Roy Adaptation Model Research Articles

Nursing Approach According to Roy Adaptation Model in a Patient with Implantable Cardioverter Defibrillator (ICD)

Nursing Approach According to Roy Adaptation Model in a Patient with Implantable Cardioverter Defibrillator (ICD)

An effective in-hospital chaplaincy-led care program for nurses: Tea for the soul a qualitative investigation

Tea for the Soul (TFS) is an understudied care model, addressing bereavement and other emotional needs of nurses related to impactful patient care experiences. Nurses are at high risk for compassion fatigue, moral distress, and burnout. Facilitated by a Chaplain, the TFS program provides participants a venue to express their feelings and explore ways of adapting effectively with the death of a patient, and other traumatic workplace experiences. In this qualitative grounded theory study, hospital nurses (N = 7) who participated in TFS were interviewed. IRB approval was obtained. Questions were constructed within the context of the medical center research council and asked if TFS: (a) was personally beneficial, (b) helped nurses feel better about their work, and (c) affected job satisfaction. Four core themes emerged: (a) Nurses’ Self-Care, (b) Professional Practice, (c) Community, and (d) Improved Patient Care Outcomes. The Roy Adaptation Model, Group Identity Mode was applied to the content analysis. Overarching themes were Compassionate Service, Ministry of Presence, Reflective Practice, and Sacred Encounters. Nurses reported that TFS facilitated a spiritual respite and a sense of enhanced community and was a source of strength and coping, thus may aid in the promotion of nurse well-being and the amelioration of moral distress, compassion fatigue, and burnout.

Adapting to COVID-19 Stressors: The Role of Nursing.

The coronavirus disease 2019 (COVID-19) pandemic has influenced daily life in many ways, with significant effects on mental health and coping. Psychiatric nurses can leverage their expertise in supporting adaptive coping among individuals affected by the stressors of the pandemic. Literature related to common mental health stressors of the COVID-19 pandemic can guide nurses seeking to support clients. The current article uses the Roy Adaptation Model and a review of the literature to provide a framework for nurses to intervene and promote improved mental health across all settings. The role of nursing in promoting adaptation to COVID-19 mental health stressors is essential during and after the pandemic. [Journal of Psychosocial Nursing and Mental Health Services, 60(1), 13-16.].

Evaluating Effect of Social Support Programs Based on the Roy's Adaptation Model on Patients with Breast Cancer: A Systematic Review

Evaluating Effect of Social Support Programs Based on the Roy's Adaptation Model on Patients with Breast Cancer: A Systematic Review

Moral Injury in Veterans: Application of the Roy Adaptation Model to Improve Coping.

Moral Injury in Veterans: Application of the Roy Adaptation Model to Improve Coping.

Moral Injury in Veterans: Application of the Roy Adaptation Model to Improve Coping.

The objective of this article is to provide validation, application, and understanding of the concept of moral injury and build provider awareness to reduce veteran self-harm. Two focus groups were conducted: one to identify characteristics of moral injury and the other to refine the concepts and generate clinical approaches that address maladaptive coping strategies. The focus group sessions verified moral injury's existence, and focus group consensus centered on loss of role identity and shattering of the veteran's core integrity. The veteran's inability to self-reflect is identified as a significant contributor to the maladaptive thought process, creating internal triggers based on violations of deeply held beliefs. A Supplemental Digital Content video abstract is available at http://links.lww.com/ANS/A33.

P006. Relationship of Heart Failure Patient Caregivers Mutuality and Preparedness to Caregiving Role Strain and Burden during COVID-19

