Sister Callista Roy. Learning Objectives. After completing this chapter the student should be able to. 1. Describe the concepts of the Roy adaptation model as. Roy Adaptation Model. Assumptions. • The person is a bio-psycho-social being. The person is in constant interaction with a changing. PubMed Journal articles for CALLISTA ROY’S ADAPTATION MODEL were found in PRIME PubMed. Download Prime PubMed App to iPhone or iPad.

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The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice.

In addition, it helps patient care to be systematic, purposeful, controlled and effective. One of the commonly used models in nursing is Roy Adaptation Model.

According to Roy adaptation model, the aim of nursing is to increase compliance and life expectancy.

Roy Adaptation Model evaluates the patient in physiologic mode, self-concept mode, role function mode and interdependence mode aiming to provide holistic care.

This article describes the use of Roy Adaptation Model in the care of a patient who has been diagnosed with breast cancer and had breast-conserving surgery. Patient data was evaluated in the four modes of Roy adaptation model physiologic, self-concept, role function, and interdependence modes and the nursing process was applied. Breast cancer is a malignant tumor that originates from breast cells. Breast cancer is the most common type of cancer in American women, except skin cancer.

According to the most recent data from the United States, According to data from the Ministry of Health in Turkey, breast cancer ranks top among women with an incidence of Nurses can achieve in providing holistic care only with the use of nursing models. By using these models, nursing activities shift away from being service-centered to serving in a patient-focused manner 3.

In addition, basic concepts and relationships between concepts are determined, problems are identified and solutions can be developed 4. In this way, nurses focus on the role of nursing and its applications rather than medical practice 5.

Models not only ensure purposeful, systematic, controlled and effective patient care but also create a common language.

In addition, by helping nurses to organize daily care it creates the opportunity to give high quality care with less labor 6. Despite the increase in the interest in models, use of these models in nursing practice is not common.

Adaptation model of nursing

The most important reasons for this is not emphasizing models as part of basic nursing education and most models having a complex structure including abstract concepts. For this reason, understanding and applying models by clinical nurses can be time-consuming 7. RAM has been contributing to nursing practice, research, education and management and has been providing model-based information for the last 35 years 8.

In our country, the use of models in nursing practice and research has gained importance in the recent years 679 — This article aims to explain application of RAM in care of a patient who has been diagnosed with breast cancer and had undergone breast-conserving surgery.

Determination of nursing diagnoses and applications according to RAM forms the basis of this article. The Roy Adaptation Model is a model widely used in the identification of conceptual foundation of nursing. The development of the model began in the late s 3. Nurses from the United States and countries all around the world aim to emphasize and explain RAM as well as expanding its concepts 3.


Roy defined nursing as a scientific and humanistic profession, and emphasized the importance of their specialized knowledge in contributing health needs and well-being of the community 3 According to RAM, the purpose of nursing is to increase compliance and life expectancy. The metaparadigm concepts of Roy Adaptation Model are person, environment, health and nursing 4. The Roy Adaptation Model sees the person as a biopsychosocial being in continuous interaction with a changing environment.

The environment includes focal, contextual and residual stimuli. The individual immediately resists these internal and external stimuli. Nurses aim to manage the focal stimulus first, and then the contextual stimuli 34 The contextual stimuli are those other stimuli that contribute to the focal stimuli and affect the current situation 3. The residual stimuli are closed factors affecting the current situation.

These are beliefs, behaviors and personal experiences. They originate from the past and affect the response to treatment 3 Health is an anticipated dimension of human life and represents a health-disease continuum 3. Roy defined health as the process of being and becoming an integrated and complete person According to RAM, the purpose of nursing is to ensure adaptation. Increasing adaptation during health and disease improves the interaction between the environment and human systems and thus improves health.

Therefore, it contributes to health, quality of life and end of life care 3. RAM also expressed specific activities distinguishing nursing from other disciplines as the nursing process. Roy proposed a problem solving approach in this process and explained this approach in five stages.

