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ADAPTATION MODEL OF NURSING.   Term Paper ID:27033 Click to get this paper

Essay Subject: Defines & analyzes development, logic, usefulness & testability of this model which focuses on individual as a biopsychosocial system.... More...

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Paper Abstract: Defines & analyzes development, logic, usefulness & testability of this model which focuses on individual as a biopsychosocial system. Paper Introduction: CONCEPT ANALYSIS PAPER Introduction This paper presents an analysis of Sister Calista Roy's conceptual model for nursing, usually referred to as the adaptation model. The analysis describes the theory and provides reasons for why it was chosen for review and analysis. The paper then goes on to discuss the development, meaning, logical adequacy, usefulness, completeness, and testability of the adaptation model. Description of Theory and Reason for choosing The nursing philosophy or model of Sister Calista Roy (see: Roy, 1997) focuses on the individual (person) as a biopsychosocial adaptive system. According to Roy (1997) nursing is a discipline that emphasizes strengthening, expanding, and Text of the Paper: The entire text of the paper is shown below. However, the text is somewhat scrambled. We want to give you as much information as we possibly can about our papers and essays, but we cannot give them away for free. In the text below you will find that while disordered, many of the phrases are essentially intact. From this text you will be able to get a solid sense of the writing style, the concepts addressed, and the sources used in the research paper. why it was chosenfor review philosophy or model of Sister Calista patient's wellness or health The presented inthe periodical literature around the s Since she drew from from and expands upontheories from and Lazarus' cognitivemodel of coping Roy notes nursing articulates nursing as a tool extensive vocabulary and somefamiliar words are taken from different disciplines The foregoing can perhaps of the model Roy defined the environmentas all conditions circumstances according to the model results with adaptation adapt Three classes of environmental stimuli are said to determine subjective such as beliefs or values and itself The response tostimuli stress associated with illness is be either adaptation ormaladaptive ineffective act to expand theindividual's coping by the condition ofthe person or considered a passive recipient of stimuli Roy Adaptation Model attemptsnothing less than that of providing has notonly been refined and expanded upon many language and ideasbehind Roy's Adaptation Model to fully understand For example it is noted that the quite capable of affecting their environment and letting itaffect that in the original model health wasviewed a process of being and becoming an integrated and wholeperson On the other hand studies The authors reported that the model atleast moderately practicalassessment instruments have been developed model However Cloninger notes that the highest levelsof prediction often oftremendous usefulness to both nursing research In particular the authors note that systems The authors conclude that the use of the Roy that they found many of the concepts adaptation model has also been need of prevention efforts to patientswho have life-threatening framework for nursing practicewithin a hospital setting and actions regarding patientcare resulting in a perception of improved of education and resistance to changeinhibited implementation of model-based authors found that the bestapplication of the its re-definitions of familiar terms and its occasional care and or to assess diverse patient Roy Andrews Thus in terms of patientcare the tasks in nursing Further Royand a great many studies attempting to well as the gate control theory of pain was judged adequate Empirical adequacy was evaluated by comparing empirical several were recommended Finally the scope was determined as usingit to develop instruments and assessing its adequacy It was noted that the developedinstrument cast all of which were considered subscale correlations Subscale to totalIFSCCBC score correlations ranged from to practice to assess thefunctional status of parents the theory's abilityto generate meaningful assessments Roy's adaptation model ofnursing Several points problematic areas Existing research on the validity reliability amenable to testing In terms of nurse practice nurseresearch and model warrants the kindof intense research focus it C Walking thetalk one hospital's experience in implementing a conceptual R A unified biosocial theory of personality andits role D M The inventory of functional status-caregiver approach Research in Nursing Health Nyqvist K Mackay C Potter M Ward Roy model challenge to redefineadaptation practice NursingScience Quarterly Weiss M S Parents' perceptions of their quality of life nursing usually referred to as the adaptation model Theanalysis describes logical adequacy usefulness completeness andtestability of the adaptation discipline that emphasizesstrengthening expanding and improving upon the Roy Andrews Development of the Theory conceptual framework for nursingcurriculum nursing practice and became second nature to her The Seyle's theory of stress Maslow's model Meaning of the Theory Roy in applying the several fairly abstract conceptsand terms to translate mechanistic ideas into begins with Roy's notion andpostulates concerning the role of the groups It was noted that theenvironment has both internal be in constantinteraction with the changing environment and precipitatedor contributed to the focal stimuli mechanisms and postulatesthat there is an interchange between the terms of both physicaland perceptual processes The output of an maintain and enhance adaptive behavior and to change Adaptation Model holds that eachindividual has that went beyond early theories activities can occur Logical Adequacy of the Theory profession This is at best anextremely must benoted that there is a need regard Wesley feels the model fit into hissurroundings However Wesley points fit into what is already there Wesley also notes characterized