Get to know Sister Callista Roy’s biography and Adaptation Model of Nursing in this study guide for nursing theories.
Sister Callista L. Roy (born October 14, 1939) is a nursing theorist, profession, and author. She is known for her groundbreaking work in creating the Adaptation Model of Nursing.
Callista Roy received her Bachelor of Arts Major in Nursing from Mount Saint Mary’s College in Los Angeles in 1963 and her master’s degree in nursing from the University of California in 1966.
After earning her nursing degrees, Roy began her education in sociology, receiving both a master’s degree in sociology in 1973 and a doctorate degree in sociology in 1977 from the University of California.
During her time in working toward her master’s degree, Roy was challenged in a seminar with Dorothy E. Johnson to develop a conceptual model for nursing. Roy worked as a pediatric nurse and noticed a great resiliency of children and their ability to adapt in response to major physical and psychological changes. Impressed by this adaptation, Roy worked towards an appropriate conceptual framework for nursing.
She developed the basic concepts of the model while she was a graduate student at the University of California from 1964 to 1966.
In 1968, she began operationalizing her model when Mount Saint Mary’s College adopted the adaptation framework as the philosophical foundation of the nursing curriculum.
Roy was an associate professor and chairperson of the Department of Nursing at Mount Saint Mary’s College until 1982 and was promoted to the rank of professor in 1983 at both Mount Saint Mary’s College and the University of Portland. She helped initiate and taught in a summer master’s program at the University of Portland.
She was a Robert Wood Johnson postdoctoral fellow at the University of California, San Francisco from 1983 to 1985 as a clinical nurse scholar in neuroscience. It was during this time she conducted research on nursing interventions for cognitive recovery in head injuries and on the influence of nursing models on clinical decision making.
In 1987 to present, Roy began the newly created position of resident nurse theorist at Boston College School of Nursing where she teaches doctoral, master’s, and undergraduate students.
In 1991, she founded the Boston Based Adaptation Research in Nursing Society (BBARNS), which would later be renamed the Roy Adaptation Association.
Roy’s other scholarly work includes conceptualizing and measuring coping and developing the philosophical basis for the adaptation model and for the epistemology of nursing.
Roy belongs to the Sisters of St. Joseph of Carondelet.
Sr. Callista Roy’s Adaptation Model of Nursing was developed by Sister Callista Roy in 1976. The prominent nursing theory aims to explain or define the provision of nursing. In her theory, Roy’s model sees the individual as a set of interrelated systems who strives to maintain balance between these various stimuli. Adaptation Model of Nursing is discussed further below.
Sr. Callista Roy has numerous publications, including books and journal articles, on nursing theory and other professional topics. Her works have been translated into many language all over the world.
Roy and her colleagues at Roy Adaptation Association, has critiqued and synthesized the first 350 research projects published in English based on her adaptation model.
Her most famous work is on the Roy adaptation model of nursing.
Sr. Callista Roy has received numerous honors due to her work and contribution to the nursing profession.
In 2007, Roy has been named a Living Legend by the American Academy of Nursing and the Massachusetts Registered Nurses Association.
Roy is also a member of Sigma Theta Tau, and she received the National Founder’s Award for Excellence in fostering Professional Nursing Standards in 1981.
Among her achievements include an Honorary Doctorate of Humane Letters from Alverno College in 1984, honorary doctorates from Eastern Michigan University (1985) and St. Joseph’s College in main (1999).
She also received the American Journal of Nursing Book of the Year Award for Essentials of the Roy Adaptation Model.
Here are more of her awards & honors:
The Adaptation Model of Nursing is a prominent nursing theory aiming to explain or define the provision of nursing science. In her theory, Sister Callista Roy’s model sees the individual as a set of interrelated systems who strives to maintain a balance between various stimuli.
The Roy Adaptation Model was first presented in the literature in an article published in Nursing Outlook in 1970 entitled “Adaptation: A Conceptual Framework for Nursing.” In the same year, Roy’s Adaptation Model of Nursing was adapted in Mount St. Mary’s School in Los Angeles, California.
Roy’s model was conceived when nursing theorist Dorothy Johnson challenged her students during a seminar to develop conceptual models of nursing. Johnson’s nursing model was the impetus for the development of Roy’s Adaptation Model.
Roy’s model incorporated concepts from Adaptation-level Theory of Perception from renown American physiological psychologist Harry Helson, Ludwig von Bertalanffy’s System Model, and Anatol Rapoport’s system definition.
First, consider the concept of a system as applied to an individual. Roy conceptualizes the person in a holistic perspective. Individual aspects of parts act together to form a unified being. Additionally, as living systems, persons are in constant interaction with their environments. Between the system and the environment occurs an exchange of information, matter, and energy. Characteristics of a system include inputs, outputs, controls, and feedback.
