Professional Documents
Culture Documents
History
MSN 1966 Ph.D. Sociology 1977 Studied under Dorothy Johnson Influenced by Helson, Turner, von Bertalanffy General/Open systems theory
(Johnson & Webber, 2002)
Theoretical Thinking
Early 1960s Focus on nursing diagnosis Break from medical model Development of concepts Paradigms of philosophy and science Bases for theory research and testing
(Meleis, 1997)
Themes
Nursing - complex with many themes Acknowledgement - testing/linking
propositions Realization concepts contribute to development of specific ideas
(Meleis, 1997)
Roys Theme
Humanism with a spiritual context Incorporates values and moral beliefs Nursing assists in promoting adaptation
Goal of Nursing
Stabilize with equilibrium the energy stores
and spiritual harmony of the client in their environment Assist adaptation within 4 modes: Physiologic/Physical Self-concept role function Interdependence
(Meleis,1997)
(Hickman, 2002)
Studies
Urine control in nursing home clientschanges in contextual stimuli with environmental alteration Hearing impaired elderly- correlation with self-concept mode Taiwanese children with cancer coping mechanisms used maintain balance in life
(Jirovec, Jenkins, Isenberg, & Baiardi, 1999) (Zhan, 2000) (Yeh, 2001)
Grand Theorist
Broad with multitude of components Moderately abstract- involves physical,
emotional interaction with society Logical with interrelated concepts Deductive framework requires much research and testing for validation
(Tomey & Alligood, 1998) (Meleis, 1997)
Further Research
Testing propositions from environment and
nursing concepts with intervention studies
(Frederickson, 2002)
Group Home
Residents with
intellectual disability First level assessmentgather information on behaviors of group within 4 modes.
Determine Behavior
Adaptive Compromised Ineffective
Positive or Negative influences
Family dysfunction
existed due to resident having moodiness, stubborness, noncompliance
Action
Nursing Diagnosis: Ineffective socialization R/T decreased interaction Goals: Short term-Begin planning photo album Long termIncrease socialization Interventions: Discussion of feelings Film-E.T. Showing photos
Evaluate Interactions
Learn to identify group concepts within the context of family