Applying Roy’s adaptation model to a community context
DOI:
https://doi.org/10.15649/cuidarte.3016Keywords:
Healthy life style, Aged, Theoretical Models, Outcome and Process Assessment, Health Care, Nurses, Community HealthAbstract
Introduction: This article is an important contribution to the application of Callista Roy’s Adaptation Model to groups. Objective: To promote adaptive behaviors through primary health care strategies for a group of chronically ill older adults living in a municipality in the department of Cundinamarca, Colombia. Materials and methods: A qualitative participatory action research approach was used. A nurse used participant observation and characterized the community; besides, with exploratory questions, the nurse enabled them to identify their problems and suggest strategies for improvement, including for their own health. Subsequently, the nursing care process was applied. Results: Group behavior was assessed through the following modes of adaptation: physiologic adaptation, self-concept or group identity, role-function adaptation or unit of social functioning and social integrity, and interdependence adaptation or social context in which the group functions. Discussion: Applying Roy’s model in practice makes it possible to identify negative situations in groups, promote innovative coping processes, and control environmental stimuli in a community. Assessment skills must be sharp, as they are key to applying Roy’s model to community practice. Conclusions: The stimuli that trigger the main adaptation problems were identified, and a nursing care plan was implemented developing adaptation strategies, such as home visits, intergenerational meetings, community participation with support groups created by the municipality, and health education, to promote group adaptation.
How to cite this article: Alvarado García, Alejandra María; Venegas Bustos, Blanca Cecilia; Salazar Maya, Ángela María. Aplicación del Modelo de Adaptación de Roy en el contexto comunitario. Revista Cuidarte. 2023;14(3):e3016. http://dx.doi.org/10.15649/cuidarte.3016
References
Organización Mundial de la Salud (OMS). Enfermedades crónicas. (n.d.). 2020. Disponible en: https://www.paho.org/es/temas/enfermedades-no-transmisibles
Leach MJ, Eaton H, Agnew T, Thakkar M, Wiese M. The effectiveness of integrative healthcare for chronic disease: A systematic review. Int J Clin Pract Suppl. 2019. https://doi.org/10.1111/ijcp.13321
Ronzi S, Orton L, Pope D, Valtorta NK, Bruce NG. What is the impact on health and wellbeing of interventions that foster respect and social inclusion in community-residing older adults? A systematic review of quantitative and qualitative studies. Syst Rev. 2018; 30;7(1):26. https://doi.org/10.1186/s13643-018-0680-2
Pisano González MM, González Pisano A. La modificación de los hábitos y la adherencia terapéutica, clave para el control de la enfermedad crónica. Enferm Clin. 2014; 24(1): 59–66. https://doi.org/10.1016/j.enfcli.2013.10.006
Smith MC. Regenerating Nursing’s Disciplinary Perspective. ANS Adv Nurs Sci. 2019; 42(1): 3-16. https://doi.org/10.1097/ANS.0000000000000241
Roy C, Heather AA. The Roy Adaptation Model. 2 ed. Boston: Appleton & Lange. 1999.
MacCallum J, Palmer D, Wright P, Cumming-Potvin W, Northcote J, Booker M. Australian Perspectives: Community building through intergenerational exchange programs. Journal of Intergenerational relationships. 2006; 8(2):113-27. https://doi.org/10.1080/15350771003741899
Roy C. Nursing Knowledge in the 21st Century: Domain-Derived and Basic Science Practice-Shaped. ANS Adv Nurs Sci. 2019; 42(1): 28-42. https://doi.org/10.1097/ANS.0000000000000240
Villareal E. Using Roy’s Adaptation Model When Caring for a Group of Young Women Contemplating Quitting Smoking. Public Health Nurs; 2003; 20(5): 377–384. https://doi.org/10.1046/j.1525-1446.2003.20506.x
Chen CCH, Chang CK, Chyun DA, McCorkle R. Dynamics of Nutritional Health in a Community Sample of American Elders. ANS Adv Nurs Sci. 2005; 28(4): 376-389. https://doi.org/10.1097/00012272-200510000-00009
Buckner BS, Buckner EB. Post-Revolution Egypt: The Roy Adaptation Model in Community. Nursing Science Quarterly. 2015; 28(4): 300-307. https://doi.org/10.1177/0894318415599218
Roy C, Andrews H. The Roy Adaptation Model. 3ed. Londres: Person. 2008.