<h3>Background</h3> The hospitalization rates among Heart Failure (HF) patients has increased from 23% in 2000 to 29% in 2010 necessitating the efforts to improve care and reduce cost (CDC, 2014). This is causing an increase burden on the health care system, families, and the society. At discharge, patients are educated on self-care, which is a non-pharmacological approach towards patients managing their own disease state. Self-care is a difficult concept for most Heart Failure patients to master because it requires adapting to new life-style changes. The caring burden increases as patient's advance in the disease state. HF patients rely on informal care givers who are family and friends (Hooker, Schmiege, Trivedi, Amoyal & Beleman, 2019). The sudden transition to the Heart failure patient's caregiver role can be a social, financial, emotional, and physical strain that effects effective role adaptation. It is important to consider mutuality and preparedness when preparing care givers to their new role. Caregiver mutuality and preparedness can have mediating effects on caregiver role strain and burden over time (Schumacher, Stewart, & Archbold, 2007). <h3>Methods</h3> The purpose of this cross-sectional correlational study was to investigate the relationship between Heart failure patient's caregiver mutuality and preparedness for caregiving to role strain and burden. Two hypotheses were tested in this study: 1) There will be a negative relationship between Heart failure patient's caregiver mutuality and preparedness to caregivers role strain and burden 2) There will be a negative relationship between mutuality and preparedness to caregivers role strain and burden. The Roy Adaptation Model guided this research. The sample consisted of 195 adult Heart failure patient caregivers who participated via Amazon Mechanical Turk (M Turk) a crowd sourcing marketplace for survey participation and data collection. Predictor measures included mutuality and preparedness. Mutuality was measured by the Mutuality Scale and preparedness was measured by the Preparedness for Caregiving Scale. The outcome measure, role strain, was measured by the caregiver's perception of financial, physical, and social strain, and burden was measured with the Zarit burden scale. <h3>Results</h3> This study demonstrated that there was a statistically significant negative relationship between caregiver mutuality and preparedness to role strain, r (195) =.058, <i>p</i> < .001 and a statistically significant negative relationship between caregiver mutuality and preparedness to burden, r(195) =.071, <i>p</i> < .001. These findings indicate that mutuality and preparedness are important predictors of caregiver role strain and burden. The Heart failure certified nurse is positioned to translate the evidence of caregiver role research to the assessment, planning, and evaluation of interventions that can assist the informal caregiver during the dynamic phases of caregiver role adaptation. <h3>Conclusion</h3> Assessing the caregiver's preparation for caregiving, in addition to caregiver mutuality, is an important step in individualizing interventions that will have a positive effect on the role transition to caregiver. Furthermore, individual interventions based on the demand of caregiving will assist in the preparation of the caregiver during the transition to the community setting. This output includes descriptive on the variables, custom tables that display the set of responses for each of your composite variables and a few regressions to explore your states hypotheses. •Regression (multivariate): Mutuality and Preparedness vs Strain ○ R2=.058 (low) and p=.001 (signif) ○ Coefficients: ▪ Mutuality: -.216 (p=.042) — a negative impact (decreases) on strain (not much, but significant) ▪ Preparedness: .435 (p=.000) – a positive impact (increases) on strain •Regression (bivariate): <b>Preparedness vs Strain</b> ○ R2=.042 (low) and p=.002 (signif) ○ Coefficient: .275 (p=.002) – a positive impact (increases) on strain •Regression (bivariate): <b>Mutuality vs Strain</b> ○ R2=-.004, p=.600 <b>NOTE:</b> Mutuality not statistically significant on its own. Interplay with Preparedness •Regression (bivariate): <b>Mutuality and Preparedness vs Burden</b> ○ R2=.071 (low), p=.001 (signif) ○ Coefficients: ▪ Mutuality: -.427 (p=.000) – negative impact (decreases) perceived Burden ▪ Preparedness: .475 (p=.000) – positive impact (increases) perceived Burden ○ Regression: Mutuality vs Burden – NOT SIGNIFICANT ○ Regression: Preparedness vs Burden –NOT SIGNIFICANT •Regression: <b>Burden vs Strain</b> ○ R2=.312 (stronger impact than those above), p=.000 (signif) ○ Coefficient for Burden = .515 (p=.000) (For each one point increase in the Burden score, there is a half point increase in the Strain score. Remember that these scores only range from 0 to 4, so this is a heavy hit

Iranian Women's Self-concept after Hysterectomy: A Qualitative Study.

