Roy Adaptation Model Research Articles

Experiences of Disease Adaptation in Patients With Heart Failure: A Qualitative Study.

This study aimed to explore the experiences of adaptation in heart failure (HF) patients according to the Roy adaptation model. A qualitative study was conducted between December 2020 and March 2021 in China. A total of 21 patients with HF were recruited at of two general hospitals. Semi structured face-to-face interviews were conducted with each participant. NVivo 11 was used to encode the transcription and thematic analysis was preformed to analyze the transcripts. Eleven minor themes emerged from the data, namely unbalanced nutrition, inappropriate activities, unrestricted liquid intake, excessive sodium intake, worrying about the future, negative emotions, poor spiritual aspect, unable to fulfill social roles, forced to stop work, interpersonal alienation, and less communication with friends or family. Most participants with HF experienced poor disease adaptation. The themes that emerged offer a new perspective on the experiences of disease adaptation in patients with HF.

El efectivo modelo de comportamiento de adaptación postapoplejía requiere un sistema de apoyo familiar

PurposeThis study aimed to explain the effective post-stroke adaptation behavior based on the Roy's adaptation model (RAM) through the patient experiences when undergoing the adaptation process after stroke. MethodsThis study was qualitative used a phenomenological approach. The participants were patients undergoing post-stroke recovery at home with the following inclusion criteria: post-discharge from the hospital 2–3 months, and in stable medical condition. The data were collected through in-depth interviews. The data analysis was performed through content analysis. We used Lincoln and Guba's criteria to establish the trustworthiness of the study. ResultsThree thematic categories structured the meaning of the stroke survivor's experience: (1) Problems after stroke; (2) Adaptive coping strategies and (3) Effective adaptation response. ConclusionA thematic analysis integrated with Roy's adaptation model generated an effective post-stroke adaptation model. We recommend the development of a family empowerment intervention framework to improve the adaptation behavior of stroke survivors.

The Effectiveness of Application of Roy's Adaptation Model on Alexithymia and Diet Adherence in People with Hypertension Comorbid with Stress

The Effectiveness of Application of Roy's Adaptation Model on Alexithymia and Diet Adherence in People with Hypertension Comorbid with Stress

Gender Minority Persons' Perceptions of Peer-Led Support Groups: A Roy Adaptation Model Interpretation.

Literature addressing gender minority health has documented adverse behavioral health outcomes. "Gender minority" recognizes identities that include, but are not limited to, transgender and gender nonconforming. Although gender minority affirmative counseling exists, most continue to focus on pathology and diagnosis, leading people in the gender minority community to mistrust services. Sources of social support can ameliorate gender minority psychological distress by providing an environment that affirms gender identities. The purpose of this study was to identify gender minority peoples' perceptions of their experiences in a peer-led support group. The themes were then interpreted within the context of Roy's Adaptation Model.

Nursing care in adaptation to the role of informal caregivers of people with Parkinson’s disease

IntroductionParkinson’s disease (PD) is catastrophic, chronic, and neurodegenerative. In advanced stage requires a permanent informal caregiver. The adaptation of the caregiver to their role is unknown, a fundamental aspect to guarantee the quality of care. ObjectivePrepare a healthcare proposal with standardized language to promote the adaptation of informal caregivers of Parkinson’s patients to their social role. MethodsTwo-phase study: Literature review and preparation of a Care Proposal. Search in Proquest, Scielo, Scient Direct, Pubmed, and Google Scholar databases, in English, Spanish and Portuguese languages, for the last five years. Descriptors: Parkinson’s disease, Chronic disease, caregivers, adaptation, nursing process. The proposal articulates the Calixta Roy adaptation Model with the Nursing Process using NANDA-NOC-NIC taxonomy. ResultsFew publications on coping and adaptation of caregivers and on the Nursing Process to caregivers using standardized language. Committed adaptation modes: Role function and Self-concept. Relevant nursing diagnoses: Tiredness of the caregiver role, Interruption of family processes, Impairment of social interaction, Ineffective relationship, Compromised family coping, Willingness to improve self-concept, Risk of low situational self-esteem, and Body image disorder. Two NOC outcomes and three NIC interventions were linked for each diagnosis. ConclusionsThe articulation of the Calixta Roy Adaptation Model with the standardized language NANDA-NOC-NIC is an innovative contribution to the disciplinary and professional development of Neurological and Community Nursing. The proposal makes it possible to monitor the levels of adaptation of the informal caregiver and intervene in a timely manner.

