Lokelani Ahyo

This article details the application of Roy's (Roy & Andrews, 1999) adaptation model when caring for a group of women experiencing changes associated with menopause. The Roy model guided the assessment of the members' levels of adaptation and facilitated the management of stimuli to promote their adaptation. Nursing interventions focused on issues surrounding menopause including disturbance in body image and social isolation.

The proposition was tested with residents in a high-rise apartment building for the elderly, a setting in which the nurse practiced auton-omously as a primary care-giver helping these residents manage their health. They were low income elderly persons who were able to ...

1. Dianne Piazza, Anne Foote and Judy Holcombe are Associate Professors, and Penelope Wright is Assistant Professor, at the University of Alabama School of Nursing, and Madeline Gadilhe Harris is Director of Patient Care at the Comprehensive Cancer Center, University ...

Using a qualitative research methodology, the utility of the Roy adaptation model as a framework for nursing practice within a hospital setting was investigated. The level of integration of the model into practice varied among nurses. The model was generally found to be useful in focusing, organizing, and directing nurses' thoughts and actions regarding patient care, resulting in a perception of improved quality of nursing process and patient outcomes. Prior education on the Roy model and participation in professional advancement activities facilitated model integration, while lack of education and resistance to change inhibited implementation of model-based practice.

Data were collected by telephone interviews with 178 mothers of full-term patients in a NICU (neonatal intensive care unit) concerning advice on facilitation of the initiation of breastfeeding. The main advice to the first author as a nurse in the NICU concerned the environment, advice on breastfeeding, distance between units, work organization and nurse behaviour. The advice to other mothers of patients centred on persistence, physical contact with the infant, and not to let nurses take over maternal role functions. The data were structured into themes and categories, classified by one author and two research assistants according to Roy's adaptation theory, and analysed for degree of interrater agreement. The overall agreement of classification was high, reaching 92.5%. It was easily applied by nurses after a brief introduction and proved useful for structuring interview data. It also contributed to clarification of nurse behaviour and division of roles between nurses and mothers. As the four adaptation modes showed considerable overlap, this kind of classification seems inadvisable for application to the assessment of patient/parent situations in the nursing process. For use in a clinical setting, the theory needs the addition of the interactive aspect of nurse and patient/family role functions, and may then be used as a framework for the development of assessment tools.

Abstract The authors of this article suggest yet another conceptual model applicable to critical care nursing-Roy's Adaptation Model. Following discussion of the model, the authors describe a detailed case application using this model to guide nursing care of a trauma ...

This ex post facto descriptive correlational design study of widows during their second year of bereavement utilizes Roy's adaptation model as a guiding framework. Contextual stimuli (social support, social network, income/education, spiritual beliefs) were related to the cognator function (coping process), which was related to adaptation outcome (grief response). Significant moderate positive relationships were found between social support and coping process, and between social network and coping process. A significant relationship was also found between coping process and grief response. The path model accounted for 18% explained variance.

In the current health care environment in the United States, the work performed by community health nurses is increasingly being recognized and valued by society at large. An increased societal emphasis on health promotion and disease prevention has generated many opportunities for community health nurses (CHNs) to stretch their practices from individually-oriented type practice models to more encompassing population-focused type practices. Addressing this trend, the Roy Adaptation Model of nursing has been reconceptualized and expanded to offer a framework for the systematic delivery of nursing care to aggregates in community settings. The purpose of this paper is to describe the current health promotion movement in the United States and discuss the impact of this movement on the practice of community health nursing. In recognition of the importance of theory-based nursing practice and the opportunities that CHNs will have in the health promotion movement, the use of the a specific conceptual model, the reconceptualized Roy Adaptation Model, will be presented as a theoretical framework for community health nursing practice. The nursing process according to Roy is applied to community health nursing and specific attention is paid to the performance of community assessments within the newly defined adaptive modes that relate to collectives: the physical, group identity, role function, and interdependence modes. To date, few references appear in the literature which link the Roy Adaptation Model to community health nursing.

It is significant that nurses from practice settings throughout the country meet in sessions such as the South Florida Nursing Theorist Conference. The work of the past 25 years to describe the assumptions, values, and concepts of the discipline have the ultimate goal of ...

Abstract Coronary artery disease (CAD) is responsible for 27% of all deaths in the United States and poses a significant threat of premature death to women. Women more than 55 years old have a tenfold increase in CAD and, compared with men, have a high number of ...