Roy Adaptation Model Research Articles

Rural Status of Equine Assisted Activities and Therapies and Cancer Survivors

Background: Although equine assisted activities and therapies (EAAT) are rapidly increasing, as are cancer survival rates, little is known about the engagement of cancer survivors in EAAT. One may conceptualize equine or horse related activities as occurring in rural areas; however, the rural status of EAAT centers are not fully reported.Purpose: To explore the rural status of EAAT centers, and whether EAAT is provided for cancer survivors and the more common service for post-traumatic stress disorder at those centers.Method: A quantitative descriptive analysis was conducted of publicly available data after an exempt status decision of an Institutional Review Board. Services using EAAT for those with terminal illnesses, post-traumatic stress disorder and cancer survivors were examined. Rural status was evaluated for all organizational members (N = 784) of Professional Association of Therapeutic Horsemanship International (PATH Intl.). Roy adaptation model was used as a theoretical framework in this project.Findings: All types of the organizational members, cluster in urban areas more than rural areas. Significant relationship (p = 0.039) was found between rural status and type of membership, where more urban than rural centers were premier accredited center members. Most of the contacted and responding centers stated that they do provided EAAT for cancer survivors (n = 204); however, only (n = 26) centers have programs specifically designed for cancer survivors.Conclusion: There are not only less EAAT rural than urban centers, but rural centers also tend to have lower quality level membership based on PATH Intl. standards. Although EAAT is provided for cancer survivors, identifying effective ways to provide EAAT and standardization of programs for cancer survivors is recommended.
 DOI: http://doi.org/10.14574/ojrnhc.v20i2.601

ADAPTACIÓN, AFRONTAMIENTO Y CALIDAD DE VIDA EN MODOS ADAPTATIVOS DE CUIDADORES PRIMARIOS

Objetivo: analizar la relación del proceso de afrontamiento y adaptación con la calidad de vida y satisfacción de cuidadores primarios, mediante la aplicación e integración de las teorías de Orem y Roy. Metodología: se realizó un estudio mixto de tipo triangulación concomitante, en el Policlínico “Chiqui Gómez Lubián” del municipio de Santa Clara en Cuba; desde el año 2016 al 2019. La población de estudio fue 21 cuidadores primarios de infantes con déficit de atención e hiperactividad. Los datos se recogieron con dos escalas autoadministrables y una entrevista en profundidad. Las escalas se procesaron con el programa estadístico para las ciencias sociales SPSS versión 24.0 y la entrevista mediante análisis de contenido temático. Resultados: se obtuvo nivel medio de capacidad de afrontamiento, adaptación y calidad de vida y satisfacción de cuidadores primarios, en relación a los modos adaptativos, además de obtener una propuesta de definición de calidad de vida en cuidadores primarios, basada en su relación con el proceso de afrontamiento y adaptación. Conclusiones: los referentes teóricos fueron el sustento ideal para el análisis, dado que el mismo se basó en la integración del modelo de adaptación de Roy y el sistema de apoyo educativo de la Teoría de Autocuidado de Orem, lo que facilitó la comprensión de la relación entre las dimensiones afectadas de calidad de vida y satisfacción de cuidadores primarios, como necesidades adaptativas de autocuidado y los modos adaptativos, en el proceso de afrontamiento y adaptación, durante el acto de cuidar.

Determinants of successful diabetes self-management behaviors among women of Arab descent with Type 2 Diabetes

BackgroundType 2 Diabetes (T2D) continues to be an escalating public health problem contributes to increased morbidity and mortality. Although the complications of T2D is a major threat to the health of women of Arab descent, there is lack of information about their health practices and diabetes self-management behaviors. AimsThe purpose is to examine the impact of diabetes knowledge, social/family support, acculturation, and diabetes-related emotional distress on DSM behaviors and glycemic control among women of Arab descent utilizing the Roy Adaptation Model. MethodA non-experimental correlational descriptive design. ResultsThe BMI, Diabetes knowledge, diabetes-related emotional distress, and the level of HbA1C explained 28% of the variance in DSM behaviors. DSM behaviors were negatively related to diabetes-related emotional distress. DSM behaviors were positively related to diabetes knowledge and HbA1C. ConclusionsThe findings of this work provided a foundation for further advanced research design including experimental designs to expand the knowledge of this phenomenon and how to manage this disease successfully yet a culturally appropriate method.

