Adaptation Model Theory Analysis

Adaptation Model Theory Analysis Vangilene Shore The theorist I selected is named Lorraine Callista Roy who was born on October 14, 1939, in Los Angeles, California. She was brought up to be raised in a family with solid Catholic bonds. Roy’s father was a truck driver, and her mother was a licensed vocational nurse. Her mother educated her on the significance of caring for people and swayed her choice of career; the one she has chosen permanently. When Roy was fourteen, she started working in the kitchen at a hospital nearby and then came to be a nursing assistant. Description of Roy’s background starts with receiving a Bachelor of Arts in Nursing (BAN) from Mount St. Marys College in Los Angeles, California. Roy then worked as a bedside nurse at St. Marys Hospital in Tucson, Arizona. She then soon began her education to obtain her master’s degree at University of California, Los Angeles (UCLA) in pediatric nursing in 1966. After she earned her degree, she soon returned to Mount St. Marys Hospital as an associate of the faculty, teaching both pediatric and maternity nursing. Roy developed encephalomyelitis and was forced to have to stay in bed soon after she became a part of the faculty at Mount St. Mary’s Hospital. Since she was bedridden, she was required to take a leave of absence. Once things were better, she returned to work in 1968 unaware that years in the future, she would then have an acoustic neuroma taken out. During those early years at Mount St. Marys, Roy began to develop the adaptive theory in which her sickness was crucial because that was the start of her model thinking. With the theory in mind, she organized her course work to involve the persons and families as adaptive systems and developed an integrated nursing curriculum. When Roy was developing her adaptive theory, she used deductive logic. Roy credits the work of Von Bertanlanffys general system theory and Helsons adaptation theory when developing the original root of the scientific assumptions underlying the adaptive model (Parker Smith, 2010). Helsons principles about adaptation helped Roy develop the principle for her theory of the person as an adaptive system and her adaptation model (Parker Smith, 2010). St. Marys College implemented her model as part of the teaching curriculum in 1970. Soon after that, she was chosen as chair of the nursing department in 1971 and stayed in that position until 1982. During her time there, she was continuing to earn a second masters degree from UCLA in sociology and in 1977, a Ph.D. in sociology, also from UCLA. She took postdoctoral studies in neuroscience nursing at the University of California, San Francisco (UCSF). Her interest in this field was provoked by her own involvements with neurological diseases, and she sought to increase her knowledge of the holistic person as an adaptive system. By the time 1981 came around, the adaptive model of nursing practice was known to many. Dr. Roy and her associates turned to thirty other schools in order to show them how to use the model in their associate to doctoral level nursing program. Dr. Roy has also helped to develop a masters of science program in nursing at the University of Portland in Oregon. At B oston College, she was then asked to help develop a Ph.D. program in nursing in 1987. The latest research she is doing focuses on nursing interventions for those who have suffered mild head injuries with the adaptive model. Roy studied with Dr. Dorothy Johnson while at UCLA. Dr. Johnson had developed the Behavior System Model of Nursing. She insisted Sister Roy to develop her concept of adaptation and refine what she has into a theory to define the goal of nursing. Introduction to Nursing: An Adaptation Model, was published in 1976 and has been updated many times during the course of the years. Theory Description Adaptation model addresses the focus of nursing care, the target of nursing care, and the need for nursing care. Dr. Roys perspective of the patient is holistic. According to Parker Smith (2010), Dr. Roy states, â€Å"patients are constantly adapting, and the goal of nursing is to promote that adaptation in both sickness and health.† The four key perceptions and assumptions of the adaptive model in humans are adaptive systems in both individuals and groups, in the environment, health, and also in the goal of nursing. Roy defines the four concepts of the paradigm of nursing as follows: 1. Nursing – The science and practice that expands adaptive abilities and enhances person and environmental transformation. 2. Environment – all conditions, circumstances, and influences that surround and affect the development and behavior of humans as adaptive systems, with particular consideration of person and earth resources. 3. Person – the main focus of nursing, the recipient of nursing care, a living, complex, adaptive system with internal processes acting to maintain adaptation in the four adaptive modes which are physiological, self-concept, role function, and interdependence. 