Background:The loss of female organs leads to profound changes in one's perception of oneself. There is limited information about the impact of hysterectomy on women's self-concept and culture. Therefore, this study was conducted with the aim to deepen our understanding of the self-concept of Iranian women after hysterectomy.Materials and Methods:This qualitative study was conducted using directed content analysis approach. The participants included 30 women with a history of hysterectomy who were selected through purposive sampling method. Data were collected from August 2018 to November 2019 using in-depth and semi-structured interviews based on the self-concept mode of the Roy Adaptation Model (RAM) in Mashhad, Iran. Data analysis was performed using the deductive approach of Elo and Kyngäs in MAXQDA software.Results:As a result of the analysis of the interviews, the main category of “incoherent cognition of self-concept” emerged, which included the two generic categories of “heterogeneous feelings toward and imaginations of the body” and “changed self-perception”, and five subcategories.Conclusions:Women's self-concept changed after hysterectomy in both its physical and psychological aspects. Therefore, counseling before and after hysterectomy is recommended to improve women's self-concept after hysterectomy.

Understanding Shame as an Obstacle: Toward a Global Perspective.

In this paper, the authors suggest that shame is a barrier to many patients' willingness to disclose their history of trauma to nurses and other members of the healthcare team and that the clinicians participate in this withholding of information because of their experience of vicarious shame. The authors propose that shame and vicarious shame reduce the accuracy of assessment, limit the nurse-patient relationship, and reduce the ability of the healthcare teams to accurately diagnose and treat patients. Shame as a barrier to trauma assessment is also considered in light of the Roy adaptation model and from a global perspective. Implications for education, research, and nursing practice are discussed.

The effective post-stroke adaptation behavior model requires a family support system.

This 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. This 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. Three thematic categories structured the meaning of the stroke survivor's experience: (1) Problems after stroke; (2) Adaptive coping strategies and (3) Effective adaptation response. A 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 effects of a care plan based on the roy adaptation model on depression among nursing home residents

Background: Depression is one of the most common mental disorders among nursing home residents. Nursing models are among the therapies with potential effects on depression. Objectives: This study aimed to determine the effects of a care plan based on the Roy's Adaptation Model (RAM) on depression among nursing home residents. Methods: This quasi-experimental study was conducted on sixty older adults selected from four nursing homes in Urmia, Iran. Participants were randomly allocated to a control and an intervention group. A care plan based on the RAM was designed and implemented for participants in the intervention group. The plan included individualized and group educations based on participants' maladaptive behaviors in the four modes of the RAM. During the intervention, participants' maladaptive behaviors and their stimuli were determined and measures were taken for their management. The intervention lasted for 1.5 months, followed by a 1-month supervision. Before and after the intervention, depression was assessed using the Geriatric Depression Scale. Data were analyzed through the independent- and the paired-sample t and the Chi-square tests. Results: The pretest and the posttest mean scores of depression were 5.78 ± 3.51 and 6.11 ± 3.64 in the control group and 6.81 ± 3.64 and 2.86 ± 2.50 in the intervention group. The between-group difference respecting the pretest mean scores of depression was not statistically significant (P = 0.21), whereas the posttest mean score of depression in the intervention group was significantly less than the control group (P < 0.001). Although the mean score of depression in the control group did not significantly change (P = 0.32), it significantly decreased in the intervention group (P < 0.001). Conclusion: The care plan developed in this study based on the RAM is effective in significantly reducing depression among nursing home residents. Therefore, it can be used for depression management in nursing homes.

The Roy Adaptation Model Assesses Quality Care for Patients with Angina Study on the Influence of Treatment Compliance and Effectiveness

To evaluate the effect of quality care on treatment compliance and efficacy of angina patients with Roy adaptation model is the main objective. 70 patients with angina pectoris admitted to a hospital from April 2019 to April 2020 were randomly selected as study subjects and set as the study group. Retrospective analysis was performed on 70 patients with similar angina previously received in this hospital and the patients were set as the control group. Different nursing intervention methods were used to compare the clinical effect of nursing. Symptom check list 90 score and social disability screening schedule score of the study group were significantly better than those of the control group (p<0.05) and the difference was statistically significant. Compared with the control group, patients in the study group had lower incidence of complications, fewer angina attacks, shorter duration of attacks, more significant improvement effect of blood pressure and heart rate indicators, higher overall treatment compliance and higher nursing satisfaction (p<0.05), with statistically significant differences. Roy adaptive model evaluation of quality care can improve the overall nursing effect of patients, make patients more compliant with treatment and effectively control the progress of the disease, suitable for clinical application.