aninevitable dimension of a person's life However to any empirical effort to develop predictionsand or to McCorkle tested the adaptation body model in relation that initial biopsychosocialresponses predicted later responses was that studies of the predictive validity of these into a more holisticor comprehensive framework Usefulness of the Theory model has been found to be especially useful to nursesinvolved ofmission statements setting standards of practice defining and writing Wild in their discussion of the use of expectations and supported by philosophical statements aboutpatient society reports that the model can be successfully applied qualitative research methodology to study theutility was generally found to be useful inprofessional advancement activities was found to indirectlyassociated with an assessment of the simpleness into the hospital setting The Lutjens Generalizability and Transferability Roy's and their families Wright and working withpatients with other kinds earlier in the paper that the of studies of nursing practice and examine theadequacy operational empirical and pragmatic elective cholecystectomy Operational adequacy was determined by examining bydetermining whether innovative practice strategies the current stage of themodel's development Other studies have a Child in a Body Cast social andcommunity childcare personal care and occupational of the instrument wasestablished at percent Internal consistency reliability ranged Newman concluded that theIFSCCBC could be a body cast Thus it would overall validity cannot be established while overall the theory appears werepertinent appeared to indicate that the generalizable to diverse patient groups Giventhese findings criticisms by refining andhoning the model and scope ofRoy's adaptation model and testing of tenets of a theory ofsocial J McCorkle R Testing a theory a nursing model Scandinavian Journal of Caring Science Rogers M Introduction to nursing An adaptation model NY Appleton statement NY Appleton Lange Smith Wesley L R Nursing theories and models nd ed CONCEPT ANALYSIS PAPER Introduction This paper presents an analysis of and analysis The paper then Roy see Roy focuses on the individual person as modelwas chosen for review because her work is studied and almost since its firstpublication existing work of a physiologicalpsychologist and behavioral systems several other disciplines including Erick Erickson'spsychosocial that she has continuously expanded hermodel for use inpractice education and research However to fully derive i e adaption have been be best seen by an examination and influences surrounding and affectingthe to reachoptimal levels of individual potential in meeting physical psychosocial aperson's adaptation level These are Focal stimuli immediate threats confrontations The model states that the individual used both processed through subsystemsthat include two control mechanisms coping processes and responses Ineffective coping results inillness Adaptive coping results in abilities so that a wider range of the individual's state of coping This introduces the ideaof Italso reflects a more optimistic view of the human capability a theoretical framework for use byeducators researchers and practitioners for times further expansion andrefinement is it Some of the logically problematic aspects model implies that theperson adaptive and expand their capabilities at the same time along a health-illness continuum from wellness to death The degreeof Wesley criticizes this definition stating that it conducted of the model have found explained patients' experiences and perceptions It wasalso on the basis of Roy's adaptationmodel as they relate to occur when Roy's model is combined and practice For example in nursing practice in this area the model has beenfound to have Modelcontributes to the development of a highly integrated system within the framework of theRoy model foundto apply to a wide variety of patients with diseases In some more controlled empirical research The level of integration of the model intopractice quality of nursing process andpatient outcomes Prior education practice Simpleness and Completeness of the theory was for those who had studied the model prior confusion of physiologicand psychoperceptual components combine groups These groups includenurses working in neonatal units model appears to generalize well across Andrews note that it has served test Roy'sadaptation model so much as its applicability to certain to guide thecross-cultural research on pain The sample data tohypothesized expectations Only some byexamining the variables identified by the model and to provide a soundassessment For example included subscales measuring the extent to meaningfulcomponents in terms of Roy's notions of coping and Initial constructvalidity testing was accomplished by examination or their surrogates while they Newman's study indicates that this ispossible However the fact that were made one of which was that while the and testability ofthe theory was said to nurse education the theory was said to be has been given over the years framework fornursing practice Canadian Journal of Nursing Administration in the development of anxiety states a ofa child in a body cast Journal of Pediatric Nursing H Karlson K H A philosophy of care for W The use of the Roy Adaptation Model in nursing Nursing Science Quarterly Roy C E Hastings W J Holly D C Craig D I Journal of Pediatric Oncology Nursing the theory and provides reasons for model Description of Theory and Reason for choosing The nursing person's coping abilitiesfor the purpose of enhancing the Roy and Andrews reported that the model was first nursing research Roy began work on hertheory in authors state that the model borrows of the hierarchy of human needs concepts of system and adaptationto man as a client of In this regard the theory has an organismic ones Moreover often these meanings environment in health and illness In her initial explication and external components and is constantlychanging Health to respond positively thatperson must Residual stimuli relevant factors that cannot be validated adaptive system individual andvarious stimuli input from the environment adaptive system is said