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Nu rsing Theorist Sister Callista Roy

Nu rsing Theorist Sister Callista Roy. Presented by: Laura Parker Kathy Vietti. The Roy Adaptation Model. Philosophy: A nurse works with the patient to help them adjust, adapt, and cope with changes in their environment. Biography. 1963 BSN Mount Saint Mary’s College

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Nu rsing Theorist Sister Callista Roy

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  1. Nursing TheoristSister Callista Roy Presented by: Laura Parker Kathy Vietti

  2. The Roy Adaptation Model • Philosophy: A nurse works with the patient to help them adjust, adapt, and cope with changes in their environment.

  3. Biography • 1963 BSN Mount Saint Mary’s College • 1966 MSN Pediatric Nursing UCLA • 1977 Ph. D Sociology UCLA • Honorary doctorate from 4 other institutions • Member of the orders of Sisters St Joseph of Carondelet • Professor and Nurse Theorist at the William F Connell School of Nursing Boston College

  4. Biography • Experience • Staff Nurse Tucson AZ • Administrative Position Lewiston Idaho • 1966 Professor Pediatric and Maternity • Nursing Mount Saint Mary’s College • 1971 Chair of the Nursing Department

  5. Publications • Introduction to Nursing: An Adaption Model • Essentials of the Roy Adaptation Model • Theory construction in nursing: An Adaptation Model • Roy Adaptation Model: The Definitive Statement

  6. Motivation • Holistic values • Catholic faith • Observations of environmental influences on the human body system

  7. Philosophical Values • Strongly rooted in her faith • The human system handles changes in their environment with effective physiological adaptive responses • Nursing assists the patient in achieving the goal of integration by teaching coping skills

  8. Philosophy Diagram

  9. Influences • Influenced by Dorothy Johnson to develop a nursing conceptual model • Influenced by Harry Helson’s adaptation theory • Also influenced by • Rapoport • Lazarus • Selye

  10. Global Concepts Person • Main recipient of nursing care • Includes people as individuals or groups • Contains two subsystems • Cognator • Regulator

  11. Global Concepts Environment • The adaptive system consists of the world within and around humans • Changes in the environment cause the person to develop adaptive responses

  12. Global Concepts Health • Viewed as a reflection of adaptation • Defines a coexistence of wellness and illness • Excludes those individuals with chronic conditions or terminal illness

  13. Global Concepts Nursing • Profession that focuses on human life processes and patterns • Commitment to promote health and wellness for individuals, families, groups, and the global society

  14. Interpretation & Inference • Coping mechanisms

  15. Implications & Consequences • Goal setting evaluated by behavior outcomes • Changes in behavior are observed, measured, or subjectively reported • Nurse evaluates the outcomes as desirable or undesirable

  16. Evaluation • Not a unique philosophy • Influenced by a holistic approach • Global concepts expanded with physiological and psychological coping skills • Broad view that can be applied in many settings • Abstract view can be applied to the global setting

  17. Evaluation Practice situations? • Hospice Nursing • Home Health Care • Military Setting • Global Setting • Disaster situations (Earthquake, Tsunami)

  18. Case Study • Bonnie 62 y/o female admitted w/ COPD exacerbation sp02 88% on RA SOB and DOE present • Co morbidities: Emphysema, over 40 yrs. of tobacco abuse, GERD, anorexia • Married lives in 2 story home • Has Medicare • Difficulty performing household activities due to SOB, poor appetite w/ weight loss d/t SOB w/eating • Will require O2, duonebs q 4 hours, solumedrol, mucinex

  19. Scholarly Questions • Which stimulus group does the patient’s smoking history fit into? A. Focal stimuli B. Contextual stimuli C. Residual stimuli • Which mode does the patient’s frustration about the effects of her illness on her family relationships fit into? A. Physiologic-Physical Mode B. Self Concept-Group Identify Mode C. Role Function Mode D. Interdependence Mode

  20. References • Barone, S., Roy, C., Fredrickson C. (2008). Instruments Used in Roy Adaptation-Based Research. Nursing Science Quarterly. 2008, 21: 353 DOI 10.1177/0894318408323491. • Connell School of Nursing. (2011). Sr. Callista Roy, Ph. D., RN. FAAN. Retrieved from http://www.bc.edu/schools/son/faculty/featured/theorist.html on June 14, 2012. • Fredrickson, K. (2011). Callista Roy’s Adaptation Model. Nursing Science Quarterly. 24:301. DOI 10.1177/0894318411419215. • Images: Retrieved from: http://bing.com/images/search?q=images+Callista+Roy&form=IRRE on June 21, 2012.

  21. References • Jones & Bartlett Learning, LLC. (nd). Roy Adaptation Model: Sister Callista Roy. Chapter 10. Retrieved from: http://samples.jbpub.com/9781449626013/72376_CH10_Masters.pdf • Nurses.info.(2010). Callista Roy. Retrieved from: http://www.nurses .info/nursing-theory_person_roy_callista.htm on June 17, 2012. • Nursing Theory.(2011). Roys Adaptation Model. Retrieved from http://nursing –theory.org/theories-and-models/roy-adaptation-model.php on May 30, 2012.

  22. References • Nursing Theories.(2012). Biography of Sister Callista Roy. Retrieved from http://nursing theories.info/biography-of-sister-callista-roy/on June 17, 2012 • Roy, C. (1984). Introduction to nursing an adaptation model. (2 ed.). Englewood Cliffs, NJ: Prentice-Hall, Inc.

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