Akyil RÇ, Ergüney S. Roy’s adaptation model-guided education for adaptation to chronic obstructive pulmonary disease. J Adv Nurs. 2013; 69(5): 1063-1075. https://doi.org/10.1111/j.1365-2648.2012.06093.x
Dixon EL. Community health nursing practice and the Roy Adaptation Model. Public Health Nurs. 1999; 16(4):290-300. https://doi.org/10.1046/j.1525-1446.1999.00290.x
Kyamusugulwa PM, Hilhorst D, Van Der Haar G. Capacity builders for governance: community-driven reconstruction in the eastern Democratic Republic of Congo. Dev Pract .2014; 24(7). https://doi.org/10.1080/09614524.2014.944484
Houghton C, Murphy K, Shaw D, Casey D. Qualitative case study data analysis: An example from practice. Nurse Res. 2015; 22(5): 8–12. https://doi.org/10.7748/nr.22.5.8.e1307
Jociles Rubio MI. La observación participante en el estudio etnográfico de las prácticas sociales. Rev. colomb. antropol. 2018; 54(1):121-150. http://www.scielo.org.co/pdf/rcan/v54n1/0486-6525-rcan-54-01-00121.pdf
Alvarado AM, Venegas BC, Salazar AM. Aplicación del Modelo de Adaptación de Roy en el contexto comunitario. 2023; Mendeley Data V1. https://doi.org/10.17632/tdxfppmtby.1
República de Colombia. Ministerio de Salud. Resolución 8430 de 1993. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. MinSalud. 1993. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Seo-Cho JM. Nursing Process Manual: Assessment Tool for the Roy Adaptation Model. 1999
Buckner BS, Buckner EB. Post-Revolution Egypt: The Roy Adaptation Model in Community. Nurs Sci Q. 2015; 28(4):300-307. https://doi.org/10.1177/0894318415599218
Hanna DR. Using the Roy Adaptation Model in Management of Work Groups. Nurs Sci Q. 2006; 19 (3): 226-230. https://doi.org/10.1177/0894318406289886
Herrera Santí PM, Martínez García N, Navarrete Ribalta C. Intervención comunitaria para mejorar la calidad de vida del adulto mayor. Rev Cubana Med Gen Integr. 2015; 31( 4 ): 326-345. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252015000400005
Serrano Romero GM. Apoyo a la intervención psicosocial de los adultos mayores y funcionarios del Centro de Bienestar del Anciano, Juan Pablo II de Floridablanca (CBA JPII). [Proyecto de pregrado] Bucaramanga (Colombia): Universidad Pontificia Bolivariana- seccional de Bucaramanga; 2019. http://hdl.handle.net/20.500.11912/8678
Lee LL, Arthur A, Avis M. Using self-efficacy theory to develop interventions that help older people overcome psychological barriers to physical activity: a discussion paper. Int J Nurs Stud. 2008; 45(11):1690-9. https://doi.org/10.1016/j.ijnurstu.2008.02.012
Prajankett O, Markaki A. Integrated older people care and advanced practice nursing: an evidence-based review. Int Nurs Rev. 2021; 68(1):67-77. https://doi.org/10.1111/inr.12606
Anuruang S, Hickman LD, Jackson D, Dharmendra T, Van Balen J, Davidson PM. Community-based interventions to promote management for older people: an integrative review. J Clin Nurs. 2014; 23(15-16): 2110-20. https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=43043
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