GOVT.

COLLEGE
OF NURSING
JAGDALPUR
SUBJECT :- ADVANCE
NURSING
PRACTICE
SEMINOR ON :- ROY’S
THEORY

SUBMITTED TO, SUBMITTED

BY,
MRS MEGHA YADAV MS. JYOTI
VERMA
M. SC. DEMONSTRATOR M. SC. (N) 1ST
YEAR
MEDICAL SURGICAL NURSING CHILD HEALTH
NURSING

INDEX
S. NO. CONTENT PAGE
NO.
1. INTRODICTION

2. GOAL OF NURSING

3. ROYS THEORY DEFINES

4. ASSUMPTIONS OF ROYS ADAPTATION MODEL

5. ROY EMPLOYS A SIX – STEPS NURSING

PROCESS WHICH INCLUDES

6. COPING PROCESS

7. USES OF ADAPTATION MODEL

8. ROYS THEORY AS APPLIED TO

9. STRENGTHS

10. WEAKNESS

11. CONCLUSION
 12. BIBLIOGRAPHY

“ROY’S ADAPTATION MODEL IN NURSING

PRACTICE “
INTRODUCTION :-
 Born at los Angeles on October 14, 1939 as the 2nd child of MR. & MRS. FABIEN
ROY.
 At age 14 she began working at a large general hospital, first as a panty girl, then as a
maid, & finally as a nurses aid.
 She entered the sisters of saint Joseph of carondelet.
 Sr. Callista roy, a prominent nurse theorist, writer, lectures, researcher & teacher.
 A master’s degree program in pediatric nursing at the university of California, los
Angeles in 1966.
 She also earned a masters & PhD in sociology in 1973 & 1977, respectively.
 Sr. calista had the significant opportunity of working with Dorothy Johnson.
 She joined the faculty of mount st. marys college in 1966, teaching both pediatric &
maturnity nursing.
 She organized courage content according to a view of person & family as adoptive
system.
 She introduced her ideas about ADAPTATION NURSING , as the basis for an
integrated nursing curriculum.
  Goal of nursing to direct nursing education, practice & research.
 Model as a basis of curriculum impetus for growth - - mount st. mary’s college.
 1970 – the model was implemented in mount st. mary;s school.
 1971 – she was made chair of the nursing department at the college.
 The Roys adaptation model has been in use for 30 years in nursing, education &
research.

INPUT CONTROL PROCESS EFFECTORS OUTPUT

Coping mechanisms Physiological functions

regulator cognator self concept role
Stimuli functions Adaptive &
adaptation inderdependence ineffective
level responses

FEEDBACK

Sister callista Roy (1984), introduction to nursing : An Adaptation model (2nd edition).

Johnson’s work with focusing knowledge for the discipline of nursing convinced sr. callista
of the importance of describing the nature of nursing as a service to society & promoted her
to begain developing her model with the goal of nursing begin to promote adaptation.

GOAL OF NURSING :-
Goal of nursing is the promotion of adaptive responses in relation to the four
adaptive mode.

Adaptive responses are those that positively affect health. The condition of the person or the
individuals. State of coping is that persons adaptive level.

The persons adaptive level will determine whether a positive response to internal or
external stimuli will be eliciated . The persons adaptation level is determined by focal,
contextual or residual stimuli.

Focal stimuli – Immediately confronting

Contextual stimuli – Influence the situation

Residual stimuli – Make up characteristics of person

ADAPTATION :- The process & out come where by thinking & feeling persons , as
individuals or in groups, use. Conscious awareness & choice to create human &
environmental integration.

ROYS THEORY DEFINES :-

“Adaptation as the process by which an individuals or groups makes conscious choice to
cope with his or her situations. “adaptive responses increase people’s ability to cope, & to
achieve goals including survival, growth, mastery of their lives & “personal & environmental
transformation “. Successful adaptation integrates a bad situations into an individuals life or
at least helps compensate for the problem.

Cr. Callista roy developed the adaptation models of nursing in 1976.