Women's interdependence after hysterectomy: a qualitative study based on Roy adaptation model

BackgroundHysterectomy is a difficult process that some women encounter that can affect their interdependence, but its impact on women’s Interdependence has received less attention. Therefore, this study aimed to explain women’s Interdependence after hysterectomy.MethodsThis qualitative study was performed using a directed content analysis approach in Mashhad (Iran). Thirty women with a history of hysterectomy were included in the study by purposive sampling method. Data were collected from August 2018 to November 2019 using semi-structured interviews based on the interdependence mod of the Roy adaptation model until data saturation. Data analysis was performed using MAXQDA software and the deductive approach of Elo and Kingas (J Adv Nurs 62(1):107–115, 2008. https://doi.org/10.1111/j.1365-2648.2007.04569.x).ResultsData analysis led to the production of 537 initial codes from participants’ experiences. By merging and categorizing them, the theme of “increasing interdependence” emerged, which consists of 2 categories: “Evolution independence and interaction with important people in life” and “Reinforced support system”, that include six subcategories.ConclusionAfter hysterectomy, women not only feel a strong need for support from family members, especially their husbands, they are also seeking support from health care providers and their colleagues. Before the hysterectomy, it is recommended that family members be consulted to ensure the emotional support and care of women after the hysterectomy. It can help the adaptation to hysterectomy.

Artificial intelligence, financial anxiety and cashier-less checkouts: a Saudi Arabian perspective

PurposeThis paper aims to investigate the impact of financial anxiety and convenience on the relation between cashier-less versus traditional checkouts and purchase intentions among Saudi Arabian consumers.Design/methodology/approachIn an online experiment, 329 Saudi participants were randomly assigned to one of two checkout conditions (traditional vs. AI-enabled) in a between-subjects design and indicated their financial anxiety. Through moderation-of-process design, the authors examine and showcase that the effect of convenience leads to higher purchase intent for AI-enabled checkouts. Moreover, the authors examine financial anxiety as an underlying mechanism and show that for high-convenience consumers, this enacts higher purchase intent.FindingsThe effect of AI-enabled checkouts depends on consumers' convenience perception. High-convenience consumers prefer AI-enabled checkouts over traditional ones, whereas low-convenience consumers are indifferent. Based on the Roy adaptation model theoretical framework, this occurs because high-convenience consumers experience greater financial anxiety when using AI-enabled checkouts, which in turn leads to higher purchase intent.Originality/valueTo the authors’ knowledge, this is the first study to explore the reactions of Saudi Arabian consumers toward cashier-less stores versus traditional stores. Interestingly, their intent to purchase increases, due to the financial anxiety they experience while encountering AI-enabled transactions. Due to the limited research of retailers going cashier less, little is known about consumer reactions and how they may differ culturally.

Assessment of the Difficulties Experienced by Individuals with Intestinal Stomas: A Qualitative Study.

The aim of this study was to assess the difficulties faced by individuals with intestinal stomas. The authors used a qualitative descriptive phenomenologic design. The study population comprised individuals with intestinal stoma living in Eskişehir who were 18 years or older and did not have any mental, physical, and communication disorders. Criterion sampling and snowball sampling methods were used. Data were collected from June to September 2019 through a questionnaire of personal characteristics as well as a semistructured interview. Data on personal characteristics were analyzed in numbers and percentages, and qualitative data were analyzed using the MAXQDA 2020 program (VERBI Software, Berlin, Germany). The study data were evaluated under two headings: (1) themes created using the Roy's Adaptation Model and (2) other themes. In the themes created using the Roy's Adaptation Model, difficulties related to the physiologic adaptation mode and interdependence adaptation mode were observed, whereas among other themes, difficulties due to lack of information and economic worries were commonly reported. Most individuals experienced sleep pattern disturbances; faced issues in their relationships with family and friends due to physiologic and psychological distress; received no training for stoma care, diet, or sexual life; could not cope with issues related to the stoma; and faced financial difficulties in procuring stoma bags and care products.

Creating Effective Post-Pandemic Psychiatric Nursing Clinical Experiences Using the Roy Adaptation Model.