4. Health – a state and a process of being and becoming an integrated and whole human being. According to Parker Smith (2010), assumptions of the theory are as follows: Explicit Assumptions: People are holistic beings. People are continually interacting with their altering environment. People cope with changes by using inborn and learned coping skills that are biological, psychological, and social. Health and illness are a part of everyones life. To adapt, people must have positive responses to changes in their environment. Adaptation depends on a person’s adaptation levels and the stimuli to which they are exposed. Adaptation levels refer to the amount of stimulation that lead to positive responses. The four forms of adaptation are biologic, concept of self, role development, and interaction with others. Nursing values other peoples opinions and points of view. Interaction with others is an essential part of nursing. The ultimate goal of existence is to reach dignity and wholeness. Implied Assumptions: People can be separated into parts for care and study. Nursing is based on cause and effect. Nursing needs to consider and respect a persons opinions and values. When a person adapts, he or she is free to respond to additional stimuli. Nursing Process: Assessment of a patients behavior Assessment of a patients stimuli Nursing diagnosis Goal setting Nursing interventions to meet goals Evaluation Some early critiques point out to the fact that Roy’s theory was only fixated on the holistic aspects of the person and ignored other aspects (Parker Smith, 2010). Dr. Roy reviewed her theory and revised it for the 21st century in the late 1990’s. She depicted her knowledge of philosophy, spirituality, and scientific on the research that she had done. She was seeing individuals as defined by their physical and social environments. She cited nursing scholars who developed a discipline that served to enhance the well-being of people and the earth. Dr. Roy used the phrase â€Å"cosmic unity† to show that people and the earth have common characteristics. Dr. Roys nursing theory is continuously progressing with the findings she has added to the broad base of nursing knowledge and outcomes of nursing practice. Evaluation Roy’s adaption model does a pronounced job in clarifying the role of adaptation in illness and nursing. Dr. Roy included the different types of stimuli, different modes of coping and adapting, and nursing’s role in assisting a patient to adapt (Parker Smith, 2010). The Adaptation model is commonly known by the nursing community. In fact, â€Å"it is one of the most frequently used models to guide nursing research, education, and practice,† claims (Alligood Tomey 2010, p.354). This model is still being taught in several universities in the United States and abroad. Adaption model authenticates considerably in many different nursing disciplines. The model has stimulated the advancement of many middle-range nursing theories. It contains a lot of many major concepts, sub-concepts, and relational statements, which makes the model to be considered as a complex model. The complexity of the adaption model supports the growth of its empirical precision. The adaption model is extensive in the scope and can be used to shape or experiment with nursing theories. This helps to make the model generalizable to all approaches existed in nursing practice. Adaption model is a model that can be researched various ways and can be useful on as a conceptual framework in countless nursing research field ideas. It is beneficial, valid, and essential for nursing practice, nursing education, and development. It is responsible for respected information about individuals adaptation to different environmental stimuli (1). The metaparadigm concepts implanted contained by the adaption model include person, environment, nursing, and health. This is a continuous collaboration on many levels, permitting individuals and groups including families, communities, etc. flexibility and change for better health decisions. Developing the nursing process, nurses can assess to see if there is any maladaptive behaviors and would be able to develop care plans with appropriate interventions that enhance adaptation positively for enhanced conclusions (Kenney, 2013, p.368). An example and evaluation of the adaption model applied is as follows. Mianna, who is a 21 year old female, is seen in the emergency room for a problem of extremely severe lower abdominal pain that also goes along with fever, nausea, and vomiting. Mianna is first escorted by her father, who left as soon as she was taken back to her room. She has a high WBC count and nothing on the ultrasound. The x-ray was negative. Intravenous antibiotics are ordered as treatment for likely pelvic inflammatory disease. Medication for pain helped Mianna to be more at ease regardless of the fever and nausea. Initial calculation of the application of the adaption model will address Mianna’s behavior in four key parts. The physiological state of her adaptation level has been compromised by her health position that includes lower abdominal pain and nausea with fever. Mianna has been having to manage these symptoms of infection, which unfortunately were caused by partaking in unprotected sex. The self-concept group identity in adaption model can determine that the patient has made the decision to come to the hospital for treatment. This is indicating good judgment on behalf of Mianna. Since she reached out to health care when sickness has bestowed upon her indicates that Mianna has some meaning or connection to the world. Recognizing role, meaning Mianna is a twenty one year old who has been in a sexual relationship with multiple partners. She has approximately some relationship with her father, taking in consideration that he is the one that brought her to the hospital. When bearing in mind interdependence mode, we can see that Mianna is a twenty one year old in which her father came with her to the hospital, but he then left, which now leaves Mianna alone looking for treatment of the illness that is compromising her life. The adaption model is pertinent to Mianna and her family, since it shows that her father does know something is wrong with Mianna but does not stay to find out what. Next, the assessment requires collecting