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.
Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

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.
Medical Dictionary, © 2009 Farlex and Partners
References in periodicals archive ?
(2006) in their team adaptation model, which is further explained in Zajac, Gregory, Bedwell, Kramer, and Salas's (2014) conceptual work on the cognitive underpinning of team adaptation.
MP Asylbek Kadyraliyev said: "Without studying other countries, proposing an adaptation model for improving ecology is wrong.
Specifically, this study outlines three principles of Yin-Yang paradigm illustrated with the adaptation model developed on the basis of the classical Chinese rhetorical texts on interpersonal persuasion.
Florio, "Development of a widely applicable gradientless shape optimization based bone adaptation model for comparative parametric studies," Structural and Multidisciplinary Optimization, vol.
The authors use the Soldier Adaptation Model as a framework to posit a soldier's resilience is determined by related processes of appraisal and coping responses to potentially demanding events that influence the outcomes experienced by soldiers.
Specifically, there was an emphasis on Orem, as concept of self-care was appealing not only to educators but to clinicians as did Roy and the Roy Adaptation Model. Rogers and Parse were also popular as they focused on nursing, environment, relationships, and true presence.
Determination of functional criteria and development of adaptation model
Like the Mental Health Advisory Team reports that informed the creation of the UBHNA, (5,6) this study uses a conceptual framework that is based on the Soldier Adaptation Model (SAM).

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