Callista Roy's Adaptation Model Research Articles

A comparative analysis of dorothy orem's self-care deficit theory and sister callista roy's adaptation model

This paper provides a comparative analysis of Dorothy Orem's Self-Care Deficit Theory and Sister Callista Roy's Adaptation Model in the context of nursing practice. Orem's theory underscores the importance of self-care and the nursing role in addressing self-care deficits, focusing on concepts like self-care agency and deficit. Conversely, Roy's model views individuals as adaptive systems, highlighting the role of nursing in facilitating adaptive responses to environmental stimuli. Through a detailed examination of their theoretical perspectives, assumptions, and key concepts, this analysis elucidates the similarities and differences between the two theories. While Orem's theory concentrates on self-care deficits and the nurse's supportive role, Roy's model takes a broader view, emphasizing adaptation and holistic well- being. Understanding these theories' distinct perspectives can empower nurses to tailor interventions effectively, promoting better patient outcomes across diverse healthcare settings.

Role playing and interdependence among husbands of Iranian women after a mastectomy.

Breast cancer is the most prevalent cancer among women. To investigate the impact of breast cancer on the husbands of Iranian women. A content analysis based on a Callista-Roy adaptation model was conducted on 23 patients with breast cancer and their husbands and therapists. After asking questions about coping with cancer through telephone interviews, the following subcategories were obtained: role play and interdependence. Data analysis was completed via the Elo and Kyngas approach. Data analysis led to the production of 51 initial codes from participants' experiences. The category role-playing included three further sub-categories: primary role, secondary role and tertiary role. Independence/dependence problems included seven sub-categories: personal beliefs, love and heartfelt attachment, organised support, non-organised support, support failure, economic problems and dependence problems/independence. Husbands of women who have had a mastectomy have to take on new roles in their life in order to care for their wife. Also, despite the financial, spiritual, psychological, and medical support that they receive, husbands still felt that the support was insufficient.

Adaptive modes of adult men during COVID-19: qualitative analysis under Roy's model.

This study aims to understand how adult men adapt to the COVID-19 pandemic. Qualitative study involving 45 adult men residing in Brazil in 2020. Data were obtained from a Web Survey and treated using Reflective Thematic Analysis and interpreted in the light of Callista Roy's Adaptation Model. The COVID-19 pandemic mobilized in men the ways of adaptation that are configured in: mobilization of the physiological-physical and regulatory dimension: adjustments in the sleep pattern, dietary pattern, and maintenance of physical activity; group self-concept identity: managing emotions; role function: self-knowledge and self-care; interdependence: adjustments in the marital relationship, family ties and paternity, investment in training and studies and control of excessive consumption of content on cell phones. The perception of the own vulnerability favored the entry of men into ways of adaptation in search of balance during the pandemic, motivating them to move through practices of taking care of themselves and taking care of others. Markers of psycho-emotional distress alert to adherence to new modes of care capable of promoting healthy transitions in the face of disruptions and uncertainties generated by the pandemic. This evidence can support the establishment of goals for nursing care aimed at men.

La perception maternelle de la qualité de vie d’enfants nés extrêmement prématurés durant la petite enfance : une étude descriptive corrélationnelle

Introduction: Research on quality of life exclusively in the context of extreme prematurity and preschool is almost non-existent.
 
 Objective: The purpose of this descriptive correlational study was to describe the quality of life of children born extremely premature, during infancy, according to maternal perception. The specific objectives were to describe the different dimensions of the quality of life of children born extremely premature and to explore the relationships between certain sociodemographic and clinical variables and quality of life. The study was based on Callista Roy's adaptation model (1976).
 
 Method: Forty-two parents of children born extremely premature and aged 2 to 5 years responded to the PedsQL 4.0 during telephone interviews.
 
 Results: Overall, the results show that the children have a good quality of life, as perceived by the mothers. Physical functioning was the most optimal dimension of quality of life, while emotional functioning was the least optimal. Furthermore, children from nuclear families have a better global quality of life than children from other family types.
 
 Discussion and conclusion: Extreme prematurity requires careful monitoring by nurses to ensure healthy development of toddlers and therefore good quality of life. Future research is needed to further document the quality of life of children born extremely premature at preschool age.

