Adaptation Nursing Model of Sister Calista Roy

Description of Theory and Reason for choosing

The nursing philosophy or model of Sister Calista Roy (see: Roy, 1997) focuses on the individual (person) as a biopsychosocial adaptive system. According to Roy (1997) nursing is a discipline that emphasizes strengthening, expanding, and improving upon the person's coping abilities for the purpose of enhancing the patient's wellness or health. The model was chosen for review because her work is studied and utilized frequently in nursing education (Roy & Andrews, 1999).

Roy and Andrews (1999) reported that the model was first presented in the periodical literature around 1970 and, almost since its first publication, has been used as a conceptual framework for nursing curriculum, nursing practice, and nursing research. Roy began work on her theory in the 1960s. Since she drew from existing work of a physiological psychologist, and behavioral, systems, and role theorists, the language/thinking of psychology and sociology became second nature to her.

The authors state that the model borr

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system experiences was characterized an inevitable dimension of a person's life. However, Roy currently is said to define health as a process of being and becoming an integrated and whole person. Wesley (1995) criticizes this definition stating that it is so non-specific as to be useless to any empirical effort to develop predictions and/or to test the model as they concern health components. On the other hand, studies conducted of the model have found some predictive utility. For example, Nuamah, Cooley, Fawcett, and McCorkle (1999) tested the adaptation body model in relation to the quality of life of newly diagnosed cancer patients. The authors reported that the model at least moderately explained patients' experiences and perceptions. It was also noted that the model's proposition that initial biopsychosocial responses predicted later responses was supported. In addition, Cloninger (1988) reported that several practical assessment instruments have been developed on the basis of Roy's adaptation model as they relate to psychoemotional coping and anxiety. It is pointed out that studies of the predictive validity of these scales have been supportive of the model. However, Cloninger notes that the highest levels of pre
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Approximate Word count = 2639
Approximate Pages = 11 (250 words per page)

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