further information and linking it to internal and external factors recognized as focal, contextual, and residual that manage adaptive behaviors in persons. Concepts will look at the links between the person and their environment and see how the environment affects adaptive behaviors and level of functioning (Roy’s adaptation model, 2012). The adaptation model supports the nursing process and nursing practice related to holistic and human adaptation (Lee, Tsand, Wong, Lee 2011). Merging the evidence from the two assessments, the nurse can create a care plan founded on the impression that the individual has two coping factors to deal with eventful situations (McEwen Wills, 2011, p. 171-172). Nursing care would be focused on helping patients make modifications to their behavior as a way to cope when illness arises. Preferred patient care conclusions for Mianna’s case study can be based on the same ideologies. Identifying Miannaâ €™s internal and external factors can help start to comprehend how Mianna copes with stress. The interventions that can be utilized would be to educate Mianna on the illness that has affected her and to explain about health promotion and preventing behaviors that can cause this illness. Mianna can validate that she comprehends the instructions by reeducating the nurse on the topic at hand. Referring Mianna to the college clinic or a community based health program will help to make available additional knowledge and management. Mianna, if wanted, can benefit from these referrals. â€Å"In terms of dealing with a chronic illness or disease or even acute conditions, Roy concludes that the goal of nursing care is to provide ways for patient to adapt to their environment.† (need a site) Application I feel the adaption model characterizes the concept of care in my hospital setting. It helps by showing the mind and body are connected and are treated holistically. Working in the emergency room as a nurse who sees death and dying on a daily basis makes it easier to deal with when knowing that the spirituality or the metaphysical certainly come into play when one is dying. When I have patients that are actively dying, they will sometimes request a chaplain, even if he or she was not formerly religious. This makes me believe even more in the adaption model. These individuals are looking for a purposeful and gracious death, which is relating to the self-concept mode, concentrating on the sense of unity, meaning, purposefulness in the universe (McEwen Willis, 2011). Nurses are to maintain our patients’ quality of life and warrant that they have a dignified and peaceful passing, even if it is in the emergency room. Again, Roy’s goal of nursing is promoting adaptation to c ontribute to a person’s health, quality of life, and dying with dignity (McEwen Ellis, 2011). That is why I feel that this model fits perfectly in the hospital that I work at. I am anticipating that I can enhance to better serve my patients, having a better awareness of the adaptation processes and thus a better understanding of the interventions I deliver. In closing, this adaptation model has been established as a guide for nursing practice in a world with developing needs that change daily. When the model is applied, the model delivers a plan for knowledge improvement for the patients. Roy’s theory adds great value to, not only the discipline of nursing practice, but also nursing science, education, research, and administration. This is why I have decided to indulge in Dr. Roy’s adaption model. References Parker, M. E., Smith, M. C. (2010). Nursing Theories and Nursing Practice (3 ed.). Philadelphia, PA: F. A. Davis. Retrieved from http://www.ebrary.com

Cultural Influences on Social Cognition and Behavior Essay

There was once a time when I met a Filipino family in the park. The most famous hospitality of Filipinos was showed to me. They have invited me to join them for snacks — something that a typical American would not do even to fellow American. However, these people became friendly to me even though they know that I am not among their own race. I was able to identify with them because I have experienced the real essence of having a family, something I am not seeing in most American families. With that encounter, they have thought me to also be concern with other people. More than that, they have showed me that we can unite amid cultural differences and that we can trust people even at the first meeting; and through that we can have connections. I found this influences to easy come to my senses and being because I have been observing families in my own community and I have not found anyone or family as hospitable as them. That is because I was able to identify with them. I was vulnerable because it was my first time to experience such hospitability from other people who possess different culture other than what I have been practicing. Americans have become very individualistic and have failed to show such culture to other people even in our own kind. I was able to process my thoughts and feelings in terms of dealing with other cultures because I have experienced another culture first hand, more than what I can read from books and periodicals. What I have experienced and learned through the encounter is definitely a positive influence. Because their culture has encouraged me to learn more about other cultures and practices of other people and they have helped me understand the differences of cultures. Reference Huitt, W. (2006). Social cognition. Educational Psychology Interactive. Valdosta, GA: Valdosta State University. Retrieved May 13, 2008 from http://chiron. valdosta. edu/whuitt/col/soccog/soccog. html.

