Adaptation Model Theory Analysis

  • Vangilene Shore

The theorist I picked is named Lorraine Callista Roy who was born on Oct 14, 1939, in Los Angeles, California. She was raised to be raised in a family group with sound Catholic bonds. Roy's dad was a pickup truck drivers, and her mom was a accredited vocational nurse. Her mom informed her on the importance of caring for individuals and swayed her selection of career; the main one she has chosen permanently. When Roy was fourteen, she started out working in your kitchen at a hospital close by and then had become a nursing helper.

Description of Roy's track record starts with obtaining a Bachelor of Arts in Medical (BAN) from Support St. Mary's College or university in Los Angeles, California. Roy then performed as a bedside nurse at St. Mary's Clinic in Tucson, Az. She then soon started her education to obtain her master's level at School of California, Los Angeles (UCLA) in pediatric medical in 1966. After she earned her degree, she soon went back to Support St. Mary's Medical center as a co-employee of the faculty, teaching both pediatric and maternity nursing.

Roy developed encephalomyelitis and was forced to have in which to stay bed immediately after she became a part of the faculty at Mount St. Mary's Clinic. Since she was bedridden, she was necessary to have a leave of absence. Once things were better, she delivered to work in 1968 unaware that years in the foreseeable future, she would then produce an acoustic neuroma applied for. During those early on years at Support St. Mary's, Roy began to develop the adaptive theory in which her sickness was vital because that was the start of her model considering. With the idea at heart, she prepared her course work to involve the people and individuals as adaptive systems and developed an integrated medical curriculum.

When Roy was growing her adaptive theory, she used deductive reasoning. Roy credits the task of Von Bertanlanffy's general system theory and Helson's version theory when growing the original base of the scientific assumptions root the adaptive model (Parker & Smith, 2010). Helson's key points about adaptation helped Roy develop the principle on her behalf theory of the individual as an adaptive system and her adaptation model (Parker & Smith, 2010).

St. Mary's School applied her model within the teaching curriculum in 1970. Immediately after that, she was chosen as seat of the medical team in 1971 and stayed in that position until 1982. During her time there, she was continuing to earn another master's degree from UCLA in sociology and in 1977, a Ph. D. in sociology, also from UCLA. She had taken postdoctoral studies in neuroscience medical at the University or college of California, San Francisco (UCSF). Her fascination with this field was provoked by her own involvements with neurological diseases, and she looked for to increase her understanding of the holistic person as an adaptive system. By the time 1981 arrived around, the adaptive style of nursing practice was known to many. Dr. Roy and her affiliates turned to thirty other academic institutions in order to show them how to use the model in their associate to doctoral level nursing program. Dr. Roy has also helped to develop a master's of research program in nursing at the College or university of Portland in Oregon. At Boston College or university, she was then asked to help develop a Ph. D. program in nursing in 1987. The latest research she is doing focuses on nursing interventions for many who have suffered light head injury with the adaptive model.

Roy studied with Dr. Dorothy Johnson while at UCLA. Dr. Johnson acquired developed the Action System Model of Medical. She insisted Sister Roy to develop her idea of version and refine what she's into a theory to define the purpose of nursing. Release to Medical: An Version Model, was posted in 1976 and has been up to date many times during the years.

Theory Description

Adaptation model addresses the focus of nursing care and attention, the prospective of nursing good care, and the need for nursing health care. Dr. Roy's perspective of the patient is holistic. According to Parker & Smith (2010), Dr. Roy says, "patients are constantly adapting, and the goal of nursing is to market that adaptation in both sickness and health. " The four key perceptions and assumptions of the adaptive model in humans are adaptive systems in both individuals and teams, in the surroundings, health, and also in the goal of nursing. Roy defines the four concepts of the paradigm of medical the following:

1. Nursing - The science and practice that expands adaptive skills and enhances person and environmental transformation.

2. Environment - all conditions, circumstances, and influences that surround and affect the development and action of humans as adaptive systems, with particular consideration of person and earth resources.

