THE ROY ADAPTATION MODEL OF NURSING

ANALYSIS OF THE ROY ADAPTATION MODEL OF NURSING

Delineation and Analysis of The Theory

Roy's Adaptation Model (see: Roy & Andrews, 1999) for nursing is based on the notion that a human being can successfully adapt to environmental requirements. There are five major concepts of nursing explicated in her model: the person, the goal of nursing, nursing activities, health, and the environment. These concepts are interrelated to the concept of adaptation. The person is viewed as having four different modes of adaptation: physiologic, self-concept, role function, and interdependence modes. Roy's model is concerned with the internal and external environmental stimuli affecting the development and behavior of the person. The level of adaptation of the person is assessed and ways to remove the stimuli, to enhance, or to maintain adaptation are explored by the person and the nurse.

The model contains the following scientific assumptions:

1. Systems of matter and energy progress to higher levels of complex self-organization,

2. Consciousness and meaning are constitutive of person and environment integration,

3. Awareness of self and environment is rooted in thinking and feeling,

4. Humans by their decisions are accountable for the integration of creative processes,

5. Thinking and feeling mediate human action,

6. System relationships include acceptance, protection, and fostering of interdependence,

7. Persons and the earth have common patterns an

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nderstandings nurses need as the discipline grows and develops. Indeed, in some of her latest work (see: Roy & Andrews, 1999), she has extrapolated the model into the 21st century, attempting to provide a framework for nursing in this new millennium. Further, she has steadily worked to integrate new scientific knowledge into the model. The result of all of this work has been to increasingly add depth to the model's philosophical, scientific, and spiritual components; and this has added to its strength as a framework for nursing practice. Scope, Focus and Content of the Model Roy's Adaptation Model (1970, 1971, 1976, 1999) is very wide in scope. As can be seen by reference to the summary of the model provided in this report, it contains several scientific and philosophical assumptions as well as a number of postulates about human beings, human relational processes, and human relationships. Further, the model addresses the human being at both the individual and group levels in terms of his/her physiologic responses, self-concept, role functions, and interdependence. In addition, the model covers environmental components, discusses adaptation in relation to health, and defines nursing as both a science, a practice and a process co

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