Most Memorable Experience In My Life - 1490 Words

There are many memorable critical occasions that I encountered throughout my life. However, these occasions played a great role in helping me to find what I want to accomplish in my future life. The most vivid memories I had as a child were my most traumatic. These are when my mother and grandmother were diagnosed with cancer when I was in Ethiopia. After three years, my mother suffered from a horrible headache that sent her to the hospital and that was when she found out that she was diagnosed with brain cancer. After a few days, she went through chemotherapy in order to cure cancer before it spread further. She had been through several months of treatment but it was too late. Unfortunately, she passed away. My mother s death has been†¦show more content†¦Of course you can anything for you my baby, she would always say. She never hesitated to buy whatever I desired. Sometimes I knew that times were tough but she never made me feel like they were. I was a happy child. However, throughout my childhood, my mother would complain about having a headache that never seemed to go away. She was always in pain and it pained me to see her like this. One day I asked her when she was complaining about her head, Mom are you sure it s just a headache, I think you should see a doctor and she said, I m fine sweeties do not worry, it s just a small headache. And after she finished saying her sentence she fell to the floor unconscious. I panicked and called for an ambulance. I went with my grandmother to see her at the hospital and for a while, the doctors were not sure what was wrong. Then one day, we were hit with the shocking news of her brain cancer. I felt like I was going to lose my mind when I heard the news. I refused to leave the hospital because I always wanted to stay by her side. I wanted to hold on to every ounce of hope there was but I knew that it was only a matter of time before she would pass away. 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Fourth Amendment - the Text, Origins, and Meaning

The Fourth Amendment to the United States Constitution is a section of the Bill of Rights that protects the people from being subjected to unreasonable searches and seizures of property by law enforcement officers or the federal government. However, the Fourth Amendment does not prohibit all searches and seizures, but only those that are found by a court to be unreasonable under the law. The Fifth Amendment, as part of the original 12 provisions of the Bill of Rights, was submitted to the states by Congress on September 25, 1789, and was ratified on December 15, 1791. The full text of the Fourth Amendment states: The right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no warrants shall issue, but upon probable cause, supported by oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized. Motivated by British Writs of Assistance Originally created to enforced the doctrine that â€Å"each man’s home is his castle,† The Fourth Amendment was written directly in response to British general warrants, called Writs of Assistance, in which the Crown would grant overarching, non-specific search powers to British law enforcement officials. Through Writs of Assistance, officials were free to search virtually any home they liked, at any time they liked, for any reason they liked or for no reason at all. Since some of the founding fathers had been smugglers in England, this was an especially unpopular concept in the colonies. Clearly, the framers of the Bill of Rights considered such colonial-era searches to be â€Å"unreasonable.† What Are ‘Unreasonable’ Searches Today? In deciding whether a particular search is reasonable, the courts attempt to weigh important interests: The extent to which the search intruded on the individuals Fourth Amendment rights and the extent to which the search was motivated by valid government interests, such as public safety. Warrantless Searches Not Always ‘Unreasonable’ Through several rulings, the U.S. Supreme Court has established that the extent to which an individual is protected by the Fourth Amendment depends, in part, on the location of the search or seizure. It is important to note that according to these rulings, there are several circumstances under which police may lawfully conduct â€Å"warrantless searches.