Presented by:

DARCA, CHELSEA MARIE M.

DIMAPASOC, JANDREW
Sister Callista Roy
Born October 14, 1939

Bachelors Degree in
Nursing 1963

Masters Degree in Nursing

1966

Masters Degree in
Sociology 1973

Doctorate in Sociology 1977

Origin of Roys Adaptation
Model
Harry Helsons Adaptation Theory

Roy incorporated Helsons theory with

Rapoport's definition of system.

1500 scholars and students contributed

 Theoretical Concepts
Four Adaptive Modes
o Physiological
o Self-Concept
o Role Function
o Interdependence

Stimuli
o Focal
o Contextual
o Residual
 Theoretical Concepts
Four Adaptive Modes

Physiological-Physical Mode
o Oxygenation
o Nutrition
o Elimination
o Activity and Rest
o Protection
Theoretical Concepts
Four Adaptive Modes

Self-Concept Mode
* Physical Self * Personal Self
Body sensation Self-consistency
Body image Self-ideal
Moral-Ethical-Spiritual
Theoretical Concepts
Four Adaptive Modes

Role Function
knowing who one
is in relation to others
 Theoretical Concepts
Four Adaptive Modes

Interdependence

~ RELATIONSHIPS ~

Love Nurturing

Knowledge Respect
Time
Value
Skills
Commitments
Theoretical Concepts
Types of Stimuli
Focal
Residual
Contextual Stimuli
Contextual
Residual stimuli

Focal
stimuli
Contextual
Residual stimuli
Stimuli

Residual
Stimuli
Information and Concepts
HUMAN BEING

As an adaptive system, the human

system is described as a whole with
parts that function as unity for some
purpose. Human systems included
people as individuals or in groups,
including families, organizations,
communities, and society as a whole.
People adapt to their environment and
this change affects the environment.
Information and Concepts
ENVIRONMENT
All the conditions, circumstances, and influences
surrounding and affecting the development and behavior
of persons or groups, with particular consideration of the
mutuality of person and earth resources that includes
focal, contextual, and residual stimuli.
Information and Concepts
HEALTH

A state and process of being and

becoming integrated as a whole person.
It is a reflection of adaptation, that is,
the interaction of the person and the
environment.
Roys model indicates that health and
illness can coexist. A person can be
physically ill, but if they are adapting
positively in another adaptation mode,
they are also healthy.
Information and Concepts
HEALTH
Two subsystems process environmental input, or
stimuli, and function as primary coping mechanisms.
Regulator coping mechanism responds
automatically through neural, chemical, and
endocrine processes
Cognator coping mechanism responds
through four cognitive-emotive channels:
perceptual information processing
Learning
Judgement
Emotion
These coping mechanisms respond based on an
adaptive mode. The regulator coping subsystem
responds through the physiological adaptation
mode. The cognator coping subsystem responds
through either the self-concept, interdependence,
or role function adaptation modes.
The following slides describe the adaptation
modes.
Information and Concepts
NURSING

Nursing isThe science and practice that expands

adaptive abilities and enhances person and environmental
transformation.
Nurses are to be aware of the adaptive behaviors of the
person as well as the environmental stimuli that influence
the behavior.
Nurses plan interventions based on the stimuli and help the
person positively adapt to the stimuli.
Nurses use the following process
Assessment of behavior
Assessment of stimuli
Nursing diagnosis
Goal setting
Intervention
Evaluation
 Roy employs six steps in the Nursing Process

A problem solving approach for gathering data, identifying the capacities and
needs of the human adaptive system, selecting and implementing
approaches for nursing care, and evaluation the outcome care provided.

Step 1: Assessment of Behavior: Behavior of the person as an adaptive

system in each adaptive models.
Non- Observable Behavior: Feelings experienced by the
person (anxiety).

Observable Behavior: Vital signs ( Temperature, Pulse rate,

Respiratory rate, Blood pressure.
Step 2: Assessment of Stimuli
-A stimulus is defined as any change in the internal and
external environment that induces a response in the adaptive system.

Step 3: Nursing Diagnosis

- Formulation of statements that interpret data about the
adaptation status of the person, including the behaviour and most relevant
stimuli

Step 4: Goal Setting

- Establishment of clear statements of the behavioral
outcomes for nursing care which is realistic and attainable.

Step 5: Determination of how bet to assist

- The person in attaining the established goals.
Step 6: Evaluation
- Judging the effective of the nursing intervention in relation to the
behaviour after it was performed in comparison with the goal established
Application to Nursing Practice

Nursing Process
1. Assess Behavior
2. Assess Stimuli
3. Nursing Diagnosis
4. Goal Setting
5. Interventions
6. Evaluation
Critique of Theory
Clarity
Simplicity- Is considered complex in
terms of structure because it is
compose of several major concept
Critique of Theory
Simplicity
Critique of Theory
Generality
Generality- Is described as broad
scope which is considered an
advantage because it can be used
for theory building and testing
Critique of Theory
Empirical Precision
Testable
Research
Qualitativestudies
Quantitative studies
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Education
Practice

Theory development

http://www.bon.texas.gov/practice/
Critique of Theory
Derivable Consequences
Derivable Consequences- The RAM
has clearly identified the nursing
process which is an important tool
in nursing practice. It provide
direction in providing holistic care
for a client.
 Acceptance by the Nursing
Community
Practice- it outline the features of
the discipline and provides
directions for practice education and
research
 Education- can serve as basis for
student nurses who render care for
clients to promote adaptation with
regard to their adaptive with
regard to their adaptive models
 Research- Culminated a number of
propositions in which in return
generated specific hypothesis that
can be developed and tested