Roy's Adaptation Model Application in Nursing Care for Pregnant Women With Preeclampsia: Literature Review

Incidence of preeclampsia cases is about 5-8% of all pregnancies. This research aims to analyze articles related the application of nursing model in pregnant with preeclampsia. The design of the research used is the literature review, articles collected using search engines such as EBSCO, Sciencedirect, Proquest and Elsevier. The article used was published in 2010-2019. Based on the article collected obtained the results that diagnose preeclampsia while pregnant can cause anxiety and fear increases during pregnancy. Because of this condition, individuals have increased blood pressure so as to develop a pathological nature. The role of nurses in providing therapy according to this model is to focus on human beings as a biopsicosocial creature as a unified and interconnected whole. Further studies are advised consider the effects on various variables by taking into account the random effects and changes in the model with the addition of contextual effects in the analysis.

Theory-guided interventions for Chinese patients to adapt to heart failure: A quasi-experimental study

ObjectivesTo examine the effects of the Roy Adaptation Model-based interventions on adaptation in persons with heart failure. MethodsA quasi-experimental study was conducted in Hangzhou, China, from March 2018 to November 2019. A convenience sample of 112 participants with heart failure from a multi-campus hospital was enrolled. Participants were allocated into an intervention group (n = 55) and a control group (n = 57) according to their hospitalized campus. A culturally-tailored care plan intervention based on the Roy Adaptation Model was performed in the intervention group. The control group received bedside patient education and a regular booklet for HF home care before discharge. Heart ultrasound, Minnesota Living with Heart Failure Questionnaire (MLHFQ), a knowledge survey, Self-care Heart failure Index (SCHFI), and Coping and Adaptation Processing Scale-Short Form (CAPS-SF) were used to measure patients’ levels of adaptation of physical function, self-concept, role function, and interdependence at baseline and six months after discharge. ResultsNinety-one participants with complete data, 43 in the intervention group and 48 in the control group, were included in the analysis for the primary endpoints and showed adaptive improvement trends. Most patients in the intervention group completed 60% or more of the given interventions. At the sixth month after discharge, compared with the control group, the intervention group had improved adaptive behaviors showing higher scores of the MLHFQ (70.90 ± 22.45 vs. 54.78 ± 18.04), heart failure-related knowledge (13.79 ± 2.45 vs. 10.73 ± 4.28), SCHFI maintenance (57.67 ± 13.22 vs. 50.35 ± 10.88), and CAPS-SF (40.23 ± 4.36 vs. 38.27 ± 2.60) at the six-month follow-up (P ＜ 0.05). There were no significant differences between the two groups in the scores of left ventricular ejection fraction, scores of SCHFI management and SCHFI confidence subscales (P > 0.05). ConclusionsThe findings reported evidence of positive adaptation in patients with heart failure, indicating that the Roy Adaptation Model is an effective guide for developing an implemented framework for the nursing practice of the patients. The culturally-tailored care plan intervention is helpful to improve adaptation of patients with heart failure.

A Middle-Range Theory for Nurses to Diagnose Ineffective Infant Feeding Patterns.

To construct a middle-range theory, based on the Roy adaptation model, for nurses can diagnose an ineffective infant feeding pattern. Scientific findings were used through a literature review and the concepts of the Roy model. The theory indicated new elements for the diagnosis: 12 etiological factors and 13 clinical indicators. Most of those are not contained in the NANDA taxonomy. The middle-range theory for these diagnoses highlights the need for a review of the components present in the taxonomy. This approach guides research on nursing diagnoses to revise the content of the theory and to expand its concepts and elements for the diagnosis of an ineffective infant feeding pattern.

Teoria da adaptação: elementos identificados em pacientes pediátricos em terapia renal substitutiva

Objetivo: Identificar os problemas de adaptação, segundo o Modelo Teórico proposto por Sister Callista Roy, em crianças que realizam tratamento de hemodiálise. Metodologia: Estudo transversal e descritivo, realizado com 16 pacientes, em um centro de referência em terapia renal pediátrica de uma cidade do Norte do Brasil. Para a coleta foi utilizado um formulário de entrevista e levantamento de dados presentes em prontuários, nos meses de janeiro a março de 2016. Resultados: Em relação aos dados de hemodiálise, o tempo de realização da terapia variou de 12 a 96 meses, sendo a média de 31,68 meses, ou seja, média de 2 anos e 8 meses. O acesso vascular predominante foi o cateter (87,5%). Foram identificados 11 problemas adaptativos nos modos relacionados ao fisiológico, autoconceito, identidade e interdependência. Conclusão: a utilização do modelo de adaptação de Roy foi apropriada, pois permitiu entender as alterações relacionadas aos modos adaptativos e visualizar de forma concreta quais os focos para as intervenções de enfermagem.