The following are the major concepts of Callista Roy’s Adaptation Model including the definition of the nursing metaparadigm as defined by the theory.
“Human systems have thinking and feeling capacities, rooted in consciousness and meaning, by which they adjust effectively to changes in the environment and, in turn, affect the environment.”
Based on Roy, humans are holistic beings that are in constant interaction with their environment. Humans use a system of adaptation, both innate and acquired, to respond to the environmental stimuli they experience. Human systems can be individuals or groups, such as families, organizations, and the whole global community.
“The conditions, circumstances and influences surrounding and affecting the development and behavior of persons or groups, with particular consideration of the mutuality of person and health resources that includes focal, contextual and residual stimuli.”
The environment is defined as conditions, circumstances, and influences that affect the development and behavior of humans as an adaptive system. The environment is a stimulus or input that requires a person to adapt. These stimuli can be positive or negative.
Roy categorized these stimuli as focal, contextual, and residual. Focal stimuli are that which confronts the human system and requires the most attention. Contextual stimuli are characterized as the rest of the stimuli that present with the focal stimuli and contribute to its effect. Residual stimuli are the additional environmental factors present within the situation, but whose effect is unclear. This can include previous experience with certain stimuli.
“Health is not freedom from the inevitability of death, disease, unhappiness, and stress, but the ability to cope with them in a competent way.”
Health is defined as the state where humans can continually adapt to stimuli. Because illness is a part of life, health is the result of a process where health and illness can coexist. If a human can continue to adapt holistically, they will be able to maintain health to reach completeness and unity within themselves. If they cannot adapt accordingly, the integrity of the person can be affected negatively.
“[The goal of nursing is] the promotion of adaptation for individuals and groups in each of the four adaptive modes, thus contributing to health, quality of life, and dying with dignity.”
In Adaptation Model, nurses are facilitators of adaptation. They assess the patient’s behaviors for adaptation, promote positive adaptation by enhancing environment interactions and helping patients react positively to stimuli. Nurses eliminate ineffective coping mechanisms and eventually lead to better outcomes.
Adaptation is the “process and outcome whereby thinking and feeling persons as individuals or in groups use conscious awareness and choice to create human and environmental integration.”
The regulator subsystem is a person’s physiological coping mechanism. It’s the body’s attempt to adapt via regulation of our bodily processes, including neurochemical, and endocrine systems.
The cognator subsystem is a person’s mental coping mechanism. A person uses his brain to cope via self-concept, interdependence, and role function adaptive modes.
Physical and chemical processes involved in the function and activities of living organisms. These are the actual processes put in motion by the regulator subsystem.
The basic need of this mode is composed of the needs associated with oxygenation, nutrition, elimination, activity and rest, and protection. The complex processes of this mode are associated with the senses, fluid and electrolytes, neurologic function, and endocrine function.
In this mode, the goal of coping is to have a sense of unity, meaning the purposefulness in the universe, as well as a sense of identity integrity. This includes body image and self-ideals.
This mode focuses on the primary, secondary and tertiary roles that a person occupies in society, and knowing where he or she stands as a member of society.
This mode focuses on attaining relational integrity through the giving and receiving of love, respect and value. This is achieved with effective communication and relations.
The various modes and subsystems meet the needs of the environment. These are usually stable processes (e.g., breathing, spiritual realization, successful relationship).
The cognator and regulator are challenged by the needs of the environment, but are working to meet the needs (e.g., grief, starting with a new job, compensatory breathing).
The modes and subsystems are not adequately meeting the environmental challenge (e.g., hypoxia, unresolved loss, abusive relationships).
A nurse’s role in the Adaptation Model is to manipulate stimuli by removing, decreasing, increasing or altering stimuli so that the patient
As one of the weaknesses of the theory that application of it is time-consuming, application of the model to emergency situations requiring quick action is difficult to complete. The individual might have completed the whole adaptation process without the benefit of having a complete assessment for thorough nursing interventions.
Adaptive responses may vary in every individual and may take a longer time compared to others. Thus, the span of control of nurses may be impeded by the time of the discharge of the patient.
Unlike Levine, although the latter tackled on adaptation, Roy gave much focus on the whole adaptive system itself. Each concept was linked with the coping mechanisms of every individual in the process of adapting.
The nurses’ roles when an individual presents an ineffective response during his or her adaptation process were not clearly discussed. The main point of the concept was to promote adaptation but none were stated on how to prevent and resolve maladaptation.
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With contributions by Wayne, G., Ramirez, Q., Vera, M.