The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice.
Module 5: Roy Adaption Model Lynessa Somuah
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Introduction
The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice. In addition, it helps patient care to be systematic, purposeful, controlled and effective. (Philips et al. 2014)
According to Chen, one of the commonly used models in nursing is Roy Adaptation Model (Chen et al. 2017).
According to Roy adaptation model, the aim of nursing is to increase compliance and life expectancy. (DeSanto-Madeya et al. 2016).
Roy Adaptation Model evaluates the patient in physiologic mode, self-concept mode, role function mode and interdependence mode aiming to provide holistic care. (DeSanto-Madeya et al. 2016).
Patient data was evaluated in the four modes of Roy adaptation model (physiologic, self-concept, role function, and interdependence modes) and the nursing process was applied.
The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice. In addition, it helps patient care to be systematic, purposeful, controlled and effective.
One of the commonly used models in nursing is Roy Adaptation Model. According to Roy adaptation model, the aim of nursing is to increase compliance and life expectancy. Roy Adaptation Model evaluates the patient in physiologic mode, self-concept mode, role function mode and interdependence mode aiming to provide holistic care. Patient data was evaluated in the four modes of Roy adaptation model (physiologic, self-concept, role function, and interdependence modes) and the nursing process was applied.
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Use of the Roy adaptation model
Nurses’ providing holistic care in the care of the injured is very important.
According to Alimohammadi, nurses can achieve in providing holistic care only with the use of nursing models (Alimohammadi et al. 2015).
By using these models, nursing activities shift away from being service-centered to serving in a patient-focused manner. (Alimohammadi et al. 2015).
In addition, basic concepts and relationships between concepts are determined, problems are identified and solutions can be developed. In this way, nurses focus on the role of nursing and its applications rather than medical practice. (Alimohammadi et al. 2015).
Models not only ensure purposeful, systematic, controlled and effective patient care but also create a common language.
Nurses’ providing holistic care in the care of the injured is very important. Nurses can achieve in providing holistic care only with the use of nursing models. By using these models, nursing activities shift away from being service-centered to serving in a patient-focused manner. In addition, basic concepts and relationships between concepts are determined, problems are identified and solutions can be developed. In this way, nurses focus on the role of nursing and its applications rather than medical practice. Models not only ensure purposeful, systematic, controlled and effective patient care but also create a common language.
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Continuation
In addition, by helping nurses to organize daily care it creates the opportunity to give high quality care with less labor. Despite the increase in the interest in models, use of these models in nursing practice is not common. (Chen et al. 2017).
According to Chen, the most important reasons for this is not emphasizing models as part of basic nursing education and most models having a complex structure including abstract concepts (Chen et al. 2017).
For this reason, understanding and applying models by clinical nurses can be time-consuming.
One of the widely used models in nursing is Roy Adaptation Model (RAM).
RAM has been contributing to nursing practice, research, education and management and has been providing model-based information for the last 35 years. (Medeiros, 2015)
In addition, by helping nurses to organize daily care it creates the opportunity to give high quality care with less labor. Despite the increase in the interest in models, use of these models in nursing practice is not common. The most important reasons for this is not emphasizing models as part of basic nursing education and most models having a complex structure including abstract concepts. For this reason, understanding and applying models by clinical nurses can be time-consuming. One of the widely used models in nursing is Roy Adaptation Model (RAM). RAM has been contributing to nursing practice, research, education and management and has been providing model-based information for the last 35 years.
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Influence of Roy’s theory in guiding the nurse’s actions in promoting sgt. Johns adjusted self-concept
According to DeSanto-Madeya there are four modes of adaptation defined in Roy Adaptation Model are physiologic, self-concept, role function and interdependence modes (DeSanto-Madeya et al. 2016).
Nurses help to meet the needs of individuals in these modes of adaptation.
The physiologic mode is associated with the physical answers of the person, given to stimuli from the environment. It includes the physical and chemical processes within an individual’s life and activities. (DeSanto-Madeya et al. 2016).
The role function mode covers the individual’s role in society for social integrity. The roles described herein are divided in three: Primary roles; the role of gender (female, male), secondary roles; different roles (mother, father, teacher, etc.), and tertiary roles (president of an association,
The four modes of adaptation defined in Roy Adaptation Model are physiologic, self-concept, role function and interdependence modes. Nurses help to meet the needs of individuals in these modes of adaptation. The physiologic mode is associated with the physical answers of the person, given to stimuli from the environment. It includes the physical and chemical processes within an individual’s life and activities.
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Self-concept Mode
The self-concept mode is defined as the individual’s mixture of beliefs and feelings about himself or others at a certain time.
The self-concept mode consists of the physical self and personal identity ((Phillips et al. 2014).
Physical self contains body image and body sense. Personal identity is formed by their thoughts, moral-ethics and spirituality. (Phillips et al. 2014).
The classification of the individual’s positive self-concept mode adaptation indicators includes;
Positive body image, effective sexual function
Spiritual integrity in physical growth
Sufficient compensation for body changes
Sufficient coping methods in loss
(Phillips et al. 2014).
The self-concept mode is defined as the individual’s mixture of beliefs and feelings about himself or others at a certain time. The self-concept mode consists of the physical self and personal identity. Physical self contains body image and body sense. Personal identity is formed by their thoughts, moral-ethics and spirituality.
