In: Nursing
Nursing theorist: Sister Callista Roy!
How does this theorist view each of the four phenomena of concern? (person, Health, Environment, Nursing)!
Person :- “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.
Environment :- “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 :- “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.
Nursing :- “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
copingmechanisms and eventually lead to better outcomes.