Transcript Slide 1
Nursing Theorist
Sister Callista Roy
Presented by:
Laura Parker
Kathy Vietti
The Roy Adaptation Model
Philosophy: A
nurse works with the
patient to help them adjust, adapt,
and cope with changes in their
environment.
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
Biography
Experience
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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
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
Motivation
Holistic values
Catholic faith
Observations of environmental influences
on the human body system
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
Philosophy Diagram
Influences
Influenced by Dorothy Johnson to
develop a nursing conceptual model
Influenced by Harry Helson’s adaptation
theory
Also influenced by
◦ Rapoport
◦ Lazarus
◦ Selye
Global Concepts
Person
Main recipient of nursing care
Includes people as individuals or groups
Contains two subsystems
◦ Cognator
◦ Regulator
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
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
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
Interpretation & Inference
Coping mechanisms
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
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
Evaluation
Practice situations?
Hospice Nursing
Home Health Care
Military Setting
Global Setting
◦ Disaster situations (Earthquake, Tsunami)
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
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
References
Barone, S., Roy, C., Fredrickson C. (2008). Instruments Used in Roy
Adaptation-Based Research. Nursing Science Quarterly. 2008, 21: 353
DOI 10.1177/0894318408323491.
Connell School of Nursing. (2011). Sr. Callista Roy, Ph. D., RN.
FAAN. Retrieved from
http://www.bc.edu/schools/son/faculty/featured/theorist.html on
June 14, 2012.
Fredrickson, K. (2011). Callista Roy’s Adaptation Model. Nursing
Science Quarterly. 24:301. DOI 10.1177/0894318411419215.
Images: Retrieved from:
http://bing.com/images/search?q=images+Callista+Roy&form=IRRE
on June 21, 2012.
References
Jones & Bartlett Learning, LLC. (nd). Roy Adaptation
Model: Sister Callista Roy. Chapter 10. Retrieved from:
http://samples.jbpub.com/9781449626013/72376_CH10
_Masters.pdf
Nurses.info.(2010). Callista Roy. Retrieved from:
http://www.nurses .info/nursingtheory_person_roy_callista.htm on June 17, 2012.
Nursing Theory.(2011). Roys Adaptation Model.
Retrieved from http://nursing –theory.org/theories-andmodels/roy-adaptation-model.php on May 30, 2012.
References
Nursing Theories.(2012). Biography of
Sister Callista Roy. Retrieved from
http://nursing theories.info/biography-ofsister-callista-roy/on June 17, 2012
Roy, C. (1984). Introduction to nursing an
adaptation model. (2 ed.). Englewood
Cliffs, NJ: Prentice-Hall, Inc.