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Continuation
Efficient period in end-of-life
Sufficient integration of own ideas
Balanced consistency
Efficient period in moral-ethic and spiritual development (Chenu et al. 2017)
Functional self respect
Efficient coping methods in threat against oneself
Efficient period in end-of-life
Sufficient integration of own ideas
Balanced consistency
Efficient period in moral-ethic and spiritual development
Functional self respect
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The importance for the nurse to listen to Sgt. Johns’ “story” in his own words
Modern medicine’s healing potential depends on a resource that is being systematically depleted: the time and capacity to truly listen to patients. trust (Phillips et al. 2014).
Some health professionals claim that workload and other factors have compressed medical encounters to a point that genuine conversation with patients is no longer possible or practical. trust (Phillips et al. 2014).
According to Philips, actively listening to patients conveys respect for their self-knowledge and builds trust. It allows physicians to assume the role of the trusted intermediary. It is only through shared knowledge that physicians and patients can co-create an authentic, viable care plan. trust (Phillips et al. 2014).
Modern medicine’s healing potential depends on a resource that is being systematically depleted: the time and capacity to truly listen to patients. Some health professionals claim that workload and other factors have compressed medical encounters to a point that genuine conversation with patients is no longer possible or practical. We disagree. Actively listening to patients conveys respect for their self-knowledge and builds trust. It allows physicians to assume the role of the trusted intermediary. It is only through shared knowledge that physicians and patients can co-create an authentic, viable care plan.
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Continuation
It is important for the nurse to listen to Stg. John’s story so as to have complete information on his current conditions.
Information directly from a patient is usually not biased because others might exaggerate the information due to sympathy with the patient (Alimohammadi et al. 2015).
When getting information from others clinicians, this may mistakenly provide ineffective or undesired treatment, or miss pertinent information. All of this serves to diminish the joy of serving patients, thereby contributing to high rates of physician burnout. These consequences have clear human and financial costs. (Alimohammadi et al. 2015).
It is important for the nurse to listen to Stg. John’s story so as to have complete information on his current conditions. Information directly from a patient is usually not biased because others might exaggerate the information due to sympathy with the patient. When getting information from others clinicians may mistakenly provide ineffective or undesired treatment, or miss pertinent information. of this serves to diminish the joy of serving patients, thereby contributing to high rates of physician burnout. These consequences have clear human and financial costs.
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Stressors based on Neuman System’s Model
The Neuman Systems Model looks at the impact of stressors on health and addresses stress and the reduction of stress.
According to Medeiros, the stressors that affect the system are capable of producing a positive or negative effect and can constitute any environmental force that can affect the system (Medeiros et al. 2015).
Thus a stressor is any environmental force which can potentially affect the stability of the system. A person’s response to these stressors depends on the strength of the lines of defense. Stressors includes: Intrapersonal which occur within a person for example the person’s emotions and feelings. Interpersonal occur between individuals for example role expectations. Extra personal occur outside the individual for example the person’s job or financial pressures. (Medeiros et al. 2015).
The Neuman Systems Model looks at the impact of stressors on health and addresses stress and the reduction of stress.
The stressors that affect the system are capable of producing a positive or negative effect and can constitute any environmental force that can affect the system. Thus a stressor is any environmental force which can potentially affect the stability of the system.
A person’s response to these stressors depends on the strength of the lines of defense.
Stressors includes: Intrapersonal which occur within a person for example the person’s emotions and feelings.
Interpersonal occur between individuals for example role expectations.
Extrapersonal occur outside the individual for example the person’s job or financial pressures.
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A plan of care based on Neumann systems model for Sgt. Johns.
NSM practitioners believe clients possess several layers.
According to NSM theory, these layers each have five dimensions .
According to Medeiros, the physiological client dimension encompasses body chemistry state, and the client’s psychological dimension involves their mental health (Medeiros et al. 2015).
The socio-cultural dimension concerns clients’ relationships and cultural belief systems.
NSM practitioners also consider clients’ spiritual beliefs.
The fifth NSM dimension takes into account clients’ development throughout their lifespan.
NSM practitioners believe clients possess several layers. According to NSM theory, these layers each have five dimensions. The physiological client dimension encompasses body chemistry state, and the client’s psychological dimension involves their mental health. The socio-cultural dimension concerns clients’ relationships and cultural belief systems. NSM practitioners also consider clients’ spiritual beliefs. The fifth NSM dimension takes into account clients’ development throughout their lifespan.
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Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.
Karen Grueninger (KG) – Information that is not your own personal thought or knowledge must be cited.
References
Alimohammadi, N., Maleki, B., Shahriari, M., & Chitsaz, A. (2015). Effect of a care plan based on Roy adaptation model biological dimension on stroke patients’ physiologic adaptation level. Iranian journal of nursing and midwifery research, 20(2), 275.
Chen, P., Dai, F., Zhang, N., & Wang, L. (2017). Application status and enlightenment of the Roy adaptation model in nursing care of patients with cancer. Chinese Journal of Practical Nursing, 33(1), 73-76.
Chenu, K., Porter, J. R., Martre, P., Basso, B., Chapman, S. C., Ewert, F., … & Asseng, S. (2017). Contribution of crop models to adaptation in wheat. Trends in plant science, 22(6), 472-490.
DeSanto-Madeya, S., & Fawcett, J. (2016). Healing and transcendence: A Roy adaptation model-guided comparison. Nursing science quarterly, 29(3), 219-226.
Medeiros, L. P. D., Souza, M. B. D. C., Sena, J. F. D., Melo, M. D. M., Costa, J. W. S., & Costa, I. K. F. (2015). Roy Adaptation Model: integrative review of studies conducted in the light of the theory. Northeast Network Nursing Journal, 16(1).
Phillips, K. D., & Harris, R. (2014). Roy’s adaptation model in nursing practice. MR Alligood (Ed) Nursing Theory Utilization and Application, 263-284.
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