Professional Documents
Culture Documents
Preethi Unjakoti
Sister Callista Roy
3
Born in Los Angeles,
California, on October 14,
1939
Second child of Mr. and Mrs.
Fabien Roy
Family of seven boys and
seven girls
She was named after Saint
Callistus of the Roman
Catholic Calendar.
Mother was a licensed
vocational nurse
Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice.
Second Edition. Philadelphia, PA: F. A Davis Company
Education
4
Nursing.
Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice.
Second Edition. Philadelphia, PA: F. A Davis Company
Professional Experience
5
Roy, Sr. C., Zhan, L., & Parker, M. E., ( 2006). Nursing Theories & Nursing Practice.
Second Edition. Philadelphia, PA: F. A Davis Company
Personal and Professional Influences
6
Adaptation of children
Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
Metaparadigm: Environment
13
Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
Metaparadigm of Nursing
14
Andrews, H. A., & Roy, Sr. C., (1999). The Roy Adaptation Model. Stamford, CT: Simon & Schuster Company.
Sister Callista
Roy’s Adaptation
Model
and Application
Putting it all together
4
Roy’s Model Continued…
ADAPTATION
Four Adaptive Modes
1. Physiological- oxygenation, nutrition, elimination, activity, rest, and
protection
2. Assess Stimuli
3. Nursing Diagnosis
4. Goal Setting
5. Interventions
6. Evaluation
Person-open
system
Health
Examples of Roy’s Model in Practice
Cancer patients -Cook(1999), Gerrish (1989)
Amputations - Dawson (1998)
Occupational Health -Doyle & Rejacich (1991)
Pt’s with Anxiety- Fredrickson (1993)
Hospitalized Children- Galligan (1979), Starn & Niederhauser (1990)
Coronary Care Unit- Hamner (1989)
Adolescents with Asthma- Hennessy-Harstad (1999)
Adult Hemodialysis patients- Keen et al. (1998)
Home care- Lankester & Sheldon (1999), Schmitz (1980)
Abused Women- Limandri (1986)
Patients with Kawasaki disease- Nash (1987)
Adolescents with bulimia nervosa- Pilote (1998a,1998b)
Elderly in apartment complexes- Smith (1998)
Patients with alzheimer’s disease- Thornbury & King (1992)
* List obtained from Fitzpatrick and Wall (2005)
More recently...Suggested use in Community
Health Nursing
13
Physical-morbidity/mortality stats,
medical facilities, funding
Group identity-culture,morale
Interdependence-relationships of
community with outside
organizations, quality of
relationships within the
community
16
More recently...
Brooke Army Medical Center and U.S. Army Institute of Surgical Research-
Series of studies based on Roy’s Adaptation Model
Excellent guide for Quality of Life outcomes in patients with long term illness
Examples of Roy’s model in Education
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One of the most widely used models in the U. S. for
nursing education
Geriatric Nurse-Practitioner Program
University of Ottawa School of Nursing, Canada
Mount Saint Mary’s College, Los Angeles
Students deliver care based on Roy’s model
http://www.msmc.la.edu/undergraduate-bachelor-programs/nursing/bachelor-of-science.asp
A research study explains how one hospital implemented Roy’s model to develop :
• A Nursing Philosophy
• Mission Statements
• Standards of Practice
• Job Descriptions
Adequacy
Model developed from
belief based mainly on
pediatric clinical
observations
(Patton, 2004)
Evaluation of Model
Clarity
Adaptation
-How is it defined?
-Who defines it?
-How is it evaluated?
Health
-Non-specific definition
Clarity
Adaptive modes have unclear
boundaries
-Interrelated by perception
Some use of theoretical jargon
Good assessment
method
(Lewis, 1988; Patton, 2004)
Evaluation of Model
Adaptation
Complexity
Abstract and difficult to Coping Control
understand
Regulator Cognator Stabilizer
Concept of Person as an Innovator
adaptive system
Cognitive
Emotional
Cognator and regulator
subsystems Output processes
Central processes
Not easily operational for
research
Input
-stimuli create an extensive
list of potential variables
Completeness
Focus on the individual
-> More of a downstream approach
Smaller perspective
disability
Adaptation of significant
other
Farkas , 1981
Clinical Use of the Model for Cardiac Health