3. Person - the main focus of medical, the recipient of nursing treatment, a living, sophisticated, adaptive system with inner processes acting to keep version in the four adaptive settings which can be physiological, self-concept, role function, and interdependence.

4. Health - a state and a process to be and becoming a built-in and whole individual.

According to Parker & Smith (2010), assumptions of the idea are as follows:

Explicit Assumptions:

  • People are alternative beings.
  • People are continually interacting with their altering environment.
  • People deal with changes by using inborn and learned coping skills that are natural, psychological, and social.
  • Health and illness are a part of everyone's life.
  • To adapt, people will need to have positive replies to changes in their environment.
  • Adaptation will depend on a person's version levels and the stimuli to which they are revealed.
  • Adaptation levels make reference to the quantity of stimulation that business lead to positive replies.
  • The four kinds of adaptation are biologic, idea of do it yourself, role development, and connections with others.
  • Nursing values other people's opinions and details of view. Connection with others is an essential part of nursing.
  • The ultimate goal of existence is to reach dignity and wholeness.

Implied Assumptions:

  • People can be sectioned off into parts for attention and analysis.
  • Nursing is dependant on cause and impact.
  • Nursing must consider and respect a person's thoughts and beliefs.
  • When a person adapts, he or she is free to respond to additional stimuli.

Nursing Process:

  • Assessment of an patient's behavior
  • Assessment of the patient's stimuli
  • Nursing diagnosis
  • Goal setting
  • Nursing interventions to meet goals
  • Evaluation

Some early critiques emphasize the fact that Roy's theory was only fixated on the alternative aspects of the individual and ignored other aspects (Parker & Smith, 2010). Dr. Roy analyzed her theory and modified it for the 21st century in the later 1990's. She depicted her knowledge of idea, spirituality, and medical on the study that she got done. She was experiencing individuals as identified by their physical and sociable conditions. She cited nursing scholars who developed a discipline that served to enhance the well-being of individuals and the planet earth. Dr. Roy used the term "cosmic unity" showing that folks and the earth have common characteristics. Dr. Roy's nursing theory is continuously progressing with the studies she has added to the broad basic of nursing knowledge and results of nursing practice.


Roy's adaption model does indeed a pronounced job in clarifying the role of adaptation in disorder and medical. Dr. Roy included the various types of stimuli, different settings of coping and adapting, and nursing's role in assisting a patient to change (Parker & Smith, 2010). The Version model is often known by the medical community. Actually, "it is one of the most frequently used models to steer nursing research, education, and practice, " remarks (Alligood & Tomey 2010, p. 354). This model is still being taught in a number of universities in america and in another country.

Adaption model authenticates substantially in a number of nursing disciplines. The model has activated the advancement of many middle-range nursing ideas. It contains a lot of several major concepts, sub-concepts, and relational assertions, making the model to be considered as a sophisticated model. The complexity of the adaption model facilitates the development of its empirical accuracy. The adaption model is extensive in the scope and may be used to shape or test out nursing theories. This can help to help make the model generalizable to all approaches existed in nursing practice. Adaption model is a model that can be researched various ways and can be handy on as a conceptual construction in many nursing research field ideas. It really is beneficial, valid, and needed for medical practice, nursing education, and development. It really is responsible for respected information about individuals' version to different environmental stimuli (1).

The metaparadigm concepts implanted included by the adaption model include person, environment, nursing, and health. That is a continuous cooperation on many levels, permitting individuals and categories including families, communities, etc. flexibility and change for better health decisions. Producing the medical process, nurses can examine to see when there is any maladaptive habits and would be able to develop care strategies with appropriate interventions that enhance adaptation positively for enhanced conclusions (Kenney, 2013, p. 368).

An example and analysis of the adaption model applied is really as follows. Mianna, who is a 21 season old female, sometimes appears in the emergency room for a problem of extremely severe lower abs pain that also moves along with fever, nausea, and vomiting. Mianna is first escorted by her dad, who left when she was used back to her room. She's a high WBC matter and nothing on the ultrasound. The x-ray was negative. Intravenous antibiotics are purchased as treatment for likely pelvic inflammatory disease. Medication for pain helped Mianna to become more at ease whatever the fever and nausea.

