adaptation model

adaptation model

 
a conceptual model of nursing, formulated by Sister Callista roy, concerned with problems of adaptation to the changing environment. The person is an adaptive system that includes regulator and cognator coping mechanisms. The individual or group that has actual or potential adaptation problems is the recipient of care. The environment is all the internal and external stimuli that affect an individual or group. Environmental stimuli include the conditions, circumstances, and influences that surround and affect the development and behavior of an individual or group. Health is a state of being and a process of becoming an integrated and whole person. Adaptive behavior in four modes (physiological, self-concept, role function, and interdependence) is termed wellness; illness is ineffective adaptation in one or more of these modes. Nursing is a theoretical system of knowledge that prescribes a systematic process related to the care of the ill or potentially ill person.

The goal of nursing is to promote patient adaptation in all four adaptive modes during wellness and illness. The nursing process component of the adaptation model involves six steps. In step one, assessment of behaviors, data regarding the client's physiological, self-concept, role function, and interdependence behaviors are collected. Once the data have been collected, the nurse must judge whether the behaviors are adaptive or ineffective. Thus the primary question is: To what extent is the person adapting to environmental stimuli? In step two, assessment of influencing factors, priorities are set for further assessment and identification of the environmental stimuli that influence the client's behavior and so contribute to the adaptive or ineffective responses. Step three, nursing diagnosis, involves a behavioral description of the client's adaptive or ineffective responses and identification of the most relevant influencing factors, as well as establishment of a hierarchy of importance for the nursing diagnoses. In step four, goal setting, the goals for nursing care are formulated. These goals are stated as behaviors expected as the outcome of nursing intervention. Step five, intervention, involves management of environmental stimuli, which takes the form of an increase, decrease, modification, maintenance, or removal of internal or external stimuli. The intervention with the highest probability of reaching the desired goal is selected. In step six, evaluation, the effectiveness of the nursing intervention is judged. The criterion for effectiveness is whether the desired behavioral goal was attained. The outcome of this step is updating of the nursing care plan.

adaptation model

(in nursing) a conceptual framework that focuses on the patient as an adaptive system, one in which nursing intervention is required when a deficit develops in the patient's ability to cope with the internal and external demands of the environment. These demands are classified into four groups: physiological needs, the need for a positive self-concept, the need to perform social roles, and the need to balance dependence and independence. The nurse assesses the patient's maladaptive response and identifies the kind of demand that is causing the problem. Nursing care is planned to promote adaptive responses for coping successfully with the current stress on the patient's well-being. This model, first proposed by Sister Callista Roy, is frequently used as a conceptual framework for programs of nursing education.

Adaptation Model

A conceptual model of nursing developed by nursing theorist Sister Callista Roy that is based on the individual's adaptation to environmental stimuli. In this model, the goal of nursing is to promote adaptive physiological/physical, self-concept/group identity, role function, and interdependence responses.
References in periodicals archive ?
Bright Hub, meanwhile, spotlighted the holistic Roy Adaptation Model used in the Mount's nursing program, which was pioneered by alum and former nursing chair Sister Callista Roy, CSJ, '63, and is widely used around the world.
They explain how studies based on her Roy adaptation model provide the research findings in multiple clinical areas to generate middle range theory and provide evidence for practice, describing how these processes are used with 172 qualitative and quantitative studies, and the middle range theories derived from studies grouped by specific areas (coping and adapting to life events, loss, chronic health conditions, and families), each following the six-step process and detailing how the middle range theory can affect practice.
An anisotropic internal-external bone adaptation model based on a combination of CAO and continuum damage mechanics technologies.
Keywords: biopsychosocial adaptation, coping, hardiness, Roy Adaptation Model, spinal cord injury
possible avenues for designing a polycentric adaptation model and point
The author seems to dismiss the behaviours and ideas that don't fit into this adaptation model, and I wonder if this is because they are not all that important or because they simply don't fit the argument.
generalized adaptation model for generic adaptive hypermedia authoring [8]).
Since adaptation depends on the discovery and deployment of new technologies and efficiencies, failure of the adaptation model could result in a need for military protection of access to oil supplies.
1 We present the external adaptation model in two parts.
I was a neophyte faculty member then, and I remember spending an entire day in the old Sheraton Hotel ballroom in New York City, exploring how to use the Roy Adaptation Model and meticulously outlining the essential components needed to write a valid nursing philosophy.
They describe the differences among theory, frames of reference and models and then turn to a collection of approaches, including sensory integration and neuro-developmental treatment as frames of reference, the person-environment-occupation model, applications of the model of human occupation to children and family interventions, applications of the occupational adaptation model to the same population, the ecology of the human performance model, and using occupation by design to synthesize across multiple models for services to children and families.
To specify the adaptation itself in a reusable way the adaptation model has to be separated from the domain one and in educational settings enhanced by a pedagogical model (more generally it might be an activity or scenario model).

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