Assessment of behavior and stimuli, 2. The Roy Adaptation Model defined the innate and acquired coping processes as two sub-systems 3. The regulator subsystem consists of neuro-chemical and endocrine response. Internal and external stimuli include social, physical and psychological factors. The cognator subsystem is related more to attention, memory, learning, problem solving, decision-making, excitement, and defense status 3 The four modes of adaptation defined in Roy Adaptation Model are physiologic, self-concept, role function and interdependence modes.

Nurses help to meet the needs of individuals in these modes of adaptation 3 The physiologic mode is associated with the physical answers of the person, given to stimuli from the environment Physiologic mode requirements are based on physiologic integrity. This mode consists of nine basic physiologic requirements: Physiological integrity is an essential requirement for physiologic mode 3.

Roy Adaptation Model

The roy adaptation model. The self-concept mode consists of the physical self and personal identity. Physical self contains body image and body sense. Personal identity is formed by their adapptation, moral-ethics and spirituality 3. The roles described herein are divided in three: The basic requirement for role function mode is defined as social integrity Callist function mode callists to both individuals and groups at all levels. It includes designated and informal roles The behavior and mutual relations of individuals and groups are explained by interdependence in RAM.

The interdependence mode includes relationships with others that are meaningful to the person, and support systems. For the individual, this mode focuses on interactions related thekry love, respect, giving and receiving value. The basic requirement of this area is the creation of a sense of confidence by relationship integrity and improvement of relationships 3 Proficiency in relationships forms the basis of group requirements.


The components of interdependence mode for groups are the situation, infrastructure and the capability of members. The external context includes economic, social, political adaptatuon cultural factors, while the internal context includes the mission, aim, vision, value, belief and goals of the group. For each group, the infrastructure involves both official and unofficial processes, operations and system interactions.

Their capability includes cognitive coping skills, knowledge, skill, behavior and responsibilities. The processes that underlie this area are competence in relationships, development and resource The patient had undergone breast conserving surgery BCS 45 days ago and was interviewed in the first course of her chemotherapy treatment. A verbal informed consent was obtained from the patient before the interview. Patient demographic and clinical data are given in Figure 1.

Patient data related to physiologic mode of RAM and nursing interventions are depicted in Figure 2. Patient data related to self-concept mode of RAM and nursing interventions are depicted in Adaptatuon 3.

Patient data related to role function mode of RAM and nursing interventions thelry depicted in Figure 4. Patient data related to interdependence mode of RAM and nursing interventions are depicted in Figure 5.

In eoy article, nursing interventions including holistic care according to the Roy Adaptation Model were described, with a patient who had undergone breast conserving surgery.

Being diagnosed with and undergoing treatment for cancer may lead to bio-psycho-social problems. It is expected that the development of interventions specific to the individual by nurses, will yield positive results in the adaptation of patients who are trying to cope with these problems.

By this means, the patients will be adapted thepry their new life and their quality of life will improve. The utilization of theories will facilitate the situation and will provide a means for the nurses to focus on their profession of vallista, and develop a holistic care in biopsychosocial approach to the patients they are taking care of.

For that reason, it is essential that the use of theories in nursing care, should be encouraged and their implementation into practice should be enhanced. No conflict of interest was declared by the authors. Informed consent callsita taken from the patients. The authors declared that this study has received no financial support. National Center for Biotechnology InformationU.

Roy Adaptation Model – Nursing Theory

Journal List J Breast Health v. Published online Jul 1. Author information Article notes Copyright and License information Disclaimer. Received Oct 11; Accepted May Abstract The use of models in nursing provides nurses to focus on the role of nursing and its applications rather than medical practice. Breast cancer, nursing, Roy Adaptation Model. Introduction Breast cancer is a malignant tumor that originates from breast cells.

Roy Adaptation Model The Roy Adaptation Model is a model widely used in the identification of conceptual foundation of nursing.