The COVID-19 pandemic significantly impacted students in psychiatric clinical rotations. Clinicals were frequently limited or canceled, restricting exposure of student nurses to this experience. Many modifications led to permanent changes in the psychiatric clinical setting. The purpose of this manuscript is to provide a cohesive approach to serving student nurses in the post-pandemic psychiatric clinical setting. A theoretical exploration of the literature framed by the Roy Adaptation Model (RAM) was conducted. Results are presented using the four modes of the theory: Physiological, Self-Concept, Role Function, and Interdependence. Findings include strategies to enhance student learning while supporting students' health and wellness. Educators and practitioners should provide high-quality, safe learning environments for student nurses.

Roy Adaptation Model for Patients with Hypertension: A Case Report

Background and Aim: Hypertension is a significant risk factor for cardiovascular disease and is the leading cause of death worldwide. The nursing process based on the Roy adaptation model is widely used to solve the problems caused by chronic diseases. This study aimed to adapt the model performed on patients with hypertension. Materials and Methods: The study was conducted in the autumn of 2021 in one of the hospitals of Qom University of Medical Sciences, Qom City, Iran. A patient with hypertension was examined, and a Roy model was performed on him. Nursing care was performed based on the Roy nursing process in 6 stages. Results: The study showed that the patient had maladaptive behaviors in four modes (physiological needs, adaptation of self-concept, role function, and independence and dependence). After nursing care based on the Roy adaptation model, maladaptive behaviors decreased. Conclusion: According to the present study results, nursing care based on the Roy model can affect the physical, psychological, and maladaptive behaviors of patients with hypertension. In this regard, Nurses can play a more effective role in improving the maladaptive behaviors of these patients by applying nursing care based on the adaptation model.

Theory Guided Practices: An Approach to Better Nursing Care through Roy Adaptation Model

Introduction: The nursing discipline is considered an integral part of the health care delivery system. Effective nursing practice needs the application of knowledge, skills, critical thinking, and art of care in an efficient, effective, and considerate method. This can be achieved through an amalgamation of understanding, practice, and nursing theories. The theory provides a logical way to organize for and give direction to nursing care. Theory-guided nursing practices act as a fundamental framework for the development of proactive and organized nursing care that assist to improve quality nursing care. Aim: The paper aims to elaborate on the theory-guided nursing practice by utilization of the Roy Adaptation Model in the clinical setup for delivering effective nursing care. Methodology: This paper will illustrate the case study of a breast cancer patient and the application of Sister Calista Roy’s Adaptation Model into nursing practice and the nursing process. Discussion: Theory-guided assessment, nursing care, and interventions provide the foundation for the development of suitable and meaningful nursing practices. Theories and models provide a basis for quality nursing practices and are considered a vital component of patient, family, and community care. Conclusion: The theory-guided practices are more efficient and possess better control over the outcome of nursing care through a purposeful and systematic approach.

The Effect of the Nursing Care Based on the Roy Adaptation Model on the Level of the Quality of Life and Fatigue in the Patients Undergoing Coronary Artery Bypass Graft Surgery.

This article reports the findings of a study designed to investigate the effectiveness of the Roy Adaptation Model, as it relates to improvements in nursing care outcomes for patients undergoing coronary bypass graft surgery. Results revealed that the implementation of a training program based on this model enhanced staff education and led to decreases in the level of fatigue and improved the quality of life for this group of patients.

Effect of Acculturative Stress on Multicultural Adolescents' Life Satisfaction: Sequential Multiple Mediating Effects of Bicultural Acceptance Attitude, Self-Esteem, and Social Withdrawal -Using the 2016 Multicultural Adolescents Panel Study

This study determined acculturative stress' effect on the life satisfaction of multicultural adolescents based on Roy's Adaptation Model and some earlier studies. Further, it examined the sequential multiple mediating effects of bicultural acceptance attitude, self-esteem, and social withdrawal on life satisfaction. Participants included 1,163 multicultural adolescents who participated in the sixth Multicultural Adolescents Panel Study. A hypothesis test was conducted using Hayes' Process Macro Model 81. Life satisfaction increased with a decline in acculturative stress. Each of bicultural acceptance attitude, self-esteem, and social withdrawal had a single mediating effect on the relationship between acculturative stress and life satisfaction in multicultural adolescents. The sequential multiple mediating effects of bicultural acceptance attitude and self-esteem were confirmed significant after their impact on the relationship between acculturative stress and life satisfaction was analyzed. Bicultural acceptance attitude and social withdrawal were found to have a significant sequential multiple mediating effect on the relationship, as well. This study's results demonstrate that acculturative stress reduction is critical to improving multicultural adolescents' life satisfaction. Bicultural acceptance attitude, self-esteem, and social withdrawal have a single mediating or sequential multiple mediating effect on the relationship between multicultural adolescents' acculturative stress and life satisfaction. The findings, which highlight mediating effects, indicate that by increasing bicultural acceptance attitude and self-esteem, and reducing social withdrawal, multicultural adolescents' life satisfaction can be improved.

