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Sister Calista Roy and the Roy Adaptation Model

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Stephanie Krasinski

on 19 September 2013

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Transcript of Sister Calista Roy and the Roy Adaptation Model

Sister Callista Roy
and the Roy Adaptation Model

“The Roy Adaption Model presents the person as a holistic adaptation system in constant interaction with the internal and external environment” (Masters, 2012, p. 128).
Adaptations refers to “the process and outcome whereby thinking and feelings persons as individuals or in groups, use conscious awareness and choice to created human and environmental integration” (Roy, 1999, p. 54).
Major Concepts of Nursing According to Roy
Adapting Using the Regulator vs. Cognator Stimulus Feedback System
Unconscious Coping
Affecting fluid and electrolyte, acid base & endocrine are affected by stimuli from internal & external environment which act as inputs through the senses to the nervous system.
Conscious Coping via 4 cognitive emotional channels:
Perceptual & Information Processing - activities of selective attention, coding and memory
Learning - imitation, reinforcement and insight
Judgement - problem solving, decision making
Emotion - use defenses to seek relief from anxiety and make affective appraisal and attachments.
"Adaptation leads to optimal health and well being to quality of life and to death with dignity" (Masters, 2012, p. 129).
Adaptive Modes
In order to adapt one must fulfill and balance:
1. Physiologic/Physical
02, Nutrition, H20
2. Self Concept-Group Identity
Awareness of image, environment, culture
3. Role Function
Social Interaction within group
4. Interdependence Mode
balance between love, respect & value
The Environment
According to Roy, environment refers to " conditions, circumstances and influences surrounding and affecting the development and behavior of persons or groups"
(Basavanthappa, 2003, p. 28).

In order to adapt there is an energy demand which may affect the person positively or negatively.
The main goal of nursing is "to promote adaptation for individuals and groups in the four adaptive modes, thus contributing to health, quality of life, and dying with dignity by assessing behavior and factors that influence adaptive abilities and to enhance environmental factors"
(Roy, 2009, p. 12).
Roy & the Nursing Process
“The nursing process is a systematic, patient-centered, goal-oriented method of caring that provides a framework for nursing practice” (Taylor p. 186). The process is made of the following 5 steps: Assessing, Diagnosing, Outcome Identification & Planning, Implementing and Evaluating. It is used as a patient centered, fluid model intended to be revised as patients’ circumstances evolve.

Roy uses this process as a means of identifying a patients needs and to help them to adapt to their particular situation.
"A state and process of being and becoming an integrated whole that reflects person and environment mutuality" (Roy, 2009, p. 12).
"Health care profession that focuses on human life processes and patterns of people with a commitment to promote health and full life potential individuals, families, groups and the global society"
(Roy, 2009, p. 3).
The Person
Beings that participate in constant interactions while being holistic and adaptive.
Sister Callista Roy, Ph.D., RN, FAAN
• Is an American nursing theorist best known for authoring the Adaptation Model of Nursing (RAM).
• She received her:
o B.A. from Mount Saint Mary’s College
o M.S.; M.A.; Ph. From University of California, Los Angeles
• She is currently a professor at the Connell School of Nursing at Boston College with research interest in adaptation including “cognitive recovery of patients with mild head injury; conceptualizing and measuring coping, philosophical basis of adaptation nursing and distinction between veritivity and relativity, emerging nursing knowledge and practice outcomes” (Connell School of Nursing).
• She has published over 130 scholarly articles and 12 books
Felicia Brunetti
Rachel Girouard
Stephanie Krasinski
Basavanthappa, B.T. (2003). Concepts of Nursing. Fundamentals of Nursing (pp. 27-28). New York, NY: Jaypee Brothers Publishers.

Callista Roy M.S. ’66, M.A. ’75, Ph.D. ’77. (n.d.). In University of California Las Angeles website. Retrieved from http://alumni.ucla.edu/share/ucla-awards/bio/callista-roy.aspx

Connell School of Nursing. (2013, March 20). Sr. Callista Roy. From Boston College website. http://www.bc.edu/schools/son/faculty/featured/theorist.html

Connell School of Nursing. (2013, March 20). The Roy Adaptation Model. From Boston College website. http://www.bc.edu/content/bc/schools/son/faculty/featured/theorist/Roy_Adaptation_Model.html

Masters, K., DNS, RN. (2012). Roy Adaptation Model: Sister Callista Roy. Nursing Theories: A Framework for Professional Practice (pp. 127-142). Sudbury, MA: Jones & Bartlett.

Roy, Sr. C. (2009). The roy adaptation model (3rd ed.). Upper Saddle River, NJ: Pearson.
Roy Publication Highlights

Roy, S. C. (2013). Generating Middle Range Theory: From Evidence to Practice. New York, NY: Springer.

Roy, S. C., Barone, S. H. (2013). Pedagogic Materials for Generating Middle Range Theories: Evidence for Practice. In S.C Roy (Ed), Generating Middle Range Theory: From Evidence to Practice. New York, NY: Springer.

Roy, S. C. (2011). Research Based on the Roy Adaptation Model: Last 25 Years. Nursing Science Quarterly, 24(4), 312-320.

Roy, S. C. (2011). Extending the Roy Adaptation Model to Meet Changing Global Needs. Nursing Science Quarterly, 24(4), 345-351.

Senesac, P. M., Roy, S. C. (2010). "Sister Callista Roy's Adaptation Model," In M. Parker and M. Smith (Ed.), Nursing Theories and Nursing Practice (ed., pp. 40 page manuscript). Philadelphia, PA: F.A. Davis.

2010 - “Sixty Who have Made a Difference”, UCLA School of Nursing, 6th Anniversary

2010 - Inductee, Sigma Theta Tau International Nurse Researcher Hall of Fame

2007 - American Academy of Nursing Living Legend Award

Connell School of Nursing, 2013.
(Roy, 1999)
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