ASSUMPTIONS OF ROYS ADAPTATION MODEL :-

SCIENTIFIC :-
 System of matter & energy process to higher levels of complex self organization.
 Consciousness & meaning are constitutive of person & environment integration.
 A awareness of self & environment is rooted in thinking & feeling.
 Humans by their decisions are accountable for the integration of creative process.
 Thinking of feeling mediate human action.
 System relationships include acceptance, protection, & fostering of interdependence.
 Persons & the earth have common patterns & integral relationships.
 Persons & environment transformations are created in human consciousness.
 Integration of human & environment meanings results in adaptation.

PHILOSOPHICAL :-
 Persons have mutual relationships with the worlds & god.
 Human meaning is rooted in an omega point convergence of the universe.
 God is intimately revealed in the diversity of creation & is the common destiny of
creation.
 Persons use human creative abilities of awareness, enlightenment, & faith.
 Persons are accountable for the processes of deriving, sustaining & transforming the
vuiverse.

PERSONS & RELATING PERSONS :-

 An adaptive system with coping process.
 A unity for some purpose
 Functions as a unity for some purpose.
 Includes people as individuals or in groups (families, organizations, communities,
nations & society as a whole).
 An adaptive system with cognator & regulator subsystems acting to maintain
adaptation in the four adaption modes : physiologic – physical, self concept- group
identity, role function, & interdependence.

HEALTH & ADAPTATION :-

 Health :- A state & process of being & becoming integrated & whole that reflects
person & environmental mutuality.
  Adaptation :- The process & outcome whereby thinking & feeling persons, as
individuals & in groups, use conscious awareness & choice to create human &
environmental integration.
 Adaptation responses :- Response that promotes integrity in terms of the goals of the
human system, that is survival, growth reproduction, mastery, & personal &
environmental transformation.
 Ineffective response :- Responses that do not contribute to integrity in terms of the
goals of the human system.
 Adaptation levels responsent the condition of the life process described on three
different levels :- Integrated, compensatory, & compromised.

NURSING :-
 Nursing is the science & practice that expends adaptive abilities & enhance person &
environment transformation.
 Nursing goals are to promote adaptation for individuals & groups in the four adaptive
models, thus contributing to health, quality of life, & dying with dignity.
 This is done by assessing behavior & factors that influence adaptive abilities & by
interveving to expend those abilities & to enhance environmental interactions.

ROY EMPLOYS A SIX – STEPS NURSING PROCESS WHICH

INCLUDES :-
 Assessment of behavior ,
 Assessment of stimuli,
 Nursing diagnosis,
 Goal setting,
 Intervention,
 Evaluation.

NURSING PROCESS :- According to roy nursing process is a problem – solving

approach for gathering data, identifying the capacities & need of the human adaptive system,
selecting & implementing approaches for nursing care & evaluation the outcome of care
provided.

1. Assessment of behavior :- The first step of the nursing process which involves
gathering data about the behavior of the person as an adaptive system in each of the
adaptive modes.
2. Assessment of stimuli :- The second step of nursing process which involves the
identification of internal & external stimuli that are influencing the persons adaptive
behaviors. Stimuli are classified as : focal, contextual, residual.
3. Nursing diagnosis :- It involves the formulation of statements that interpret data
about the adaptation status of the person, including the behavior & most relevant
stimuli.
4. Goal setting :- this step involves the establishment of clear statements of the
behavioral outcomes for nursing care.
 5. Interventions :- This step involves the determinations of how best to assist the person
in attaining the established goals.
6. Evaluation :- Evaluation involves judging the effectiveness of the nursing
intervention in comparison with the goal established.