Initial computation of the application of the adaption model will dwelling address Mianna's habit in four key parts. The physiological talk about of her version level has been affected by her health position that includes lower belly pain and nausea with fever. Mianna has been having to control these symptoms of disease, which regrettably were induced by partaking in unsafe sex. The self-concept group identification in adaption model can determine that the individual has made a decision to come quickly to the hospital for treatment. That is indicating good judgment with respect to Mianna. Since she come to out to health care when sickness has bestowed upon her indicates that Mianna has some so this means or link with the globe.

Recognizing role, indicating Mianna is a 21 years old season old who has been around a sexual romantic relationship with multiple partners. She has around some romance with her daddy, taking in consideration that he's the one which brought her to the hospital. When bearing in mind interdependence setting, we can easily see that Mianna is a twenty one year old where her father was included with her to a healthcare facility, but then kept, which now leaves Mianna alone looking for treatment of the illness that is reducing her life. The adaption model is relevant to Mianna and her family, since it demonstrates her father does know something is wrong with Mianna but will not stay to determine what.

Next, the examination requires collecting more info and linking it to inside and external factors recognized as focal, contextual, and residual that manage adaptive behaviors in people. Concepts can look at the links between your person and their environment and see how the environment impacts adaptive actions and degree of functioning (Roy's adaptation model, 2012). The adaptation model supports the nursing process and medical practice related to all natural and human adaptation (Lee, Tsand, Wong, & Lee 2011). Merging the data from both assessments, the nurse can create a health care plan founded on the impression that the individual has two coping factors to deal with eventful situations (McEwen & Wills, 2011, p. 171-172). Nursing health care would be focused on being able to help patients make adjustments to their habit in an effort to cope when disorder occurs. Preferred patient attention conclusions for Mianna's research study can be predicated on the same ideologies. Figuring out Mianna's interior and external factors can help learn to comprehend how Mianna copes with stress. The interventions that may be utilized would be to educate Mianna on the condition that has affected her and also to explain about health promotion and protecting against behaviors that can cause this disorder. Mianna can validate that she comprehends the instructions by reeducating the nurse on the topic at hand. Referring Mianna to the university medical clinic or a community based health program will help to make available additional knowledge and management. Mianna, if desired, can benefit from these recommendations. "In conditions of working with a persistent health problems or disease or even serious conditions, Roy concludes that the goal of nursing treatment is to provide ways for patient to adjust to their environment. " (need a niche site)


I feel the adaption model characterizes the idea of care in my hospital setting. It can help by showing your brain and body are linked and are cared for holistically. Employed in the emergency room as a nurse who recognizes death and dying on a regular basis makes it much easier to package with when knowing that the spirituality or the metaphysical certainly enter into play when one is dying. When I've patients that are positively dying, they will sometimes obtain a chaplain, even if he or she was not formerly spiritual. This makes me believe even more in the adaption model. These individuals are buying purposeful and gracious death, which is associated with the self-concept setting, focusing on the sense of unity, indicating, purposefulness in the world (McEwen & Willis, 2011). Nurses are to keep up our patients' quality of life and warrant they have a dignified and peaceful passing, even if it's in the er. Again, Roy's goal of nursing is promoting version to donate to a person's health, standard of living, and dying with dignity (McEwen & Ellis, 2011). That's the reason I feel that this model fits properly in a healthcare facility that I just work at. I am anticipating that I can enhance to better serve my patients, having a better awareness of the adaptation processes and thus a much better understanding of the interventions I deliver.

In closing, this adaptation model has been set up as a guide for nursing practice in a world with developing needs that change daily. If the model is applied, the model offers an idea for knowledge improvement for the patients. Roy's theory gives great value to, not only the self-discipline of medical practice, but also nursing technology, education, research, and supervision. That is why I have decided to enjoy Dr. Roy's adaption model.


Parker, M. E. , & Smith, M. C. (2010). Nursing Ideas and Medical Practice (3 ed. ). Philadelphia, PA: F. A. Davis. Retrieved from http://www. ebrary. com

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