Nursing Theories and Models as theoretical references for Brazilian theses and dissertations: a bibliometric study.

to map the use of Nursing models and theories utilized as theoretical references in graduate academic Nursing research in Brazil. bibliometrics, performed in the Theses and Dissertations database of the Coordination for the Improvement of Higher Education Personnel, in November, 2020. Data analysis was performed using simple descriptive statistics and lexical analysis, performed using the software: IRAMUTEQ. the 50 selected studies were from the field of Nursing, 15 (30%) of which were theses and 35 (70%) were dissertations. 13 Nursing theories and models were identified, used as theoretical references, highlighting Roy's Adaptation Model in 10 (20%) of the researches. Final Considerations: the study found a great diversity in the use of nursing theories and models as a theoretical framework, which allowed us to identify the areas most researched by nurses and confirmed their application in different specialties and health contexts.

DESENVOLVIMENTO DE SUBCONJUNTO TERMINOLÓGICO PARA PESSOAS COM SEQUELAS POR COVID-19

ABSTRACT Objectives to develop a terminological subset of the International Classification for Nursing Practice (ICNP) for people with covid-19 sequelae.® Method methodological study, which followed the steps: Identification of the relevant terms contained in the literature related to Covid-19 sequelae; Cross-mapping of the terms identified in the review with the terms of the classification; Construction of the statements of diagnoses, outcomes and nursing interventions and mapping of the constructed statements; Content validation of the statements by specialist nurses; and Structuring of the subset based on Roy's Adaptation Model. For data analysis, the Content Validity Index was used, and the statements with Content Validity Index were validated ≥ 0.80. Content validation was performed by 28 specialist nurses. Results 178 statements of nursing diagnoses/outcomes were constructed, with 450 nursing intervention statements. After content validation, a quantity of 127 diagnoses/outcomes and 148 nursing interventions were obtained, which comprised the terminological subset proposed in the study. Conclusion the validated statements that make up the terminological subset with greater predominance were those outlines in the physiological adaptive mode. However, the repercussions on the spiritual, social and personal dimensions are also highlighted.

Effect of Application Roy's Adaptation Model on Women's Satisfaction and Quality of Life after Mastectomy

Background: Breast cancer is the most common cancer and main cause of cancer death in women and nurses can provide holistic care through application of nursing models. Aim: To evaluate the effect of application Roy's adaptation model on women's satisfaction and quality of life after mastectomy. Design: A quasi- experimental design was utilized. Setting: The study was conducted on the Oncology department at Benha University Hospital and Health Insurance Hospital at Benha city, Egypt. Sampling: A Purposive sample included 100 women involving two groups (study and control). Tools: Three tools were utilized to collect data and included a structured interviewing questionnaire, Breast-QTM-Mastectomy Module and Roy's Adaptation Model. Results: there was a highly significant difference between study and control groups regarding total knowledge, total satisfaction and total quality of life after two weeks of program implementation and after three months of follow up (P ≤ 0.001).Also, there were high significant differences in all domains of maladaptive behaviors after the program implementation in the study group (P ≤ 0.001), while it was not significantly different in the control group. Conclusion: The application of Roy's adaptation model was effective on improving post mastectomy women's knowledge, satisfaction and quality of life also, promoted women's adaptation to the disease and treatment regimen. Recommendation: An educational program should be provided to all nurses on the oncology departments to promote their knowledge to educate women about disease and management.

The effects of nursing of Roy adaptation model on the elderly hypertensive: a randomised control study.