Proceso de atención de enfermería a un preescolar con neumonía basado en el modelo de adaptación de callista roy: una experiencia de cuidado desde la academia

El Proceso de Atención de Enfermería constituye una herramienta metodológica necesaria y útil en la práctica del cuidado y hace parte fundamental en el quehacer operativo incluyendo el proceso formativo del estudiante en práctica pre profesional. No obstante, a través de la historia, la Enfermería como disciplina ha llevado a cabo un proceso de trabajo alineado al modelo biomédico de atención, lo que impide proporcionar un cuidado holístico al paciente, incluyendo a su familia. Objetivo: Aplicar el Proceso de Atención de Enfermería a un preescolar con neumonía, basado en el Modelo de Adaptación de Callista Roy. Material y método: Experiencia de cuidado de enfermería, en la que se aplicó el modelo de la adaptación de Roy a un niño con neumonía complicada para la etapa de valoración (modos de adaptación y proceso de afrontamiento). Una vez identificados los estímulos, se planeó el cuidado utilizando las herramientas de lenguaje estandarizado: NANDA, NOC y NIC, evaluando los resultados a través de indicadores de enfermería. Resultados: Las intervenciones de enfermería aplicadas, facilitaron el proceso de afrontamiento del niño y su familia a su condición de salud-enfermedad, pues se identificaron los modos de adaptación comprometidos más allá de la parte fisiológica y del propio paciente, tomando en cuenta al cuidador como parte indispensable en el proceso de recuperación del niño, quien se recuperó de su condición, logrando además satisfacción de la madre hacia el cuidado de enfermería. Conclusiones: El modelo de adaptación de Callista Roy, proporciona y facilita la aplicación de un cuidado enfermero diferenciador, en el que se trasciende de lo físico y de lo individual hacia todas las esferas del ser humano. Se considera que esta experiencia puede contribuir al fortalecimiento y mejoramiento del cuidado que provee el personal de enfermería en los servicios de pediatría.

Effect of Family Focused Intervention on Perceived Stress, Quality of Life and Relapse Rate of Clients with Alcohol Dependence Syndrome

A study was conducted to assess the effect of family focused intervention on perceived stress, quality of life and relapse rate of clients with alcohol dependence syndrome admitted in selected De-addiction centre at Kozhikode. The objectives were (1) determine the effect of family focused intervention on perceived stress and quality of life of clients with alcohol dependence syndrome, (2) identify the effect of family focused intervention on relapse rate of clients with alcohol dependence syndrome. The theoretical framework used was Sister Callista Roy's Adaptation Model. True experimental approach with pre-test post-test control group design was adopted for 20 sample, 10 each for control and experimental groups were selected using simple random sampling. Tools used in the study were structured questionnaire for the personal data, Perceived Stress Scale, WHOQOL BREF Scale and The AWARE Questionnaire. Results showed that family focused intervention is effective in improving quality of life and reducing stress of clients with alcohol dependence syndrome. The relapse rates were low for majority of the clients with alcohol dependence syndrome after family focused intervention.

Modelo de adaptación de Callista Roy

Introducción: Elmodelodeadaptaciónde Callista Roy, fuedesarrolladoporunaenfermera en el año 1964, en el que describe al ser humano como un ser con las capacidades y recursos para lograr una adaptación a la situación que se esté enfrentando en su proceso salud enfermedad. Objetivo: ldentificar los instrumentos creados con el enfoque del modelo de adaptación de Callista Roy en escenarios cardiovasculares, reportados por la literatura en el periodo del año 2000 a 2015. Metodología: Se realizó una búsqueda sistematizada de la literatura en las bases de datos Pubmed, Bireme, Scielo y revistas de enfermería especializadas. Se utilizaron descriptores de Bireme y palabras Mesh como: Enfermería, Cuidado, Enfermedades Cardiovasculares, Adaptación, Cuidado de Enfermería; Nursing, Care, Cardiovascular Diseases, Adaptation, Nursing care. Dentro de los criterios de inclusión se tuvo en cuenta: artículos publicados entre el año 2000 a 2015 de texto completo en el idioma español e inglés, que reportaran la utilización de instrumentos con el modelo de adaptación de Callista Roy en escenarios cardiovasculares en las bases de datos o revistas especializadas. Resultados: Inicialmente se localizaron 50 artículos de los cuales 11 reportaron la creación de instrumentos con el modelo de Callista Roy y 4 específicamente utilizados en instituciones de servicios cardiovasculares. Conclusiones La literatura reporta que si se han utilizado instrumentos de valoración con el modelo de Callista Roy en escenarios cardiovasculares. Dentro de los ins unos reportan mejores propiedades psicométricas que otros.

