EVOLUTION OF THEORY
THEORY OF CARING
HUMAN BEING
HEALTH
ENVIRONMENT
EVALUATION OF THEORY
CRITIQUE :
EVOLUTION OF THEORY
Roys Adaptation Model for Nursing was derived in 1946 from Harry
Helsons Adaptation Theory, adaptive responses are a functin of the
incoming stimulus and the adaptive level.
System
Adaptation Level
Adaptation Problems
Focal Stimulus
Residual Stimuli
Cognator
Adaptive Modes
PHYLOSOPHICAL ASSUMPTIONS
Assessment of stimuli
Nursing Diagnosis
Planning
Goals are the end point behaviours that the person is to achieve.
The are recorded ad client behaviours indicative of resolution of the
adaptation problem. The goal statement includes the behaviour, the
change expected, and a time frame. Long term goals reflet
resolution of adaptive problems and the availability of energy to
meet other goals ,growth , reproduction and short term goal identify
expected client behaviours that indicate cognator or regulator
coping.
Implementation
Evaluation
CRITIQUE :
CONCLUSION :
Meleis asserts that there are three types of nursing theorists; those
who focuses who focuses on out come . Roys Adaptation Modle is
classified as an outcome theory , defined by this author as a well
articulated conception of men as a nursing client and of nursing
as an regulatory mechanism. Roy, in applying the concepts of
system and adaptation to man as a client of nursing , has
presented her articulation of man for nurses to use as a tool in
practice, education ,and research.
BIBLIOGRAPHY :
Betty neuman was born in 1924 on a farm near Lowell, Ohio. Her
father and Mother ahomemaker. She developed a love the land
while growing up in rural Ohio, and this rural background
developed her compassion for people in need. Neumans initial
nursing education was completed with double honors at People
Hospital School of Nursing ( now General Hospital ). In California
she held various positions, including Hospital staff and head
nursing , school nursing and industrial nursing. She was also
involved in clinical teaching in what is now the USC Medical
Center,Los Angeles, in the area of Medical Surgical , Communicable
disease, and critical care.
PREVENTION
According to Neumans model, prevention is the primary
nursing intervention. Prevention focuses on keeping stressors
and the stress response from having a detrimental effect on
the body.
PRIMARY PREVENTION
SECONDARY PREVENTION
TERTIARY PREVENTION
PERSON
ENVIRONMENT
HEALTH
NURSING
Neuman sees nursing as a unique profession that is concerned
with all of the variables which influence the response a person
might have to a stressor.
The person is seen as a whole, and it is the task of nursing to
address the whole person.
Neuman defines nursing as action which assist individuals,
families and groups to maintain a maximum level of wellness,
and the primary aim is stability of the patient/client system,
through nursing interventions to reduce stressors.
Neuman states that, because the nurses perception will
influence the care given, then not only must the
patient/clients perception be assessed, but so must those of
the caregiver (nurse).
The role of the nurse is seen in terms of degree of reaction to
stressors, and the use of primary, secondary and tertiary
interventions
NURSING DIAGNOSIS
NURSING GOALS
NURSING OUTCOMES
ASSESSMENT
NURSING DIAGNOSIS
GOAL
PLANNING
Planning is focused on strengthening the lines of defense and
resistance.
IMPLEMENTATION
EVALUATION
PRACTICE
EDUCATION
RESEARCH
CRITIQUES :
1. CLARITY : neumans presents abstract concepts that are
familiar to nursing . the model s concepts of client,
environment , health, and nursing are congruent with
traditional values.
2. SIMPLICITY : Multiple interactions and interrelationships
comprise this broad systems based model ;they are
organized in a complex yet logical manner, and variables tends
to overlap to some degree. The concepts coalesce , but a loss of
theoretical meaning would occurs if they were completely
separated. The model can be used to delineate further the
system concept for nursing and also to describe various other
health care system.
3. GENERALITY : The Neumans system model has been used in
a wide variety of nursing situation; it isreadily adaptable and
comprehensive enough to be useful in all health care setting,
including administration and research .other related health
fields can use this framework because of its systemic nature
and its emphasis on the client system as a whole .
4. EMPIRICAL PRECISION : Although the model has not been
completely tested to date, nursing scientists are demonstrating
major interest in and use of the model to guide nursing
research . early work by Hoffman described a list of variables
and selected operational definition that were derived from the
model.
5. DERIVABLE CONSEQUENCES : Neumans conceptual model
provide the professional nurse with important guidelines for
assessment of the client system , utilization of the nursing
process , and implementation of preventive intervention . the
focus on the primary prevention and interdisplinary care
facilities improved quality of care and is futuristic.