes and patterns
Commitment to promote health and wellness for individuals, families, groups, and the global society

14. Interpretation & Inference
Coping mechanisms

15. Implications & Consequences
Goal setting evaluated by behavior outcomes
Changes in behavior are observed, measured, or subjectively reported
Nurse evaluates the outcomes as desirable or undesirable

16. Evaluation Not a unique philosophy Influenced by a holistic approach
Global concepts expanded with physiological and psychological coping skills
Broad view that can be applied in many settings
Abstract view can be applied to the global setting

17. Evaluation Practice situations? Hospice Nursing Home Health Care
Military Setting
Global Setting
Disaster situations (Earthquake, Tsunami)

18. Case Study
Bonnie 62 y/o female admitted w/ COPD exacerbation sp02 88% on RA SOB and DOE present
Co morbidities: Emphysema, over 40 yrs. of tobacco abuse, GERD, anorexia
Married lives in 2 story home
Has Medicare
Difficulty performing household activities due to SOB, poor appetite w/ weight loss d/t SOB w/eating
Will require O2, duonebs q 4 hours, solumedrol, mucinex
Key:
First Level Assessment
Physiological-Physical Mode
Oxygenation: will require 2L ATC for home requires education r/t pursed lip breathing
Nutrition: will require education about high calorie high protein small frequent meals
Elimination: no concerns
Activity and rest: requires education r/t allowing for rest periods between activities/ conserving energy
Protection: smoking cessation, breathing action plan (nebulizer, inhaler, oxygen)
Self Concept Mode
Physical self: anxiety d/t SOB, husband is supportive but has own health issues
Personal self: self esteem is disturbed d/t frequent hospitalizations and cost of medications
Role performance mode: was the homemaker of the family enjoyed cooking and gardening unable to perform these activities r/t SOB
Interdependence mode: good relationship w/ son and grandchildren wishes she could be more supportive with babysitting
Adaptation/Discharge Planning: home health care services consisting of nursing for education r/t nebulizer use, home 02, energy conservation strategies, high calorie diet, Xanax PRN for anxiety, and emphysema support group information given

19. Scholarly Questions
Which stimulus group does the patient’s smoking history fit into?
A. Focal stimuli
B. Contextual stimuli
C. Residual stimuli
Which mode does the patient’s frustration about the effects of her illness on her family relationships fit into?
A. Physiologic-Physical Mode
B. Self Concept-Group Identify Mode
C. Role Function Mode
D. Interdependence Mode
Residual stimuli: are environmental factors within or outside human systems
Interdependence Mode: Category of behavior focused on interactions r/t the giving and receiving of love, respect, and value.

20. References
Barone, S., Roy, C., Fredrickson C. (2008). Instruments Used in Roy Adaptation-Based Research. Nursing Science Quarterly. 2008, 21: 353 DOI /
Connell School of Nursing. (2011). Sr. Callista Roy, Ph. D., RN. FAAN. Retrieved from on June 14, 2012.
Fredrickson, K. (2011). Callista Roy’s Adaptation Model. Nursing Science Quarterly. 24:301. DOI /
Images: Retrieved from: on June 21, 2012.

21. References
Jones & Bartlett Learning, LLC. (nd). Roy Adaptation Model: Sister Callista Roy. Chapter 10. Retrieved from: _Masters.pdf
Nurses.info.(2010). Callista Roy. Retrieved from: .info/nursing- theory_person_roy_callista.htm on June 17, 2012.
Nursing Theory.(2011). Roys Adaptation Model. Retrieved from –theory.org/theories-and- models/roy-adaptation-model.php on May 30, 2012.

22. References
Nursing Theories.(2012). Biography of Sister Callista Roy. Retrieved from theories.info/biography-of- sister-callista-roy/on June 17, 2012
Roy, C. (1984). Introduction to nursing an adaptation model. (2 ed.). Englewood Cliffs, NJ: Prentice-Hall, Inc.