Assess the Level of Coping, Family Support and Quality of Life of Women who had Undergone Hysterectomy in selected Hospitals, at Madurai

This study is indented to assess the level of coping, family support and quality of life by using the standardized Likert's scale on coping, family support and WHO scale on quality of life to assess the women health based on all dimensions. The study was based on the Sister Callista Roy's Adaptation Model (1996). A quantitative approach was used and survey approach was selected for this study. Research design for the study, that is non- experimental descriptive design. Pretesting of the tools was done to test the simplicity of the tools. It was found to be simple and applicable. Pilot study was carried out to find out the feasibility. Findings of the study: Majority of women who had undergone hysterectomy (98%) had moderate level of coping. 66 percentage of the women who had undergone hysterectomy had high level of family support, 34% had moderate level of family support. There was a significant association between QOL and demographic variables such as age, education, occupation, family monthly income and residence of women who had undergone hysterectomy. There was a significant association between QOL and selected variables such as number of children, sex of living children, indication for surgery and surgery approach of women who had undergone hysterectomy.

A Study to Assess the Bio-psychosocial Problems of Infertility women attending selected Infertility Clinics at Mangalore

Parenthood is one of the major transitions in adult life for both men and women. The stress of non-fulfillment of a wish for a child has been associated with emotional related problems such as anger, depression, anxiety, marital problems, sexual dysfunction, and social isolation. Couples experience stigma, sense of loss, and diminished self-esteem in the setting of their infertility 1. Among infertile couples, in general, women show higher levels of distress than their male partners. Both men and women experience a sense of loss of identity and have pronounced feelings of incompleteness and incompetence 2. The aim of this study was to assess the biopsychosocial problems of infertile women attending selected infertility clinics at Mangalore”. The descriptive survey approach was adopted to determine the bio psychosocial problems of infertile women. The conceptual framework was based on Callista Roy's adaptation model (1976). A sample of 100 infertile women were selected by the purposive sampling technique. The data was collected by using demographic Proforma, checklist on biological problems and rating scales on psychosocial problems questionnaire. The collected data was analyzed to achieve the objectives of the study and to test the research hypotheses using descriptive and inferential statistics. The analysis of study reveals that Maximum (81%) of infertile women had moderate biological problem and Majority 89% of the infertile women had moderate psychosocial problems.

Aplikacija adaptacijskega modela Calliste Roy pri pacientu z rakom in s kronično bolečino

Uvod: Prilagajanje je ključni dejavnik za uspešno soočenje posameznika s spremembami v svojem notranjem in zunanjem okolju. Z aktivnostmi zdravstvene nege medicinske sestre pomagajo zagotoviti potrebne vire za uspešnejši proces prilagajanja. Avtorji v prispevku razpravljajo, ali bi teoretični model prilagoditve Calliste Roy ustrezal pri obravnavi in zdravstveni negi v enoti za zdravljenje bolečine.Metode: Uporabljena je triangulacija metod pregleda literature in kvalitativne metode z raziskovalno tehniko kritičnega dogodka. Pregled literature je bil narejen v vzajemni bibliografsko-kataložni bazi COBIB.SI in Cumulative Index to Nursing and Allied Health Literature (CINAHL). Pridobljenih je bilo 165 zadetkov in uporabljenih 34 znanstvenih člankov ter 7 monografij. Kriteriji izbora so bili primarni viri Calliste Roy, dostopnost, relevantnost, kritična ponazoritev teoretičnega modela. Tehnika kritičnega dogodka v treh fazah opiše incident, ga analizira ter poda možne izide. Rezultati: Adaptacijski model Calliste Roy je aplikativen, uporaben in v sedanji situaciji se dobro dopolnjuje s štirinajstimi temeljnimi življenjskimi aktivnostmi po Virginie Henderson. Model daje možnost ocene tako fizičnega kot psihosocialnega stanja. Najpomembnejše prepoznane intervencije medicinske sestre, ki pripomorejo k prilagoditvenemu procesu pacienta, so psihosocialna podpora, učenje in svetovanje. Diskusija in zaključek: Prednost obravnave pacienta z rakom in bolečino po izbranem modelu zdravstvene nege je v možnosti ocene stanja po vseh štirih ravneh prilagajanja in v prikazu načrta zdravstvene nege. Pokazalo se je kot pozitivno, da medicinska sestra lahko s psihosocialno podporo in informiranjem vpliva na kakovost življenja pacienta. Pacient in družina se soočata s kronično boleznijo, načinom življenja in pomenom poznavanja ter nadzorovanja bolečine.