Using lived experiences and theoretical insights to gain a better understanding of the adaptation difficulties encountered by elderly patients with chronic heart failure during the hospital-to-home transition

Heart failure is one of the most common reasons for hospitalization in older people, and the hospital-to-home transition can be unsuccessful for these patients. Existing care programs focus primarily on the physiological aspects of the disease and are rarely based on theory. Using Roy's adaptation model (1), the aim of this study was to develop a thorough understanding of the adaptation difficulties and factors that influence how well elderly patients with chronic heart failure cope with the hospital-to-home transition, in order to develop a nursing interventions program. Based on the process proposed by Sidani and Braden (2011), this qualitative descriptive study adopted a deductive approach, with the use of intermediary theories and empirical data, as well as an inductive approach, where older people with chronic heart failure (n=7), caregivers (n=6), and healthcare professionals (n=14) participated in semi-structured individual interviews. The triangulation of data highlights the difficulties and factors influencing adaptation at the physical, psychological, and social levels. Gaining a better understanding of the experience of older people with heart failure when it comes to their transition from hospital to home, and doing so with a holistic vision, provides information for interventions that can contribute to better management of chronic disease and a better quality of life for these elderly patients.

Effects of a Roy's Adaptation Model-Guided Support Group Intervention on Sexual Adjustment, Body Image, and Perceived Social Support in Women With Breast Cancer.

The side effects of local and systemic treatments for breast cancer negatively impact the body image, sexual functioning, and social life of women on treatment for breast cancer. One of the ways to help these women adapt to their disease and cope with the effects of the disease and the side effects of its treatment is through support groups. The aim of this study was to investigate the effect of a support group intervention, guided by Roy's Adaptation Model, on sexual adaptation, body image, and perceived social support in women on treatment for cancer. The study had a quasi-experimental design with pretests and posttests and a control group. The sample included 79 women, 42 in the control group and 37 in the intervention group. Data were gathered with demographic and clinical forms, the Sexual Adjustment and Body Image Scale, and the Multidimensional Scale of Perceived Social Support. The intervention group received a support group intervention guided by Roy's Adaptation Model. The intervention group had significantly higher scores for perceived social support, post body image, impact on sexual functioning, and friendly and significant others than the control group did. The Roy's Adaptation Model-based support group intervention contributes positively to physiologic, self-concept, role-function, and interdependence modes by creating a positive effect on body image, improving sexual functions, and increasing social support for women on treatment for breast cancer. This support group intervention may enhance care outcomes in women on treatment for cancer and could thus be incorporated into standard care for this patient group.

Influences of the culture of science on nursing knowledge development: Using conceptual frameworks as nursing philosophy in critical care nursing.

Nursing knowledge development and application are influenced by numerous factors within the context of science and practice. The prevailing culture of science along with an evolving context of increasingly technological environments and rationalization within health care impacts both the generation of nursing knowledge and the practice of nursing. The effects of the culture of science and the context of nursing practice may negatively impact the structure and application of nursing knowledge, how nurses practice, and how nurses understand the patients and families for whom they care. Specifically, the nature of critical care and its highly technical environment make critical care nursing especially vulnerable to these potentially negative influences. The influences of the culture of science and the increasingly technical practice context may result in an overreliance on the natural sciences to guide critical care nursing actions and an associated marginalization of the caring relationship in critical care nursing practice. Within this environment, nursing philosophy may not be foundational to nursing actions; rather, the dominant culture of science and the rationalization of health care may be informing nursing practice. As such, the ideology and goals of nursing may not be central to the practice of critical care nursing. The purpose of this paper is to explore the influence of the culture of science on the development of nursing knowledge and theory. Further, we aim to describe the value of using conceptual frameworks, such as Roy's Adaptation Model, as a nursing philosophy to influence the development of person-centred nursing knowledge and theory to inform critical care nursing practice as it related to the care of patients and families. In doing so, nursing philosophy is situated as foundational for nursing actions.

The Effect of an Educational Plan Based on the Roy Adaptation Model for Fatigue and Activities of Daily Living of Patients with Heart Failure Disease.