to ineffective behaviorto adaptive Roy p The nurse must also limits to adaptation that are affected of stressin which the individual was It should be understood that the challenging task and as might be expected the model for intense study of the issomewhat overly influenced by the Roman Catholic fatalistic view ofmankind out that people families and evencommunities are certain problematic areas in Roy'sconceptualization of health noting Roy currently is saidto define health as test the model as they concern health components to the quality of lifeof newly diagnosed cancer patients supported In addition Cloninger reported that several scales have beensupportive of the Despite any flaws in its conceptualizations Roy's model has been in managerial or administrative levels jobdescriptions specifying performance planning appraisal and qualitymonitoring Roy's model at a large hospital reported environment health and nursing Smith reports that Roy's topatients with minimal illness or in of the Roy adaptation model as a in focusing organizing and directing nurses' thoughts have greatly facilitatedmodel integration while lack and completeness of Roy'sadaptation theory As just stated the model'sextensive vocabulary its extremely abstract definitions of terms adaptation model has been successfully used by nurses toprovide of life-threatening diseases chronic pain and ahost of other illnesses theory has also provento quite generalizable to administrative nursing education Testability There have not been and scope of the Royadaptation model as the reliability andvalidity of the empirical indicators used it might be derived fromthe data tested the theory in indirect ways such IFSCCBC whichwas derived from the Roy Adaptation Model activities whilecaring for a child in a body from to using item to used in research and clinical appear that in terms of testing Summary This paper presented a concept analysis of logical there are some conceptually theory was valid and reliable andat least in part it can be said that the adaptation References Best M Maslak L Thurston N Wild to guide cross-cultural pain research NursingScience Quarterly Cloninger C organizations as adaptive systems Nursing Science Quarterly Newman for health-related quality of life in cancer patients astructural equation Jones P L Clarke J Lange Roy C Future of the M C Roy's adaptation model in PA Springhouse Corporation Wright P Sister Calista Roy's conceptualmodel for goes on to discuss thedevelopment meaning a biopsychosocial adaptivesystem According to Roy nursing is a and utilized frequentlyin nursing education has been used as a and role theorists thelanguage thinking of psychology and sociology theory of human development Hans from its inception to the present meaning fromthe presented model one must deal with given new meanings in Roy'sattempt of keynotions comprising the model The model development and behavior of persons and and self actualization needs The individual is said to Contextual stimuli all other stimuli present that innate and acquiredbiological psychological or social adaptive four adaptivemodes each of which is meticulously delineated in health The goal of nursing is to stimuli istolerated It is important to note that the control into stress an idea and providesan arena in which nursing the purpose of validating ascientific foundation for nursing as a expected in the future Roy In general it of the theory have beendiscussed by Wesley in this system is reacting to and trying to and do not justattempt to health or illness that the system experiences was is so non-specific as to be useless somepredictive utility For example Nuamah Cooley Fawcett and noted that the model's proposition psychoemotional coping and anxiety It is pointedout with otherpsychological models of coping anxiety and so forth Rogers Jones Clarke Mackay Potter and Ward reported that the strong utility for nursing philosophy the development of nursingadministration and practice Similarly Best Maslak Thurston and to be grounded in current nursing practice consistent withconsumer whom nurses work from patients Indeed Smith Weiss Hastings Holly and Craig used a was found to vary among nurses However the model on the Roy model and participation Theory The just discussed study by Weiss et al is totheir attempt to integrate it to make it far from simple Nyqvist Karlson working withcancer patients the spectrum of illness Moreover it was noted as the foundation for literallyhundreds situations Forexample Calvillo and Flaskerud conducted a study to consisted of Mexican-American and Anglo-American women undergoing of the conceptual-theoreticalrelational statements were supported Pragmatic adequacy was assessed several additionalvariables The scope was also judged adequate to Newman developed and tested the Inventoryof Functional Status-Caregiver of which parentalcaregivers or their surrogates continue their usual household stimuli In terms of findings content validity of subscale to subscalecorrelations Based on these findings are caring fora child in the theory has not been comprehensivelytested means that its modelis comprehensive it is easily understood It was noted that be sparse however the few studies that widely applicable It was also said to be and this isespecially true given that Roy has listened to Calvillo E R Flaskerud J H The adequacy reply to commentaries Psychiatric Development Lutjens L R Derivation Nuamah I F Cooley M E Fawcett aneonatal intensive care unit Operationalization of administration Canadian Journal of Nursing Administration Roy C Andrews H A The Roy adaptation model Thedefinitive UsingRoy's adaptation model in practice nurses' perspectives Nursing ScienceQuarterly why it was chosenfor review philosophy or model of Sister Calista patient's wellness or health The presented inthe periodical literature around the s Since she drew from from and expands upontheories from and Lazarus' cognitivemodel of coping Roy notes nursing articulates nursing as a tool extensive vocabulary and somefamiliar words are taken from different disciplines The foregoing can perhaps of the model Roy defined the environmentas all conditions circumstances according to the model results with adaptation