Using a qualitative research methodology, the utility of the Roy adaptation model as a framework for nursing practice within a hospital setting was investigated. The level of integration of the model into practice varied among nurses. The model was generally found to be useful in focusing, organizing, and directing nurses' thoughts and actions regarding patient care, resulting in a perception of improved quality of nursing process and patient outcomes. Prior education on the Roy model and participation in professional advancement activities facilitated model integration, while lack of education and resistance to change inhibited implementation of model-based practice.
Baldwin, S. (1983). Nursing models in special hospital settings. Journal of Advanced Nursing, 12, 473-476.
2.
Fawcett, J. , & Carino, C. (1989). Hallmarks of success in nursing practice. Advances in Nursing Science, 11(4), 1-8.
3.
Giger, J. A. , Bower, C. A., & Miller, S. W. (1987). Roy adaptation model: ICU application. Dimnensions of Critical Care Nursing, 6, 215-224.
4.
Glaser, B. , & Strauss, A. (1967). The discovery of grounded theory. Chicago, IL: Aldrine.
5.
Heggie, J. R. , Schoenmehl, P. A., Chang, M. K., & Grieco, C. (1989). Selection and implementation of Dr. Martha Rogers' nursing conceptual model in an acute care setting. Clinical Nurse Specialist, 3, 143-147.
6.
Huch, M. H. (1988). Theory-based practice: Structuring nursing care. Nursing Science Quarterly, 1, 6-7.
7.
Huckabay, L. (1991). The role of conceptual frameworks in nursing practice, administration, education, and research. Nursing Administration Quarterly, 15(3), 17-28.
8.
Hutchinson, S. (1986). Grounded theory: The method. In P. L. Munhall & C. J. Oiler (Eds.), Nursing research: A qualitative perspective (pp. 111-130). Norwalk, CT: Appleton-Century-Crofts.
9.
Kam, B. W. , & Weiner, P. W. (1990). Self-care theory: Application to perioperative nursing. AORN Journal, 51, 1365-1370.
10.
Knight, J. B. (1990). The Betty Neuman systems model applied to practice: A client with multiple sclerosis. Journal of Advanced Nursing, 15, 447-455.
11.
Lewis, T. (1988). Leaping the chasm between nursing theory and practice. Journal of Advanced Nursing, 13, 345-351.
12.
Mastal, M. F. , Hammond, H., & Roberts, M. P. (1982). Theory into hospital practice: A pilot implementation. The Journal of Nursing Administration, 12(6), 9-15.
13.
Mayberry, A. (1991). Merging nursing theories, models, and nursing practice: Mom than an administrative challenge. Nursing Administration Quarterly, 15(3), 44-53.
14.
Mitchell, G. J. , & Copplestone, C. (1990). Applying Parse's theory to perioperative nursing: A nontraditional approach. AORN Journal, 51, 787-798.
15.
Oliver, N.R. (1991). True believers: A case for model-based nursing practice. Nursing Administration Quarterly, 15(3), 37-43.
16.
Roy, C. (1984). Introduction to nursing: An adaptation model (2nd ed.). Englewood Cliffs, NJ: Prentice-Hall.
17.
Shea, H. , Rogers, M., Ross, E., Tucker, D., Fitch, M., & Smith, I. (1989). Implementation of nursing conceptual models: Observations of a multi-site research team. Canadian Journal of Nursing Administration, 2(1), 15-20.
18.
Sirignano, R. G. (1987). Peripartum cardiomyopathy: An application of the Roy adaptation model. Journal of Cardiovascular Nursing, 2(1), 24-32.
19.
Smith, M. C. (1988). Roy's adaptation model in practice. Nursing Science Quarterly, 1, 97-98.
20.
Sorrentino, E.A. (1991). Making theories work for you. Nursing Administration Quarterly, 15(3), 54-59
21.
Strauss, A. , & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage.
22.
Titus, S. , & Porter, P. (1989). Orem's theory applied to pediatric residential treatment. Pediatric Nursing, 15, 465-468.
23.
Wagner, P. (1976). Testing the adaptation model in practice. Nursing Outlook, 24, 682-685.
