Group 5

z
Sister Callista
Roy
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INTRODUCTION

 Nursing is establishing itself as a scientific

discipline
 The nursing models provide the basis of
selecting knowledge to be transmitted in
nursing education
 It is the framework for nursing practice and
the direction for nursing research
 SISTER CALLISTA ROY
z • October 14, 1939

• Los Angeles, California

• 2nd child of Mr. and Mrs. Roy

• American

• Nun, nursing theorist, professor and

author

• Professor and Nurse Theorist at

Boston College of Nursing in
Chestnut Hill

• Adaptation Model of Nursing

• Living Legend
z

• (1963) Bachelor of Arts Major in

Nursing- Mount St. Mary’s College, Los
Angeles
z

• (1964-1966) Model’s Basic

Concepts

• (1968) she began operationalizing

her model

• (1983-1985) Clinical Nurse

Scholar in neuroscience.
 Grand Theory
z
Adaptation
Theory
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Roy’s Adaptation Model (RAM)

 “ Nursing is to help the person adapt to change in

physiological needs, self-concepts, role function and
interdependent relations during health and illness. “
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Theoretical Sources

 It was derived from harry helson adaption

theory in 1964I

 It was combined with raport's definition of

system and views the person as an
adaptive system.
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Theoretical Sources cont'd

 Model as a framework for nursing practice, research,

and education

 More than 1500 faculty and student contribute

 Concept from AH Maslow. holistic approach

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Use of Empirical Evidence

 Pilot research study and surveys 1976 to

1977 Supported by research in practice and
in education.
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ADAPTIVE MODES OF RAM

 Physiological

 Self Concept

 Role Function

 Interdependence
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Physiological

 to promote physiological integrity, (Oxygenation,

nutrition, elimination, activity and rest, and protection)

 help maintain physiological integrity (senses, fluid and

electrolytes, neuro, and endocrine function)
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Self Concept

 Psychological and spiritual elements

 Physical self: how one sees his own physical

being
 Personal self: how one views his qualities, values,
worth
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Role Function

 Primary, secondary, and tertiary roles the person

performs in society
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Interdependence

 Coping mechanisms arising from close relationships

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Roy’s Adaptation
Model
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Metaparadimg of RAM

 Nursing

 Person

 Health

 Environment
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NURSING

 Theoretical system of knowledge which prescribes a process of

analysis and action related to the care of the ill or potentially ill
person.
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PERSON

 The person as a living system is "a whole made up of parts of

subsystems that function as a unity for some purpose."
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HEALTH

 A "state and a process of being and becoming an integrated and

whole person. Lack of integration represents lack of health
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ENVIRONMENT

 “All the conditions, circumstances, and influences surrounding

and effecting the development and behavior of persons or
groups.” Any environmental change demands increasing energy
to adapt to the situation.
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OUTCOME THEORY

 well articulated conception of man as a nursing client and of

nursing as an external regulatory mechanism.
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Roy’s Adaptation Model
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CONCLUSION

 RAM identifies essential concepts relevant to the nursing

profession. The human adaptive system is constantly interacting
with internal and external stimuli which affect individual’s health.
It is the responsibilities of nurses to manipulate specific stimuli
so as to help patient achieve optimal health. It is useful in
analyzing groups, individuals and societies. It is the
responsibility of nurses to facilitate adaptation of groups and
persons so as to enhance their welfare wand well being.