Cardiac failure is one of the most common chronic diseases with high rate of morbidity and mortality. Fatigue and decreased ability to perform daily activities are of the most common complications of this disease. The purpose of this study was to determine the effect of an educational plan based on Roy adaptation model on fatigue and daily activities in patients with heart failure. This experimental study was performed on 60 heart failure patients admitted in two educational hospitals supervised by the Kerman University of Medical Sciences in 2019. Sample was randomly assigned into two intervention and control groups. The intervention group received the care plan through a face-to-face and group training program in 6 sessions at one month. Interval followed by a follow-up period for 4 weeks later. Fatigue level was calculated based on piper fatigue scale, and daily activities were calculated by Barthes scale. The finding indicated that there was a significant difference between the two groups (control and intervention) after the intervention. The result showed that the intervention group had significantly lower mean scores in fatigue and higher mean scores in daily activities compared to the control group after intervention P ≤ .05. There was a significant relationship between fatigue and daily activities of life with frequency of hospitalization and duration of disease in both groups, P ≤ .05. Implementation of Roy model-based education program as a low-cost, effective, and non-aggressive nursing intervention can reduce fatigue, and improve daily activities in patients with heart failure.

Gambaran Penyesuaian diri Lansia dalam Konteks Model Adaptasi Roy di Loka Rehabilitasi Sosial Lanjut Usia Kendari

Introduction: Changes in the elderly need social support from friends, family and the surrounding environment so that they can easily adjust to the changes that occur. This study aimed to describe the self-adjustment of the elderly in the context of Roy's Adaptation Model at the Elderly Social Rehabilitation (ESR) of Kendari.Methods: The study was a qualitative research with a phenomenology approach. The participants in this study were eight elderly who lived in Kendari's ESR and two nurses as triangualition participants. Sampling used a purposive sampling technique. The researchers employing in-depth interview, observation, dan documentation study in collecting data. The data were analyzed using thematic analysis.Results: The study resulted in four themes including entry process to ESR, self-change, coping mechanisms and response indicate that the elderly self-adjusment social rehabilitationsite in the context of Roy’s Adaptation Model describing the human adaptation system through several stages, namely input, control and output where in the life of the elderly who live in ESR is influenced by the entry process in LRSLU as an internal stimulus or an external stimulus. Thus, there is a process of self-adjustment in the form of self-change and coping mechanisms, with various kinds of coping carried out to produce a behavior in the form of adaptive or maladaptive responses.Conclusion: This study concludes that the elderly in adjusting themselves through several stages namely input, control and output to adapt to the environment goodbye in the elderly social rehabilitation workshop (ESR) Kendari with self-changes and various coping mechanisms so as to produce behavioral responses.

Conceptualisation and measurement of adaptation within the Roy adaptation model in chronic care: a scoping review protocol

IntroductionThe Roy adaptation model provides a basis for developing the science of nursing. Its theoretical assumptions have been tested in empirical studies. Although several works have historically reviewed the development...

Understanding and Measuring Adaptation Level Among Community-Dwelling Patients with Metabolic Syndrome: A Cross-Sectional Survey.

PurposeThis study aimed to translate the Roy adaptation model concept of adaptation level into measurable concepts when considering the health-related quality of life, social support, and self-efficacy of community-dwelling Chinese adults with metabolic syndrome.Patients and MethodsThis was a descriptive cross-sectional study. Data were collected from 144 adults with metabolic syndrome in the suburban area of Hangzhou, China. Correlation analysis was performed to examine the relationships between environmental stimuli (sociodemographic characteristics), adaptation level (health-related quality of life and social support), and prerequisite of behavior (self-efficacy). Regression analysis was applied to test the effect of stimuli on adaptation level and their associations with behavior.ResultsAdaptation level was potentially influenced by environmental stimuli and evaluated by the quality of life. Age and education level were related to physiological and psychological function. Besides, family income was related to physiological function. Thus, adaptation level may predict individuals’ behavior towards illness management, with a percentage classification accuracy of 76.40%. The vitality and social functioning of the quality of life were identified as significant correlates of self-efficacy.ConclusionOur findings demonstrate that individuals’ internal and external resources should be considered when developing nursing interventions to improve patients’ adaptation level. Future research should explore whether facilitating self-efficacy among community-dwelling adults with metabolic syndrome may positively influence an individual’s adaptation process in health management.

Investigating the Effect of a Structured Discharge Training Program on Patient Outcomes Following Gynecologic Oncology Surgery.

