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Developing a Roy Adaptation Model Study

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Title: Developing a Roy Adaptation Model Study


1
Developing a Roy Adaptation Model Study
  • Jacqueline Fawcett
  • Keville Frederickson

2
Using a Conceptual Model to Guide Research
  • 1. Develop a comprehensive understanding of the
    content and research guidelines of the conceptual
    model
  • 2. Review existing research guided by the
    conceptual model
  • 3. Construct a conceptual-theoretical-empirical
    structure

3
Using a Conceptual Model to Guide Research
  • 4. Clearly communicate the conceptual-theoretical-
    empirical structure in written proposals and
    study reports
  • 5. Conclude the report of research findings with
    an evaluation of the empirical adequacy of the
    middle-range theory and the legitimacy of the
    conceptual model

4
Workshop Objectives
  • 1. Identify a RAM-based phenomenon that needs to
    be studied
  • 2. Analyze the components of conceptual-theoretica
    l-empirical structures for RAM-based
    theory-generating and theory-testing research
  • 3. Develop a conceptual-theoretical-empirical
    structure for the study of a RAM-based phenomenon

5
Workshop Objective 1
  • 1. Identify a RAM-based phenomenon that needs to
    be studied
  • Concepts of the RAM
  • Propositions of the RAM
  • Research guidelines for the RAM

6
Using a Conceptual Model to Guide Research Step 1
Environmental Stimuli Focal Contextual
Residual
Modes of Adaptation Physiological
or Physical Self-Concept or Group Identity Role
Function Interdependence
Coping Processes Regulator Cognator or Stabiliz
er Innovator
Management of Stimuli
7
Using a Conceptual Model to Guide Research Step 1
  • Purpose of the research
  • Study of the phenomena encompassed by the Roy
    Adaptation Model requires both basic nursing
    research and clinical nursing research
  • Basic research--To understand and explain people
    adapting within their life situations
  • Clinical research--To develop and test
    interventions and other strategies designed to
    enhance positive life processes and patterns

8
Using a Conceptual Model to Guide Research Step 1
  • Phenomena of interest
  • Basic life processes and how nursing maintains or
    enhances adaptive responses or changes
    ineffective responses to adaptive responses
  • All concepts and propositions of the RAM are
    relevant phenomena

9
Using a Conceptual Model to Guide Research Step 1
  • Problems to be studied
  • Those stemming from the attempts made by the
    human adaptive system to meet needs for
  • Physiological integrity - individuals
  • Resource adequacy -groups
  • Psychic and spiritual integrity - individuals
  • Identity integrity - groups
  • Social integrity - individuals
  • Role clarity - groups
  • Relational integrity -individuals and groups

10
Using a Conceptual Model to Guide Research Step 1
  • Research participants
  • Individuals or groups who are well or who have
    acute or chronic medical conditions

11
Using a Conceptual Model to Guide Research Step 1
  • Research methods
  • Descriptive, correlational, and experimental
    research designs are needed
  • Both qualitative and quantitative methods of data
    collection are appropriate
  • Data can be gathered in any health care setting
    in which human adaptive systems are found
  • Research instruments should reflect the unique
    focus and intent of the RAM and may include the
    instruments directly derived from the RAM

12
Using a Conceptual Model to Guide Research Step 1
  • Data analysis
  • Data analysis techniques encompass qualitative
    content analysis and nonparametric and parametric
    statistical procedures, with an emphasis on
    statistical techniques that facilitate analysis
    of nonlinear and reciprocal relations

13
Using a Conceptual Model to Guide Research Step 1
  • Contributions
  • Roy Adaptation Modelbased research enhances
    understanding of the human adaptive system and
    the role of nursing intervention in the promotion
    of adaptation

14
Using a Conceptual Model to Guide Research Step 2
  • Review RAM based research
  • CINAHL Electronic Database
  • Search terms
  • Roy adaptation model and research
  • Roy adaptation model and research and topic

15
Using a Conceptual Model to Guide Research Step 2
  • Review other relevant research literature
  • Categorize studies using relevant RAM concepts
    and propositions
  • CINAHL Electronic Database
  • Search terms
  • Topic and research

16
Stimuli Coping processes Modes of adaptation Intervention
Author, date Author, date Author, date Author, date
Author, date Author, date Author, date Author, date
Author, date Author, date Author, date Author, date
17
Citation Design Sample Instru-ments Findings Study quality Comments
Stimuli
Coping processes
Modes of adaptation
Interven-tion
18
Workshop Objective 2
  • 2. Analyze the components of conceptual-theoretica
    l-empirical (CTE) structures for RAM-based
    theory-generating and theory-testing research
  • Components of CTE structures for research
  • CTE structures for theory-generating research
  • CTE structures for theory-testing research

19
Using a Conceptual Model to Guide Research Step 3
  • Each study encompasses three major elements that
    make up the conceptual-theoretical-empirical
    (CTE) structure
  • The conceptual model - C
  • The middle-range theory - T
  • The empirical research methods - E

20
Using a Conceptual Model to Guide Research Step 3
  • Conceptual model (C)
  • A set of relatively abstract and general concepts
    and propositions about human beings, their
    environments, their health, and nursing processes

21
Using a Conceptual Model to Guide Research Step 3
  • Middle-range theory (T)
  • One or more relatively concrete and specific
    concepts and propositions about a phenomenon
    identified by a conceptual model

22
Using a Conceptual Model to Guide Research Step 3
  • Empirical research methods (E)
  • Research design
  • Sample
  • Instruments
  • Procedures for collecting data and
  • protecting participants
  • Data analysis techniques