Hypertension is a chronic disease affecting middle-aged and elderly patients worldwide. Self-management behavior plays a critical role in maintaining blood pressure. Roy adaptation model (RAM), which was proposed by Roy in 1970, has been used to guide hypertension nursing to improve self-management behavior of elderly patients. In the study, to explore the effect of nursing based on the RAM on the self-management behavior of elderly hypertensive patients. A total of 120 elderly hypertensive patients admitted from June 2020 to March 2021 were selected and randomly divided into a control group and observation group based on odd and even numbers of the admission order, with 60 cases in each group. The control group received routine nursing measures while the observation group was given nursing based on the RAM. The self-management behavior, medication compliance, quality of life, and blood pressure control effect were compared between the two groups. The scores of the self-efficacy and self-management behaviors of the observation group and the total score of the scale were higher than those of the control group (P<0.05); the observation group patients' medication compliance score was 6.57±1.47, which was higher than that of the control group (4.90±2.16) (P<0.01); physiological function, physical pain, energy, social function, emotional function, mental health scores, and total scores of the SF-36 scale in the observation group were all higher than those of the control group (P<0.05), while comparison of the general health status dimension scores showed no statistically significant difference; the systolic blood pressure and diastolic blood pressure of the observation group were respectively lower than those of the control group (P<0.05); The blood pressure control compliance rate of the observation group was 85.4%, which was higher than that of the control group 64.6% (P<0.05). Nursing intervention based on Roy's adaptation model can better enhance the self-efficacy and self-management ability of elderly hypertensive patients, have a positive effect on promoting healthy behavior changes and improving the quality of life, improve medication compliance, and achieve better blood pressure control effects. Chinese Clinical Trial Registry ChiCTR2100052466.

Cuidados enfermeros en adaptación al rol de cuidadores informales de personas con enfermedad de Parkinson

IntroductionParkinson's disease (PD) is catastrophic, chronic, and neurodegenerative. In advanced stage requires a permanent informal caregiver. The adaptation of the caregiver to their role is unknown, a fundamental aspect to guarantee the quality of care. ObjectivePrepare a healthcare proposal with standardized language to promote the adaptation of informal caregivers of Parkinson's patients to their social role. MethodsTwo-phase study: literature review and preparation of a care proposal. Search in ProQuest, Scielo, Scient Direct, Pubmed, and Google Scholar databases, in English, Spanish and Portuguese languages, for the last five years. Descriptors: Parkinson's disease, chronic disease, caregivers, adaptation, nursing process. The proposal articulates the Callista Roy adaptation model with the nursing process using NANDA-NOC-NIC taxonomy. ResultsFew publications on coping and adaptation of caregivers and on the Nursing Process to caregivers using standardized language. Committed adaptation modes: role function and Self-concept. Relevant nursing diagnoses: tiredness of the caregiver role, interruption of family processes, impairment of social interaction, ineffective relationship, compromised family coping, willingness to improve self-concept, risk of low situational self-esteem, and body image disorder. Two NOC outcomes and three NIC interventions were linked for each diagnosis. ConclusionsThe articulation of the Callista Roy adaptation model with the standardized language NANDA-NOC-NIC is an innovative contribution to the disciplinary and professional development of neurological and community nursing. The proposal makes it possible to monitor the levels of adaptation of the informal caregiver and intervene in a timely manner.

EFFECT OF COUNSELLING ON FREQUENCY AND SEVERITY OF NAUSEA AND VOMITING IN PREGNANCY (NVP)

ABSTRACTBackground: Nausea and vomiting are commonly during early pregnancy. Nausea and vomiting significantly decrease in quality of life. Objective:This study aimed to explain the effect of counseling on the frequency and level of nausea and vomiting in pregnant women. Method: This was a quasi-experimental study with a non randomized control group pretest posttest design. The control group was 37 people and the experimental group were 37 people. The control group only received a standard ANC, the experimental group received nausea and vomiting counseling in pregnancy. The independent variables was counselling based on Roy Adaptation Model, the dependent variable was frequency and level severity of nausea and vomiting. The research instrument used was a questionnaire and counseling. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann Whitney). Results: The experimental group experienced decreased in frequency and level of nausea, while control group did not change. Statistical Mann Whitney test results obtained p value of nausea frequency of 0.018, and p value of frequency of vomit 0.000 and p value of levels of nausea and vomiting 0.034 which showed that there were differences in the experimental group compared to the control group. Conclusion: There is an effect of counseling Roy Adaptation Model to the frequency and level of nausea vomiting in pregnancy

Alcohol Disorders in Military Veterans: An Evaluation with the Roy Adaptation Model.

The purpose of this paper was to evaluate a role for the Roy adaptation model (RAM) for the nursing care of military veterans with alcohol use disorder. Parse's criteria were used to critique the RAM. The RAM's humanistic philosophy emphasizes the ability to develop new coping skills and adapt to complex environments. The framework can define physical, emotional, and social responses to stressors faced by veterans. The RAM could guide new research and practice initiatives that optimize the health of military veterans.