† Searches in the Home:  According to Payton v. New York (1980), Searches and seizures conducted inside a home without a warrant are presumed to be unreasonable. However, such â€Å"warrantless searches† may be lawful under certain circumstances, including: If a responsible person gives the police permission to search the property. (Davis v. United States)If the search is conducted during a lawful arrest. (United States v. Robinson)If there is clear and immediate probable cause to conduct the search. (Payton v. New York)If the items being searched for are in plain view of the officers. (Maryland v. Macon) Searches of the Person:  In what is popularly known as its â€Å"stop and frisk† decision in the 1968 case of Terry v. Ohio, the Court ruled that when police officers see â€Å"unusual conduct† leading them to reasonably conclude that criminal activity may be taking place, the officers may briefly stop the suspicious person and make reasonable inquiries aimed at confirming or dispelling their suspicions. Searches in Schools:  Under most circumstances, school officials do not need to get a warrant before searching students, their lockers, backpacks, or other personal property. (New Jersey v. TLO)  Ã‚   Searches of Vehicles:  When police officers have probable cause to believe that a vehicle contains evidence of criminal activity, they may lawfully search any area of the vehicle in which the evidence might be found without a warrant. (Arizona v. Gant) In addition, police officers may lawfully conduct a traffic stop if they have reasonable suspicion that a traffic violation has occurred or that criminal activity is being carried out, for example, vehicles seen fleeing the scene of a crime. (United States v. Arvizu and Berekmer v. McCarty) Limited Power In practical terms, there is no means by which the government can exercise prior restraint on law enforcement officials. If an officer in Jackson, Mississippi wants to conduct a warrantless search without probable cause, the judiciary is not present at the time and cant prevent the search. This meant that the Fourth Amendment had little power or relevance until 1914. The Exclusionary Rule In Weeks v. United States (1914), the Supreme Court established what has been known as the exclusionary rule. The exclusionary rule states that evidence obtained through unconstitutional means is inadmissible in court and cannot be used as part of the prosecutions case. Before Weeks, law enforcement officials could violate the Fourth Amendment without being punished for it, secure the evidence, and use it at trial. The exclusionary rule establishes consequences for violating a suspects Fourth Amendment rights. Warrantless Searches The Supreme Court has held that searches and arrests can be performed without a warrant under some circumstances. Most notably, arrests and searches can be performed if the officer personally witnesses the suspect committing a misdemeanor, or has reasonable cause to believe that the suspect has committed a specific, documented felony. Warrantless Searches by Immigration Enforcement Officers On January 19, 2018, U.S. Border Patrol agents — without producing a warrant to do so — boarded a Greyhound bus outside the Fort Lauderdale, Florida station and arrested an adult female whose temporary visa had expired. Witnesses on the bus alleged that the Border Patrol agents had also asked everyone on board to show proof of U.S. citizenship. In response to inquiries, the Border Patrol’s Miami section headquarters confirmed that under the long-standing federal law, they can do that. Under Section 1357 of Title 8 of the United States Code, detailing the powers of immigration officers and employees, officers of the Border Patrol and Immigration and Customs Enforcement (ICE) can, without a warrant: interrogate any alien or person believed to be an alien as to his right to be or to remain in the United States;arrest any alien who in his presence or view is entering or attempting to enter the United States in violation of any law or regulation made in pursuance of law regulating the admission, exclusion, expulsion, or removal of aliens, or to arrest any alien in the United States, if he has reason to believe that the alien so arrested is in the United States in violation of any such law or regulation and is likely to escape before a warrant can be obtained for his arrest, but the alien arrested shall be taken without unnecessary delay for examination before an officer of the Service having authority to examine aliens as to their right to enter or remain in the United States; andwithin a reasonable distance from any external boundary of the United States, to board and search for aliens any vessel within the territorial waters of the United States and any railway car, aircraft, con veyance, or vehicle, and within a distance of twenty-five miles from any such external boundary to have access to private lands, but not dwellings, for the purpose of patrolling the border to prevent the illegal entry of aliens into the United States. In addition, The Immigration and Nationality Act 287(a)(3) and CFR 287 (a)(3) states that Immigration Officers, without a warrant, may â€Å"within a reasonable distance from any external boundary of the United States...board and search for aliens in any vessel within the territorial waters of the United States and any railcar, aircraft, conveyance, or vehicle.† The Immigration and Nationality Act defines â€Å"Reasonable distance† as 100 miles.   The Right to Privacy Although the implicit privacy rights established in Griswold v. Connecticut (1965) and Roe v. Wade (1973) are most often associated with the Fourteenth Amendment, the Fourth Amendment contains an explicit right of the people to be secure in their persons that is also strongly indicative of a constitutional right to privacy. Updated by Robert Longley