Nursing Conceptual model



Nursing Conceptual model

Introduction

The Adaption Model of Nursing, was created by Sister Callisra Roya in 1976, and comprises of the four domain concepts of, Nursing, the individual, the environment, and health, involving a nursing process of six steps. According to Roy (1991), the person can represent a person, or a group of persons. The model views the individual as a biopsychosocial entity who is constantly interacting with a dynamic environment, and uses coping abilities to deal with stressors as an open and adaptive system (Roy, 1980).

The perception of the environment is any condition, influence or circumstance that is around the person and affects their progress and conduct. The description Roy gives of stressors is more of stimuli, using the term residual stimuli for those stressors that influence a person in a vague way. According to Roy`s writings, illness and health are on a continuum with various states and possibilities. Becoming and staying an integrated and whole person is the process of health. Her goal is the adaption of the four modes, which would contribute to the individual health, quality of life, and their dying with dignity.

The assessment of individual behavior, assessment of the provoker, diagnosis, goal setting, evaluation and intervention are the six step process of nursing that Roy uses. The four modes observe a person's behavior in the first step and compare it to the norms to be marked as ineffective or adaptive. Evaluation of the factors that influence behavior happens in the second step, classifying stimuli as focal, contextual or residual. The evaluation of the ineffective behavior and the recognition of the possible issues and causes consist in the nursing diagnosis statement, while goal setting is the focus in the fourth step. The aim has to be set with the partnership with the person and should be realistic and attainable. The fifth stage is the doing phase, it is here where the manipulation of the stimuli occurs. Evaluation takes place in the final stage, and the change in behavior determines the degree of change. The interventions would be revised, and unproductive behavior reassessed (Ormem, D.E. 1980).

Analysis of the theory

The theory seems very practical and innovative as it places emphasis on the patient's adaption while incorporating a number of factors. Although a different perspective, on nursing, it brings in fresh ideas and outlook that may bring a decent amount of change in the patient's traditional care and cure. ...