The Roy Model

Jane Aebischer December 5, 2002

History

MSN 1966 Ph.D. Sociology 1977 Studied under Dorothy Johnson Influenced by Helson, Turner, von Bertalanffy General/Open systems theory
(Johnson & Webber, 2002)

Theoretical Thinking

Early 1960s Focus on nursing diagnosis Break from medical model Development of concepts Paradigms of philosophy and science Bases for theory research and testing

(Meleis, 1997)

Themes
Nursing - complex with many themes Acknowledgement - testing/linking
propositions Realization concepts contribute to development of specific ideas
(Meleis, 1997)

Roys Theme
Humanism with a spiritual context Incorporates values and moral beliefs Nursing assists in promoting adaptation

National League for Nursing

1972- universities required to use
framework to enhance knowledge base in theory 1983- criteria eliminated because frameworks too restrictive or not allinclusive
(Johnson & Webber, 2001)

Goal of Nursing
Stabilize with equilibrium the energy stores
and spiritual harmony of the client in their environment Assist adaptation within 4 modes: Physiologic/Physical Self-concept role function Interdependence
(Meleis,1997)

Metaparadigm Worldview of Nursing

Concepts:

Person Health Environment Nursing Transitions Interaction Nursing therapeutics

(Hickman, 2002)

Studies
Urine control in nursing home clientschanges in contextual stimuli with environmental alteration Hearing impaired elderly- correlation with self-concept mode Taiwanese children with cancer coping mechanisms used maintain balance in life
(Jirovec, Jenkins, Isenberg, & Baiardi, 1999) (Zhan, 2000) (Yeh, 2001)

Grand Theorist
Broad with multitude of components Moderately abstract- involves physical,
emotional interaction with society Logical with interrelated concepts Deductive framework requires much research and testing for validation
(Tomey & Alligood, 1998) (Meleis, 1997)

Further Research
Testing propositions from environment and
nursing concepts with intervention studies
(Frederickson, 2002)

Develop instruments for measuring

childrens adaptation
(Yeh, 2001)

Larger sample size including diversity Longitudinal studies for understanding

cognitive processes and coping
(Zhan, 2000)

Group Home
Residents with
intellectual disability First level assessmentgather information on behaviors of group within 4 modes.

2nd level assessment Identified stimuli

affecting behavior Role function Socialization processes

Determine Behavior
Adaptive Compromised Ineffective
Positive or Negative influences

Family dysfunction
existed due to resident having moodiness, stubborness, noncompliance

Action
Nursing Diagnosis: Ineffective socialization R/T decreased interaction Goals: Short term-Begin planning photo album Long termIncrease socialization Interventions: Discussion of feelings Film-E.T. Showing photos

Evaluate Interactions
Learn to identify group concepts within the context of family