Physiologic mode of Sister Callista Roy adaptation model: reflexive analysis according to Meleis

Although of the science proclaimed evolution and, consequently, of the nursing, still today we realize certain difficulty by nurses in work with theories, so much in the assistance scope, how much in the of the teaching or research. With sights to improvement of this difficulty, we highlight the application importance of theoretical landmarks for a better knowledge construction in nursing, in intention of deepening the rendered assistance. We aimed to analyze the consistency and clearness of the physiologic mode presented in the adaptation theory of Sister Callista Roy in the master dissertation. For the critical analysis of the theory, we opt by the theory analysis model of Meleis (1997). We opt for working with the theory criticism, considering the clearness and consistency criteria. The adaptation model utilization, It propose for Sister Callista Roy, presented validity and aplicability in the study at issue, once it enabled the determination of important aspects for the nursing assistance the women with angina pectoris, considering them like a biopsychosocial, adaptive and holistic being. The theories analysis model of Meleis, it contributed of significant form for the proposed goal, enabling a vision enlarged of the theory of Sister Callista Roy, elucidating her importance of the same for the nursing development, in the teaching, research and assistance scopes.

Physiologic mode of Sister Callista Roy adaptation model: reflexive analysis according to Meleis

Although of the science proclaimed evolution and, consequently, of the nursing, still today we realize certain difficulty by nurses in work with theories, so much in the assistance scope, how much in the of the teaching or research. With sights to improvement of this difficulty, we highlight the application importance of theoretical landmarks for a better knowledge construction in nursing, in intention of deepening the rendered assistance. We aimed to analyze the consistency and clearness of the physiologic mode presented in the adaptation theory of Sister Callista Roy in the master dissertation. For the critical analysis of the theory, we opt by the theory analysis model of Meleis (1997). We opt for working with the theory criticism, considering the clearness and consistency criteria. The adaptation model utilization, It propose for Sister Callista Roy, presented validity and aplicability in the study at issue, once it enabled the determination of important aspects for the nursing assistance the women with angina pectoris, considering them like a biopsychosocial, adaptive and holistic being. The theories analysis model of Meleis, it contributed of significant form for the proposed goal, enabling a vision enlarged of the theory of Sister Callista Roy, elucidating her importance of the same for the nursing development, in the teaching, research and assistance scopes.

Physiologic mode of Sister Callista Roy adaptation model: reflexive analysis according to Meleis

Physiologic mode of Sister Callista Roy adaptation model: reflexive analysis according to Meleis

Adaptation: a concept analysis.

The concept of adaptation is historically evident in nursing practice. Florence Nightingale showed how the environment required adaptation to meet the needs of the patient. Following her lead, several nurse theorists developed models with examples of the concept of adaptation: the nurse either adapts to the patient's needs, works to help the patient adapt to the environment, or adapts the environment to the needs of the patient. Sr. Callista Roy's Adaptation Model of Nursing is one such nursing model. Although this model has been applied in many clinical and administrative areas, the use of the concept in a school setting with special-need's student requires additional definition and clarification. The goal of this concept analysis paper is to clarify and explore the definition of adaptation in the school setting with application to an Individualized Healthcare Plan (IHP).

A Philosophy of Care for a Neonatal Intensive Care Unit

Crisis reactions, a stressful environment, infant care practices, and nurse behavior may cause difficulties in entering the natural parental role for parents of infants who are admitted to a neonatal intensive care unit (NICU). In connection with discussions in the Uppsala NICU on what constitutes good care, a philosophy of care, based on Callista Roy's adaptation model, was formulated for the purpose of providing developmentally supportive, family‐centered care, and for defining good care and the professional nurse role. The philosophy describes the infant's needs and environment. Caring activities focus on support of the infant's and his parent's roles and self‐concept in their progress towards independence from professional assistance. The philosophy is an essential component in the introductory program which integrates newly recruited personnel from different disciplines into the unit. It is presented as a suggestion of how a model‐based philosophy of care can be formulated by operationalization of the theoretical concepts of a nursing model.