Sister Callista Roy’s Adaptation Theory

Josa um Far Eastern University Diliman
30. Jun 2014
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
Sister Callista Roy’s Adaptation Theory
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Sister Callista Roy’s Adaptation Theory

Hinweis der Redaktion

  1. Trivia: While working toward her master’s degree, Roy was challenged in a seminar with Dorothy Johnson to develop a conceptual model for nursing. Roy had worked as a pediatric staff nurse and had noticed the great resiliency of children and their ability to adapt in response to major physical and psychological changes. Roy was impressed by adaptation as an appropriate conceptual framework for nursing. The basic concepts of the model were developed while Roy was a graduate student ast UCLA from 1964 to 1966.
  2. Physical self-involves sensation and body image Personal self-made up of self-consistency, self-ideal or expectancy, and the moral, ethical self
  3. Assumptions From Systems Theory A system is a set of units so related or connected as to form a unity or whole. A system is a whole that functions as a whole by virtue of the interdependence of its parts. Systems have inputs , outputs, and control and feedback processes. Input, in the form of a standard or feedback, often is referred to as information. Living systems are more complex than mechanical systems and have standards and feedback to direct their functioning as a whole Assumptions from Helson’s Theory Human behavior represents adaptation to environmental and organismic forces. Adaptive behavior is a function of the stimulus and adaptation level, that is, the pooled effect of the focal, contextual, and residual stimuli. Adaptation is a process of responding positively to environmental changes. This positive response decreases the response necessary to cope with the stimuli and increases sensitivity to respond to other stimuli. Responses reflect the state of the organism as well as the properties of stimuli and hence are regarded as active processes. Assumptions from Humanism Persons have their own creative power. A person’s behavior is purposeful and not merely a chain of cause and effect. Person is holistic. A person’s opinions and viewpoints are of value. The interpersonal relationship is significant.
  4. Roy derived this definition from the thought that adaptation is a process of promoting physiological, psychological, and social integrity, and that integrity implies an unimpaired condition leading to completeness or unity. In her earlier work, Roy viewed health along a continuum flowing from death and extreme poor health to high-level wellness and peak wellness. As man moves along the health-illness continuum, he encounters problems to which he must adapt. However, Roy’s recent writings have focused more on health as a process.
  5. Roy’s model focuses on the concept of adaptation of man. Her concepts of nursing, person, health and environment are all interrelated to this central concept. The person continually scans the environment for stimuli so he can respond and ultimately adapt. Nursing has a unique goal to assist the person in his adaptation effort by managing the environment. The result is attainment of an optimum level of wellness by the person. As an open, living system, the person receives input or stimuli from both the environment and the self. The adaptation level is determined by the combined effect of the focal, contextual, and residual stimuli. Adaptation occurs when the person responds positively to environmental changes. This adaptive response promotes the integrity of the person, which leads to health. Ineffective responses to stimuli leads to disruption of the integrity of the person. There are 2 interrelated subsystems in Roy’s Model. The primary, functional, or control processes subsytem consists of four adaptive modes: physiological needs, self-concept, role function, and interdependence. Roy views the regulator and cognator as methods of coping. Perception of the person links the regulator with the cognator in that “input into the regulator is transformed into perceptions. Perception is a process of the cognator. The responses following perception are feedback into both the cognator and the regulator.” The four adaptive modes of the second subsystem in Roy’s model provide form or manifestations of cognator and regulator activity. Responses to stimuli are carried out through these four modes. The mode’s purpose is to achieve physiological psychological, and social integrity. Interrelated propositions of the cognator and regulator subsystems link the systems of adaptive modes. Man as a whole is made up of 6 subsystems. These subsystems-the regulator, cognator, and the four adap[tive modes-are interrelated to form a complex system for the purpose of adaptation. Relationships between the four adaptive modes occur when internal and external stimuli affect more than one mode; when disruptive behavior occurs in more than one mode; or when one mode becomes the focal, contextual, or residual stimulus for another mode.
  6. Three types of nursing theorists: those who focus on needs, those who focus on interaction, and those who focus on outcome
  7. Deductive – derived from Helson’s Theory. Helson developed the concepts of focal, contextual, and residual stimuli, which Roy defined within nursing to form a typology of factors related to adaptation levels of persons. Roy also uses other concepts and theory outside the discipline of nursing and relates these to her adaptation theory. Inductive – she developed the fur adaptive modes from research and practice experiences of herself, her colleagues, and her students Roy built on the conceptual framework of adaptation and as a result developed a step-by-step model by which nurse use the nursing process to administer nursing care to promote adaptation in situations of health and illness.
  8. Mount Saint Mary’s College - current University of Ottawa School of Nursing – 1980’s University of Miami practitioner program - 1976