23
Using a Conceptual Model to Guide Research Step 3
Types of Middle-Range Theories and Research
  • Descriptive theories
  • Explanatory theories
  • Predictive theories
  • Descriptive research
  • Correlational research
  • Experimental research

24
Using a Conceptual Model to Guide Research Step 3
  • Construct the CTE structure
  • Select the conceptual model
  • Select the type of CTE structure
  • Theory-generating
  • Theory-testing

25
Using a Conceptual Model to Guide Research Step 3
  • CTE Structures for Theory-Generating Research
  • Inductive approach
  • From conceptual model to empirical research
    methods to middle-range theory

26
Theory-Generating Research
Conceptual Model Concepts
Middle-Range Theory Concepts
Empirical Research Methods Research Design Sample
Instruments Procedures Data Analysis
Techniques
27
Using a Conceptual Model to Guide Research Step 3
  • CTE Structures for Theory-Testing Research
  • Deductive approach
  • From conceptual model to middle-range theory to
    empirical research methods

28
Theory-Testing Research
Conceptual Model Concepts
Middle-Range Theory Concepts
Empirical Research Methods Research Design Sample
Instruments Procedures Data Analysis
Techniques
29
Using a Conceptual Model to Guide Research Step 4
  • State the name of the conceptual model
  • Provide an overview of the conceptual model
  • Discuss the conceptual model in sufficient
    breadth and depth so that the relation of the
    model to the middle-range theory and the
    empirical research methods is clear

30
Using a Conceptual Model to Guide Research Step 4
  • Identify the particular concepts and propositions
    of the conceptual model that are relevant for
    your study
  • Define the conceptual model concepts

31
Using a Conceptual Model to Guide Research Step 4
  • Draw a diagram of the CTE structure
  • Write a narrative description of the diagram

32
Using a Conceptual Model to Guide Research Step 4
  • State the linkages between the conceptual model
    concepts and propositions that are relevant for
    your study and the empirical research methods

33
Using a Conceptual Model to Guide Research Step 4
  • Theory-generating research
  • In keeping with the conceptual model, name of
    qualitative research design was used

34
Using a Conceptual Model to Guide Research Step 4
  • Theory-generating research
  • Conceptual model concepta guided the construction
    of Interview Schedulez
  • N study participants will be asked to describe
    ..

35
Using a Conceptual Model to Guide Research Step 4
  • Theory-generating research
  • In keeping with the conceptual model, data were
    collected explain the where, when, and who of
    data collection
  • Each participant signed an informed consent form
  • In keeping with the conceptual model, the data
    will be analyzed using Interpretative Methody.

36
Using a Conceptual Model to Guide Research Step 4
  • Theory-generating research
  • State the linkages between the empirical research
    methods and the middle-range theory concept(s)
    and proposition(s).

37
Using a Conceptual Model to Guide Research Step 4
  • Theory-generating research
  • Analysis of the data obtained from the N study
    participants who responded to Interview Schedulez
    revealed the Middle-Range Theory of X.
  • The Middle-Range Theory of X is made up of n
    concepts Concepta, Conceptb, Conceptn.

38
Using a Conceptual Model to Guide Research Step 4
  • Theory-generating research
  • Concepta is defined as .
  • Conceptb is defined as .
  • Conceptn is defined as .

39
Example of Theory-Generating Research
Roys Adaptation Model
Modes of Adaptation
Responses to Cesarean Birth
Descriptive qualitative design Women having
planned or unplanned cesarean birth CBEQ,
BDS Naturalistic setting
Cross-sectional Content analysis
Descriptive statistics
40
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • State the linkages between the conceptual model
    concepts and propositions that are relevant for
    your study and the middle-range theory concepts
    and propositions.

41
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • Conceptual model conceptA is represented by
    theory concepta. Conceptual model conceptB is
    represented by theory conceptb. Conceptual model
    conceptN is represented by theory conceptn.

42
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • Concepta is defined as .
  • Conceptb is defined as .
  • Conceptn is defined as .

43
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • The conceptual model proposes that conceptA and
    conceptB are related. Therefore, the middle-range
    theory asserts that theory concepta is related to
    theory conceptb.

44
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • State the linkages between the middle-range
    theory concepts and the empirical research
    methods.

45
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • Research design X will be used as the blueprint
    for the study
  • Theory concepta will be measured by Empirical
    Indicatora. Theory conceptb will be measured by
    Empirical Indicatorb. Theory conceptn will be
    measured by Empirical Indicatorn.

46
Using a Conceptual Model to Guide Research Step 4
  • Theory-testing research
  • The sample will include N study participants.
  • Data will be collected N times by whom in what
    setting
  • The data will be analyzed using Statistical
    Techniquey.

47
Using a Conceptual Model to Guide Research Step 4
Example of Theory-Testing Correlational Research
Type of Cesarean Birth
Perception of the Birth Experience
Responses to Cesarean Birth
48
Example of Theory-Testing Correlational Research
Roys Adaptation Model
Modes of Adaptation
Environmental Stimuli
Cognator Coping Mechanism
Type of Cesarean Birth
Perception of the Birth Experience
Responses to Cesarean Birth
POBES
CBEQ
BDS
Women having UPCB or PCB Correlational
Statistics
49
Using a Conceptual Model to Guide Research Step
5
  • When the study is completed, comment on the
    empirical adequacy of the middle-range theory and
    the legitimacy of the conceptual model.

50
Workshop Objective 3
  • Examples of application of CTE structures to
    RAM-based research
  • Develop new CTE structures for RAM-based studies
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