Validation of Nursing Diagnoses for people with chronic kidney conditions on conservative treatment.

To develop and validate Nursing Diagnoses statements of the International Classification for Nursing Practice (ICNP®) aimed at the care of people with chronic kidney conditions undergoing conservative treatment. This is a methodological research structured in sequenced construction stages, cross-mapping, content validation by the Delphi Technique by specialist nurses, and categorization of Nursing Diagnoses. Forty-two specialist nurses participated in the first round and 34 in the second. A total of 179 Nursing Diagnoses statements were prepared, categorized according to Roy's adaptation model, of which 160 were validated for content, with Content Validity Index ≥ 0.80. The Diagnoses developed and validated show the modes of adaptation to health of people with chronic kidney conditions undergoing conservative treatment, influenced by biological, psychological, social, and cultural needs, with the Physiological Mode being the most prevalent.

Medium reach theory for nursing in cardiovascular rehabilitation.

to describe a medium-range nursing theory for the cardiovascular rehabilitation process. theoretical development study, addressing the elaboration of medium-range theory, based on Roy's Adaptation Model, which combined theoretical deduction with induction strategies, based on literature review and concept analysis. the Medium-Range Theory for Nursing in Cardiovascular Rehabilitation presents eleven concepts and respective definitions, organized in relationships that represent elements, through modeling and image representation. Theoretical assumptions and propositions are presented. the theory presented aims to contribute to the description of the cardiovascular rehabilitation process from the perspective of the adaptation of the person, family and groups, as well as to impact the nursing care implemented to patients in the process. The procedures advanced from conceptualization to operationalization, through the production of theoretical propositions that will guide future theoretical testing.

Randomized Controlled Trials on Roy Adaptation Model Nursing in Patients with Acute Myocardial Infarction in China: A Systematic Review

Randomized Controlled Trials on Roy Adaptation Model Nursing in Patients with Acute Myocardial Infarction in China: A Systematic Review

Nursing Analysis in Disorder Patients with Cardiovascular System Approach The Model of the Roy Adaptation Theory

Background: The prevalence of patients with an increase in the cardiovascular system is increasing. Nurses are expected to have a contribution in the handling of patients with cardiovascular disorders by implementing and deepening using the Roy Adaptation Model (MAR). The role as care provider was applied to men who were supported 70 years with CAD 3VD EF 52% POST-CABG X3 OFF PUMP. Purpose: The purpose of the study was to discuss the problem of nursing care in patients with cardiovascular system disorders. Methods: This study uses a case study design with nursing care given to one patient with a cardiovascular system, age disagreement and does not specify the sex to be used in a case study. Data analysis techniques by analyzing data from the assessment to evaluation and documentation. Results: The results of the research obtained by policy and stimulus studies can be applied more optimally in the arrangement of ordinary care rooms where patients are stable and not at high risk of reducing cardiac output. Enforcement of attractive nursing diagnoses on NANDA and SDKI. Roy did not arrange specific interventions for each diagnosis based on Roy's Adaptation Model which explained the coping relationships on the regulator and cognator subsystems. Nursing evaluation is completed based on the adaptation achieved by the patient in the mode of adaptation. Conclusion: Roy's Adaptation Model Theory can be used in providing nursing care to patients with cardiovascular system disorders using a format adapted to the format in the hospital.