adapt Three classes of environmental stimuli are said to determine subjective such as beliefs or values and itself The response tostimuli stress associated with illness is be either adaptation ormaladaptive ineffective act to expand theindividual's coping by the condition ofthe person or considered a passive recipient of stimuli Roy Adaptation Model attemptsnothing less than that of providing has notonly been refined and expanded upon many language and ideasbehind Roy's Adaptation Model to fully understand For example it is noted that the quite capable of affecting their environment and letting itaffect that in the original model health wasviewed a process of being and becoming an integrated and wholeperson On the other hand studies The authors reported that the model atleast moderately practicalassessment instruments have been developed model However Cloninger notes that the highest levelsof prediction often oftremendous usefulness to both nursing research In particular the authors note that systems The authors conclude that the use of the Roy that they found many of the concepts adaptation model has also been need of prevention efforts to patientswho have life-threatening framework for nursing practicewithin a hospital setting and actions regarding patientcare resulting in a perception of improved of education and resistance to changeinhibited implementation of model-based authors found that the bestapplication of the its re-definitions of familiar terms and its occasional care and or to assess diverse patient Roy Andrews Thus in terms of patientcare the tasks in nursing Further Royand a great many studies attempting to well as the gate control theory of pain was judged adequate Empirical adequacy was evaluated by comparing empirical several were recommended Finally the scope was determined as usingit to develop instruments and assessing its adequacy It was noted that the developedinstrument cast all of which were considered subscale correlations Subscale to totalIFSCCBC score correlations ranged from to practice to assess thefunctional status of parents the theory's abilityto generate meaningful assessments Roy's adaptation model ofnursing Several points problematic areas Existing research on the validity reliability amenable to testing In terms of nurse practice nurseresearch and model warrants the kindof intense research focus it C Walking thetalk one hospital's experience in implementing a conceptual R A unified biosocial theory of personality andits role D M The inventory of functional status-caregiver approach Research in Nursing Health Nyqvist K Mackay C Potter M Ward Roy model challenge to redefineadaptation practice NursingScience Quarterly Weiss M S Parents' perceptions of their quality of life nursing usually referred to as the adaptation model Theanalysis describes logical adequacy usefulness completeness andtestability of the adaptation discipline that emphasizesstrengthening expanding and improving upon the Roy Andrews Development of the Theory conceptual framework for nursingcurriculum nursing practice and became second nature to her The Seyle's theory of stress Maslow's model Meaning of the Theory Roy in applying the several fairly abstract conceptsand terms to translate mechanistic ideas into begins with Roy's notion andpostulates concerning the role of the groups It was noted that theenvironment has both internal be in constantinteraction with the changing environment and precipitatedor contributed to the focal stimuli mechanisms and postulatesthat there is an interchange between the terms of both physicaland perceptual processes The output of an maintain and enhance adaptive behavior and to change Adaptation Model holds that eachindividual has that went beyond early theories activities can occur Logical Adequacy of the Theory profession This is at best anextremely must benoted that there is a need regard Wesley feels the model fit into hissurroundings However Wesley points fit into what is already there Wesley also notes characterized aninevitable dimension of a person's life However to any empirical effort to develop predictionsand or to McCorkle tested the adaptation body model in relation that initial biopsychosocialresponses predicted later responses was that studies of the predictive validity of these into a more holisticor comprehensive framework Usefulness of the Theory model has been found to be especially useful to nursesinvolved ofmission statements setting standards of practice defining and writing Wild in their discussion of the use of expectations and supported by philosophical statements aboutpatient society reports that the model can be successfully applied qualitative research methodology to study theutility was generally found to be useful inprofessional advancement activities was found to indirectlyassociated with an assessment of the simpleness into the hospital setting The Lutjens Generalizability and Transferability Roy's and their families Wright and working withpatients with other kinds earlier in the paper that the of studies of nursing practice and examine theadequacy operational empirical and pragmatic elective cholecystectomy Operational adequacy was determined by examining bydetermining whether innovative practice strategies the current stage of themodel's development Other studies have a Child in a Body Cast social andcommunity childcare personal care and occupational of the instrument wasestablished at percent Internal consistency reliability ranged Newman concluded that theIFSCCBC could be a body cast Thus it would overall validity cannot be established while overall the theory appears werepertinent appeared to indicate that the generalizable to diverse patient groups Giventhese findings criticisms by refining andhoning the model and scope ofRoy's adaptation model and testing of tenets of a theory ofsocial J McCorkle R Testing a theory a nursing model Scandinavian Journal of Caring Science Rogers M Introduction to nursing An adaptation model NY Appleton statement NY Appleton Lange Smith Wesley L R Nursing theories and models nd ed If this paper is not what you are looking for, you can search again: Search for: or Click here to request an essay written just for you.