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Callista Roy Nursing Theorist


Callista Roy Nursing Theorist By: Megan Davis Brandon Zolynsky Shelley Meyerholtz Purpose -The initial formulation of Sister Callista Roy's Adaptation Model came from ... – PowerPoint PPT presentation

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Title: Callista Roy Nursing Theorist

Callista RoyNursing Theorist
  • By
  • Megan Davis
  • Brandon Zolynsky
  • Shelley Meyerholtz

  •  -The initial formulation of Sister Callista
    Roy's Adaptation Model came from developing a
    framework for a nursing curriculum.
  •  -The purpose of Roy's Adaptation Model is to
    modify the individual and environment in such a
    way that promote adaptation of the patient.
    Chitty and Black (2011)

  • -Roy proclaimed that she "knew what nursing was -
    it was promoting patient adaptation." Fawcett
  • -A colleague questioned what she meant by that,
    and she has been answering the question ever

Problems to Solve
  • -The main problem the Nurse is presented with
    when applying Roy's Adaptation Model is how the
    environment will be modified in order to
    facilitate adaptation in the patient
  • -The Nurse must fine tune the demands of
    environmental stimuli to the patient's adaptive
    mechanisms in order to achieve an effective
    adaptive behavioral response conducive to
    promoting the integrity of the individual.
  • -The Nurse observes patient behavior in relation
    to environmental stimuli and customizes nursing
    diagnoses to formulate care plans specific to
    promoting adaptation.
  • Chitty and Black (2011)

  • - Came from working with Dorothy Johnson while
    studying her graduate degree in 1964
  • - Dorothy Johnson questioned Sister Roys thought
    on nursing and how it was the promotion of
    adaptation. That question alone led Sister Roy
    into years of explaining and defining (Fawcett,
    J. 2002)
  • - Sister Roy read a book about adaptation and
    psychology by Harry Helson (1964) which helped
    her to write her own adaptation theory

Nursing Values and Knowledge
  • - Adaptation theory focused on holistic care and
    bio-psycho-social system
  • - The environment needs to be changed to allow
    adaptation and feelings of comfort by the patient
    during time of illness
  • -  To cope with a changing world, a person uses
    coping mechanisms, both innate and acquired,
    which are biological, psychological, and social
    in origin ( 2011)
  • - Focuses on improving practice through research
    and education

Modes of Adaptation 
  • Physiological human needs (air, food, water)
  •     Self Concept perceptions of self positively
  •          Role Function how people respond to
    different role changes (mother, provider, care
  •             Interdependence balance between
    being dependent and independent
  • ( , 2011)

                Influence of Theory        
  • Callista Roy was greatly influenced by Dorothy
    Johnsons commitment to describe the goal of
    nursing as a way of moving the discipline
    forward, describing the nature of nursing, and
    explicating a body of distinctive nursing
    knowledge (Fewcett, J. 2002)

Influence Continued.......
  • Roy has told the story that she was reading a
    short paragraph on adaptation, and that is what 
    made her realize what nursing was- promoting
    patient adaptation. 
  • Fawcett 2002

                Global Concepts
  • Person- patient that adapts based on coping
  •      Environment- internal and external stimuli
    that affect the development and behavior of the
  •            Health- the "whole" patient, includes
    modes of adaptation (pyschological, self concept,
    role function, interdependence)
  •     - Illness is effectively adapting to one or
    more of the modes
  •                  Nursing- system of knowledge
    related to the care of an ill patient

(No Transcript)
Where Will You See This Model?
  • This model is said to be an appropriate
    curriculum guide for Diploma, ADN, BSN, and MSN
    educational programs  
  • Although it is a great model for education you
    could see this model in any area of nursing due
    to it being related to adaption . It is also used
    in research

The 6 Steps of the Roy Adaptation Nursing Process
  1. Assessment of Behavior-The nurse must assess the
    behaviors of the pt and see if they threaten the
    survival of the family, individual, group or
    community. Does it also affect the growth and
  • 2. Assessment of Stimuli- The nurse must realize
    that medical treatments are not considered
  • 3. Nursing Diagnosis- Based on behaviors and

                      6 steps continued......
  •  4. Goal Setting- Must make clear outcome based
    on the human adaptive system
  • 5. Nursing Interventions-The nurse selects and
    implements nursing approaches that have a high
    probability of changing stimuli or strengthening
    adaptive processes
  • 6. Evaluation- Nurse must evaluated the
    effectiveness of the interventions based on the
    human adaptive system.

  • -From Roy's Adaptation Model, we can imply that
    adaptation is a fundamental basis on which
    nursing practice can be developed.
  • -Like many Nursing Theory Models, Roy's
    Adaptation Model can be applied to many aspects
    of life, not limited to nursing, as adaptation to
    environmental stimuli can promote integration in
    most all life facets.  This is why Roy's model is
    so widely used as a curriculum guide for many
    Nursing education program

Inference and Interpretation
  • It is shown through Roy's research and studies
    that changing the patients environment as needed
    and assessing the stimuli, you  allow for
    adaptation to occur which is necessary for the
    pateint's well being and recovery.

  • -Roy's Adaptation Model continues to serve as a
    basis for Nursing curriculum development as well
    as care guidelines throughout nursing.
  • -Two editions of her book The Roy Adaptation
    Model (Roy Andrews, 1999) have been published
  • -Roy is currently serving as faculty at  Boston
    College's William F. Connell School of Nursing
    and has turned her attention to contemporary
    movements in nursing knowledge development and
    spirituality. (Fawcett, 2002)

  • Your patient Mr. Andrews is 67 years old. Mr.
    Andrews suffered a stroke four days ago that has
    affected his non-dominant side. He is married,
    and has three young grandchildren who enjoys
    spending a lot of time with. Mr. Andrews works as
    an accountant and enjoys spending time outdoors.
  • Mr. Andrews is experiencing left sided weakness
    and has difficulty with fine motor movements. 
    His strength is improving and he is very
    motivated and cooperative with his care regimen.
  • Using Roy's adaptation model how would you
    develop your plan of care for Mr. Andrews?
  • What barriers could be in place to make it
    difficult to apply Roy's adaptation model to Mr.
    Andrews care?

  • Callista Roy Adaptation Model 2008. Retreived
    from http//
  • Chitty, K. K., Black, B. P. (2011).  
  • Professional Nursing Concepts Challenges (6th
    ed.). Maryland Heights, Mo. Saunders.
  •  Fawcett, J. (2002). The nurse theorists 21st
    century updates-Callista Roy. Nursing science
    quarterly, 15, (4), 308-310. doi10.1177/089431802
  • Medical dictionary (2012).  Adaptaton Model.
    Retrieved from http//medical-dictionary.thefreedi
  • Nursing Theory (2011). Roy's Adaptation Model.
    Retrieved from http//

  •  Nursing Theory (2011). Sister Callista Roy.
    Retrieved from http//
  • Roy,C. (2011). Extending the Roy Adaptation Model
    to Meet Changing Global Needs. Nursing Science
    Quarterly,24 (4), 345-351. doi 10.1177//0894318411
  • Taber's Medical Dictionary, 21st edition(2009).
    Callista Roy's Adaptation Model.   Retrieved from