The Effects of Nursing Education Constructed According to Roy Adaptation Model on Adaptation Process of Patients Undergoing Bariatric Surgery

Background and Objective: Long-term success after bariatric surgery depends on how well-educated patients are about how to support postoperative weight loss and the lifestyle changes they need to do to achieve this goal. This study was conducted to investigate the effect of nursing education constructed according to the Roy Adaptation Model (RAM) on the adaptation process of patients undergoing bariatric surgery. Methods: The population of the study consists of the patients who underwent bariatric surgery operation. The study adapted an experimental design, with a comparison between an intervention group and a control group. The data were collected between December 2017 and June 2018. Forty patients who met the inclusion criteria were included in the study. The intervention group received oral and written education based on RAM, while the control group received a routine follow-up. The data were collected by using the Personal Information Form, Eating Disorder Examination Questionnaire, Coopersmith Self-Esteem Scale, Social Appearance Anxiety Scale, Multidimensional Scale of Perceived Social Support, and Adaption Assessment Form. Findings: Within the scope of the research, it was found out that after the training given to the intervention group according to RAM, average scores of eating disorder behavior and social appearance anxiety decreased significantly, and the averages scores of self-esteem and perceived social support increased statistically. Conclusion: According to the findings, the intervention group was observed to adapt to the postoperative period in a shorter time. In this context, it can be stated that planned and systematic training is important in increasing the quality of adaptation process after bariatric surgery and nurses have great responsibilities in this issue.

Quality of Life Through the Prism of the Roy Adaptation Model.

This concept analysis is to expand knowledge about quality of life within the Roy adaptation model. The Walker and Avant concept analysis methodology is utilized. The perception of life events influences quality of life, and quality of life influences decision-making and actions. Balance, self-esteem, and satisfaction are essentials of quality of life. The authors in this concept analysis provide a basis for further research studies measuring quality of life using the theoretical basis of the Roy adaptation model.

Coping Capacity and Episodic Memory in Older Adults With SMCs: The Mediating Role of Healthy Lifestyle

Older adults with subjective memory complaints (SMCs) are at increased risk for episodic memory decline. Episodic memory decline is an important predictor of objective memory impairment (one of the earliest symptoms of Alzheimer’s disease) and an often-suggested criterion of successful memory aging. Therefore, it is important to explore the determinant factors that influence episodic memory in older adults with SMCs. Roy adaptation model and preliminary evidence suggest that older adults with SMCs undergo a coping and adaptation process, a process influenced by many health-related risks and protective factors. This study aimed to explore the relationship between coping capacity and episodic memory, and the mediating role of healthy lifestyle between coping capacity and episodic memory in a sample of 309 community-dwelling older adults with SMCs. Results from the structural equation modeling showed that coping capacity directly affects episodic memory (r=0.629, p＜0.001), and there is a partial mediating effect (60.5%) of healthy lifestyle among this sample of older adults with SMCs. This study demonstrates that coping capacity and adaptation positively correlate with episodic memory in older adults with SMCs, and that these correlations are mediated by healthy lifestyle. The results suggest that older adults with poor coping capacity should be assessed and monitored regularly, and clear lifestyle-related interventions initiated by healthcare providers that promote healthy lifestyles may effectively improve coping capacity and episodic memory in this population group. Note: First author: Feilong Wang, Co-first author: Shijie li, Corresponding author: Yanni Yang

Functional status of women after cancer and its related factors: A study based on Roy adaptation model.

The role strain is still high for women within Iranian families. This can be further compounded by diseases such as cancer. The aim of this study was to investigate the functional status of women with cancer and its relationship with symptoms experienced by women during the period of the disease. This cross-sectional study was carried out with 150 women with the cancer diagnosis who were referred to the Cancer Clinic of Shahid Ghazi Tabatabai Hospital in Tabriz, Iran. The Comprehensive Inventory of Functioning (CIF-CA) was used to evaluate their functional status. The mean total performance of participants was 3.06(± 0.51), and the range of mean variation scores was between 1.83 and 5. Regarding the housework dimension, women reported less function in all of activities while in the social dimension, participation in social and religious activities waned. In the dimension of personal activities, majority of women reported rest and sleep during the day. Clinicians should explore the use of rehabilitation programmes to ensure that a holistic approach to care for women with cancer is given priority in order to improve the quality of life of these women and subsequently their roles in family and society.