NR 501 Week 8 Course Reflection and Future Application
NR 501 Week 8 Course Reflection and Future Application
I will say that after discussion and familiarization with nursing theories, it was a great experience to know that I will be able to support my daily clinical practice form now and continue after completing the degree I am currently pursuing Family Nurse Practitioner. I believe that nursing is both a science and an art that allows us to see the uniqueness in individuals. All theories I have learnt are useful for guiding my intended nursing practice, but I will say that the one I prefer is Roy’s Adaptation Model (RAM) nursing theory. Nursing practice benefits from the application of this theory if we appreciate how practical this theory is, particularly in OB/GYN nursing practice. I have been working in this area for a few years and I certainly would like to continue in primary care empowering women with knowledge preventing health issues that may affect their health and quality of life. Healthcare is a very dynamic field and therefore it is crucial that all healthcare team and even patients are ready and able to adapt to all changes brought about by new technology and research when dealing with diseases and preventative health care.
According to Matarin Jimenez et al (2017) Roy recognized the individual as a composite and living adaptation system made of internal processes such as regulator and cognitive, which operates to maintain adaptive capability in the four modes of adaptation namely physiological, self-esteem, role function, and interdependence. Confronted with the stimuli from the environment, the individual comes up with responses that can be adaptive or not. In the environment there are focal stimuli, such as age, that influence to the effect of that focal stimuli, with unclear role on behaviors.
It is of paramount importance that current and proven scientific knowledge is provided to women, so they will be able to make informed decision and to adjust and change unhealthy to new and healthy behavior in order to promote and maintain their health. Some women need to change their mind set and apply the new information passed on to them in order to promote women’s health and change their way of thinking regarding pap smear and sexual habits. Patients also need to change their diet dramatically to be able to comply with the cervical cancer screening as they are recommended.
In my future role as a family nurse practitioner I intend to manage patient’s chronic conditions, but also women’s health issues and I envision continuing to use Roy’s Adaptation Model (RAM) nursing theory at a higher level and in a broader sense while caring for those patient under my clinical practice.
Roy’s adaptation theory is used to adapt to the new diet and lifestyles for this population to get the benefits of ketogenic diet. Strict self-discipline is needed to adapt to this diet. As a primary healthcare provider, appropriate education is needed to make patients know the rationale behind the strict diet, so that patients will be able to comply accordingly.
Primary care nurse practitioners also need to check the patients regularly, so the patients can adapt to ketogenic diet along with intermittent diet without having hypoglycemic complications. Patients who can adapt and incorporate the changes to their life can have meaningful and improved quality of life. Those who cannot adapt to the changes will face deteriorating health problems and it would endanger their lives. Roy’s adaptation theory is helpful for any patient to adapt to evidence-based practice that meet patient’s specific healthcare needs. Nurses and the healthcare providers can utilize this theory to help and educate patients for a smooth transition of adopting new life styles for better patient outcomes. The fundamental goal of nursing is to help a person adapt to their environment (Kaul & Mahal, 2013).
Roy identi-
fied the person as a complex and living adaptation system
composed of internal processes (regulator and cognitive),
which acts to maintain adaptive capacity in the four modes
of adaptation (physiological, self-esteem, role function and
interdependence). Faced with stimuli from the environment,
the person produces answers that can be adaptive or not. In
the environment there are focal stimuli, defined as the
external or internal situations that the person has to face;
contextual stimuli, such as age, that contribute to the effect
of focal stimuli and residual stimuli, with unclear role on
behaviours (Roy & Andrews 1999, Roy 2009).
The SAM has been used as a theoretical fra
Roy identi-
fied the person as a complex and living adaptation system
composed of internal processes (regulator and cognitive),
which acts to maintain adaptive capacity in the four modes
of adaptation (physiological, self-esteem, role function and
interdependence). Faced with stimuli from the environment,
the person produces answers that can be adaptive or not. In
the environment there are focal stimuli, defined as the
external or internal situations that the person has to face;
contextual stimuli, such as age, that contribute to the effect
of focal stimuli and residual stimuli, with unclear role on
behaviours (Roy & Andrews 1999, Roy 2009).
