Community Health Nursing Practice and the Roy Adaptation Model

Abstract

In the current health care environment in the United States, the work performed by community health nurses is increasingly being recognized and valued by society at large. An increased societal emphasis on health promotion and disease prevention has generated many opportunities for community health nurses (CHNs) to stretch their practices from individually-oriented type practice models to more encompassing population-focused type practices. Addressing this trend, the Roy Adaptation Model of nursing has been reconceptualized and expanded to offer a framework for the systematic delivery of nursing care to aggregates in community settings. The purpose of this paper is to describe the current health promotion movement in the United States and discuss the impact of this movement on the practice of community health nursing. In recognition of the importance of theory-based nursing practice and the opportunities that CHNs will have in the health promotion movement, the use of the a specific conceptual model, the reconceptualized Roy Adaptation Model, will be presented as a theoretical framework for community health nursing practice. The nursing process according to Roy is applied to community health nursing and specific attention is paid to the performance of community assessments within the newly defined adaptive modes that relate to collectives: the physical, group identity, role function, and interdependence modes. To date, few references appear in the literature which link the Roy Adaptation Model to community health nursing.

Theory‐guided interventions for adaptation to heart failure

“…The RAM is one of the most fully developed and widely used of all nursing conceptual models (Riehl & Roy 1980, Veliog lu 1999. Nurses act to promote patients' levels of adaptation during health and illness using the nursing process (Dixon 1999, Villareal 2003, Patton 2004. Environmental stimuli include focal, contextual and residual stimuli (Samarel et al 1998, Willoughby et al 2000 Roy Figure 1 Conceptual-theoretical-empirical structure of adaptation to heart failure.…”

Adversity of prolonged extreme cold exposure among adult clients diagnosed with coronary artery diseases: a primer for recommending community health nursing intervention

“…This is theoretically supported by the Adaptation Theory of Sister Callista Roy depicting that a person is a biopsychosocial being obliged to adapt environmental stimuli to maintain the physical and physiological integrity of human system (Bowlin, McLeer, & Danielson‐Francois, ; Fawcett & Tulman, ; Masato et al., ; Tansey & Johnson, ; Xie et al., ). Adaptation theory is the foundation in nursing health care essential in delivering excellent and systematic wellness through indispensable health promotion, disease prevention and health restoration highlighting the valued goals of community health nursing which are physical, group identity, role function and interdependence concept (Bradley et al., ; Dixon, ; Fawcett & Tulman, ).…”

Using Roy's Adaptation Model When Caring for a Group of Young Women Contemplating Quitting Smoking

“…According to Roy and Andrews (1999), individuals are holistic adaptive systems who function within other systems, such as organizations, communities, and societies as a whole. These systems function within the environment, which includes the factors that influence the growth and development of individuals living within it (Dixon, 1999).…”