This study aimed to investigate the effect of a discharge training program structured according to the Roy adaptation model (RAM) on patient outcomes (quality of life, coping-adaptation, self-esteem) following gynecologic oncology surgery. This nonrandomized intervention studies consisted of two stages. In the first stage, patients were interviewed, patient needs after discharges were determined. Interview data were analyzed, and RAM-based training booklet was prepared. This booklet was prepared in line with a number of themes. In the second stage, the study was conducted with a sample of 36 control and 36 intervention patients, who were included in the discharge training program. Data was collected preoperatively, at 9th and 13th weeks after discharge. The mean quality of life and coping/adaptation scores of the intervention group at 13th weeks were significantly higher than those of the control group, however, no significant difference was found between the groups in terms of mean self-esteem scores.

Application of Roy adaptation model on adherence to treatment in patients with heart failure

Application of Roy adaptation model on adherence to treatment in patients with heart failure

The effect of Roy adaptation model nursing intervention on self-perceived burden and neutrophil granulocyte implantation of recipients after allogeneic hematopoietic stem cell transplantation

The effect of Roy adaptation model nursing intervention on self-perceived burden and neutrophil granulocyte implantation of recipients after allogeneic hematopoietic stem cell transplantation

Evaluation of the Effect of Caring Program Based on Roy Adaptation Model in Physiology and Self-Concept Dimensions on Fatigue of Elderly Cancer Patients Undergoing Chemotherapy

Introduction: Fatigue is one of the complications of chemotherapy. Due to physiological conditions ofelderly people, it is followed by several complications. Nursing intervention based on Roy adaptation modelis required to reduce these complications.Objective: Evaluation of the effect of caring program based on Roy adaptation model in physiology andself-concept dimensions on fatigue of elderly cancer patients undergoing chemotherapyMethod: This was a clinical trial study conducted in two groups (65 subjects in each group) undergoingchemotherapy in oncology ward of hospitals affiliated to Shahid Beheshti University of Tehran in 2018.Sampling was performed in 2 stages. First, eligible people were selected by convenient sampling method.Then, they were randomly assigned to intervention and control groups. The research tools included standardmultidimensional fatigue inventory and “Roy” adaptation form. In the intervention group, 4 sessions oftraining were provided to elderly people in accordance with nursing diagnosis. Then, fatigue was followedupin the two groups and the data were analyzed using SPSS, version 20.Finding: In this study, no significant difference was observed in the number of chemotherapy courses in thegroups before intervention according to chi-square test (P = 0.667). Mean score of fatigue according to thepaired T-Test was 60.63 ± 5.92 and 58.84 ± 6.28, respectively, in intervention and control groups before theintervention and it was 50.43 ± 7.42 and 58.46 ± 5.68, respectively, in intervention and control groups afterthe intervention (p-value <0.001).Conclusion: The caring program based on “Roy” adaptation model was effective in reducing the fatigue ofelderly cancer people undergoing chemotherapy.

Pathways to psychological wellbeing for patients with bladder cancer and their partners-in-care.

The goal of the current analyses was to describe pathways through which Psychological Wellbeing might be better understood for clinical participants with bladder cancer and their partners. This was achieved by applying Roy's Adaptation Model that provides a framework with which to understand responses to challenging circumstances that has proved useful in the study of a range of chronic conditions. The sample comprised 119 patients with a diagnosis of bladder cancer, and 103 supportive partners. Participants completed a self-report questionnaire comprising the Bladder Cancer Index, Mini-Mental Adjustment to Cancer Scale, Psychosocial Adjustment to Illness Scale, and sociodemographic details. For each sample, structural equation modelling was used to determine goodness of fit, guided by Roy's Adaptation Model. For patients, increasing age and disease duration, the negative appraisal of health care, perceived poor functioning and elevated burden of disease provided pathways to Psychological Wellbeing. For partners, increasing age, being male, a negative health care experience, and perceived burden of disease were significant. However, for both groups a positive evaluation of family and social support was the key indicator of lower Psychological Wellbeing. The models presented describe a suite of issues that could inform a nursing model of care to enhance the experience of living with bladder cancer for both patients and their supportive partners.

Financial Anxiety Among College Students: The Role of Generational Status

Both financial anxiety and first-generation student status have been linked to negative academic outcomes, mental health issues, and poor social adjustment among college students; however, each factor has been studied in isolation. This article examines the predictors of financial anxiety, including generational status, using the Roy Adaptation Model and ordinary least squares (OLS) regression analysis on data from a large, Midwestern public university. First-generation student status was positively associated with financial anxiety in multivariate modeling. Proxies for students' self-concepts, including financial comparisons to peers and perceived mastery, had the largest contribution to the model. Financial counseling programs geared toward first-generation college students may impact their self-concepts and reduce financial anxiety.