Self – concept

Physiological

Stimulus Mechanism Action

Interdependence Role function

Human being

* ROYS ADAPTATION MODEL

COPING PROCESS :-
A – Physiological
B – Self concept
C – Role function
D – Interdependence
A. A - Physiological – physical mode :-
 Behavior pertaining to the physical aspect of the human system.
 Physical & chemical processes.
 Nurse must be knowledgeable about normal process.
 5 needs (oxygenation, nutrition, elimination, activity, rest & protection).
B. B - Self concept – group identity mode :- The composite of benefits & feelings held
about onset at a give time. Focus on the psychological & spiritual aspects of the
human system. Need to know who one is, so that one can exist with a state of unity,
meaning, & purposefulness of two modes ( physical self, & personal self).
C. C – Role function mode :- set of expectations about how a person occupying one
position behaves towards a occupying another position. Basic need social integrity,
the need to know who one is in relation to others.
D. D – interdependence mode :- Behavior pertaining to interdependent relationships of
individuals & groups. Focus on the close relationships of people & their purpose.
Each relationship exists for some reason. Basic need feeling of security in
relationships.
 Adaptive response – promote the integrity of the human system.
 Ineffective response – Neither promote not contribute to the integrity of the
human system.
  Coping process – Innate or acquired ways innate or of interacting with the
changing of environment .

USES OF ADAPTATION MODEL :-

 Scientific knowledge for practice.
 Clinical assessment & intervention.
 Research variable.
 Guide nursing practice.
 Organize nursing education.
 Curricular framework for various nursing colleges.

ROYS THEORY AS APPLIED TO :-

1. NURSING PRACTICE :- Nursing practice is directed towards promoting adaptation
in each of the four response made, there by contributing to the persons health, quality
of life & dying with dignity.

Roy’s practice methodology encompasses six steps :-

 Assessment of behavior
 Assessment of stimuli
 Nursing diagnosis
 Goal setting
 Nursing intervention
 Evaluation
2. NURSING EDUCATION :- The model is an appropriate curriculum guide for
diploma, associate degree, B.Sc.(N) & M.Sc.(N) education programs.
The professors had to meet four challenger during this change :
 Adapting the course to be congruent with the roy model.
 Developing teaching tools suitable for student learning.
 Sequencing of content for student learning.
 Obtaining competent role models.
3. RESEARCH :- If research is to affect practitioner’s behavior, it must be directed at
testing & retesting conceptual models for nursing practice.
Roy has stated that theory development & the testing of developed theories
are nursing’s highest priorities.
The model must be able to regenerate testable hypothesis for it to be
researchable.

STRENGTHS :-
 RAM offers a variety of strength for all areas of nursing.
 Focus on & inclusion of the whole person or group.
 The 4 modes provide an opportunity for consideration of multiple aspects of the
human adaptive system & support gaining an understanding of whole system.
WEAKNESS :-
 Weakness has been iductified in relation to research & practice.
 One is the need for consistent definition of the concept & terms within the RAM as
well as for more research based on such consistent definitions.

CONCLUSION :- Born at los Angeles on October 14, 1939 as the 2nd child of MR. &
MRS. FABIEN ROY. At age 14 she began working at a large general hospital, first as a
panty girl, then as a maid, & finally as a nurses aid. She entered the sisters of saint Joseph of
carondelet. Sr. Callista roy, a prominent nurse theorist, writer, lectures, researcher & teacher.
A master’s degree program in pediatric nursing at the university of California, los Angeles in
1966. She also earned a masters & PhD in sociology in 1973 & 1977, respectively. Sr. calista
had the significant opportunity of working with Dorothy Johnson. She joined the faculty of
mount st. marys college in 1966, teaching both pediatric & maturnity nursing. She organized
courage content according to a view of person & family as adoptive system. She introduced
her ideas about ADAPTATION NURSING , as the basis for an integrated nursing
curriculum. Goal of nursing to direct nursing education, practice & research. Model as a basis
of curriculum impetus for growth - - mount st. mary’s college. 1970 – the model was
implemented in mount st. mary;s school. 1971 – she was made chair of the nursing
department at the college.
BIBLIOGRAPHY :-
1. SHEBEER “A concise Text book of advanced nursing practice” (2012), page no. –
444 – 449.
2. SAMTA SONI “Text book of advance nursing practice” (2013), page no. – 331 –
337.
3. NAVDEEP KAUR “Textbook of advanced nursing practice” (2015), page no. – 634 –
650.
4. B.T. BASAVANTHAPPA “Nursing theories” (2007), page no. – 205 – 224.