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The Roy Model

Jane Aebischer

December 5, 2002

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History

MSN 1966

Ph.D. Sociology 1977

Studied under Dorothy Johnson

Influenced by Helson, Turner,

von Bertalanffy General/Open systems theory(Johnson & Webber, 2002)

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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)

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Themes

Nursing - complex with many themes

Acknowledgement - testing/linkingpropositions

Realization concepts contribute todevelopment of specific ideas

(Meleis, 1997)

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Roys Theme

Humanism with a spiritual context

Incorporates values and moral beliefs

Nursing assists in promoting adaptation

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National League for Nursing

1972- universities required to useframework to enhance knowledge base in

theory

1983- criteria eliminated becauseframeworks too restrictive or not all-

inclusive(Johnson & Webber, 2001)

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Goal of Nursing

Stabilize with equilibrium the energy storesand spiritual harmony of the client in their

environment Assist adaptation within 4 modes:

Physiologic/Physical

Self-conceptrole function

Interdependence (Meleis,1997)

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Metaparadigm

Worldview of NursingConcepts:

Person

Health

Environment

Nursing

Transitions Interaction

Nursing therapeutics (Hickman, 2002)

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Studies

Urine control in nursing home clients-changes in contextual stimuli with

environmental alteration (Jirovec, Jenkins, Isenberg, & Baiardi, 1999)

Hearing impaired elderly- correlation withself-concept mode (Zhan, 2000)

Taiwanese children with cancer copingmechanisms used maintain balance in life(Yeh, 2001)

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Grand Theorist

Broad with multitude of components

Moderately abstract- involves physical,emotional interaction with society

Logical with interrelated concepts

Deductive framework requires muchresearch and testing for validation(Tomey & Alligood, 1998)

(Meleis, 1997)

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Further Research

Testing propositions from environment andnursing concepts with intervention studies(Frederickson, 2002)

Develop instruments for measuringchildrens adaptation(Yeh, 2001)

Larger sample size including diversity

Longitudinal studies for understandingcognitive processes and coping(Zhan, 2000)

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Group Home

Residents withintellectual disability

First level assessment-gather information on

behaviors of group

within 4 modes.

2nd level assessment-

Identified stimuli

affecting behavior Role function

Socialization processes

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Determine Behavior

Adaptive

Compromised

Ineffective

Positive or Negative

influences

Family dysfunctionexisted due to resident

having moodiness,stubborness,

noncompliance

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Action

NursingDiagnosis:Ineffectivesocialization R/Tdecreasedinteraction

Goals: Shortterm-Begin

planning photoalbum

Long term-Increasesocialization

Interventions:

Discussion of

feelingsFilm-E.T.

Showing photos

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Evaluate Interactions

Learn to identify group concepts

within the context of family