The SAM has been used as a theoretical fra
Reference
Kaur, H. and Mahal, R. (2013). Development of nursing assessment tool: An application of roy’s adaptation theory. International Journal of Nursing Education, 5(1), 60-64. doi:10.5958/j.0974- 9357.5.1.015. retrieved from https://search.proquest.com/openview/648c83f88ae76fa8cc16a2c4315d1030/1?pq-origsite=gscholar&cbl=2028904Links to an external site.
Matarín Jiménez,T. M,. Fernández-Sola, C., Hernández-Padilla, J. M., Correa Casado, M., Antiaquera Raynal, L. H., & Granadao-Molina, J. (2017). Perceptions about the sexuality of women with fibromyalgia syndrome: a phenomenological study. Journal of Advanced Nursing, 73(7), 1646-1656. DOI:10.1111/jan.13262. retrieved from http://onlinelibrary.wiley.com.chamberlainuniversity.idm.oclc.org/doi/10.1111/jan.13262/epdfLinks to an external site.
Roy’s adaptation model may be applied to assess patient’s holistic status and guide the patients to change accordingly. Whether we are caring for a patient suffering from one condition or more than one affliction, patients may need a great deal of adaptation in order to be able to manage all changes attached to the disease process they are suffering from, which may range from an acute pain to a body image disturbance. Roy’s theory is frequently mentioned and associated with Orem’s theory of self-care. Once patients are recognized as having self-care deficit, there is a need for adaptation to new changes in order to cope with this new health conditions or health problems. Occasionally, these two theories are combined and applied interchangeably. In applying both theories, there are some important factors that are necessary to mention. Establishing a healthy nurse-patient relationship and having care provider’s cooperation.
According to Kaur & Mahal (2013), Roy’s Adaptation Nursing theory defines persons as biopsychosocial beings who need to adjust to environmental stimuli. These environmental stimuli include Focal, Contextual and Residual Stimuli. The Focal stimuli are the inner and exterior influences that instantly challenge the person. The Contextual stimuli are identified as internal and external influences that act on person’s perception of focal stimulus. The contextual stimuli are all other stimuli that contributes directly to the individual or a group’s responses.
According to Punjani (2013) Roy’s theory model concentrates on the persons’ ability to adapt to the environment. Roy’s model, Adaptation describes the process and result whereby thinking and feeling persons as individuals or in groups, use conscious and choice to generate human and environmental integration. Also, Roy’s theory outlines that nurses should work and make changes to the environment rather than the patient. Also, that is nurse’s obligation to enhance the interaction of the person with their environment, there by enhance adaptation
According to Punjani (2013) Roy views a person as “an adaptive specimen that reacts to internal and external stimuli within their environments. Also, a person is classified as a bio-psycho-social being who is repeatedly interacting with environmental variations and in order to survive the individual must therefore continuously adapt to the environmental changes. The person employs different inborn and developed methods that are instinctive such as psychological, biological, and social in order to manage environmental variations.
Yes, the Roy’s theory will assist me, in assessing successful adaptation of those patients I will be providing care in the future as family nurse practitioner. Therefore, the use of the nursing process as support along with the application of Roy’s nursing theory will assist through continuous assessment, setting achievable goals, implementation of a nursing plan of action in order to accomplish all set goals. Continuous evaluation will expose any ineffective response to personal adaptation by any individual under my care, which will allow me to put in place all necessary nursing interventions to address these adaptation issues.
I would like to take this opportunity Dr. Talley to show my appreciation for your guidance, teaching and encouragement to this group and to me in our journey towards our professional formation as master’s prepared nurses. All theories I have learnt will provide me a solid foundation in becoming a competent nurse practitioner in the future.
Reference
Kaur, H., & Mahal, R. (2013). Development of Nursing Assessment Tool: An Application of Roy’s Adaptation Theory. International Journal of Nursing Education, 5(1), 60-64. DOI Number: 10.5958/j.0974-9357.5.1.015. retrieved form http://eds.b.ebscohost.com.chamberlainuniversity.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=2&sid=8f92f75b-56f9-4bd3-90e3-edd74115cfab%40sessionmgr120Links to an external site.
Punjani, N. S. (2013). Comparison and Contrast of Orem’s Self Care Theory and Roy’s Adaptation Model. Journal on Nursing, 3 (1), 1-5. Retrieved from http://eds.a.ebscohost.com.chamberlainuniversity.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=4&sid=b59be25c-ee1e-4111-aaf7-fc0bc992717f%40sessionmgr4006Links to an external site.
