A Critical Review of Roy Adaptation Model in Healthcare Settings

This paper critically evaluates articles that have used the Roy Adaptation Model (RAM) in psychological conditions and assesses the empirical support provided by these articles. The review includes studies by Otaghi et al. (2018) on breast cancer patients, Hamzehpour et al. (2017) on ICU patients, and Baksi and Dicle (2017) on brain tumor patients. Otaghi et al.'s study used a semi-experimental design, revealing improved psychological well-being post-intervention using RAM's adaptive modes. Hamzehpour et al. demonstrated the positive impact of RAM-based nursing care on patients' mental consciousness in the ICU. Baksi and Dicle found that education based on RAM effectively helps brain tumor patients cope with stress, particularly concerning social support. The review concludes by evaluating the alignment of each study's methodology and results with the core elements of RAM, including person, goal, activities, health, and environment, assessing adaptive and behavioral responses.

Running head: ROY ADAPTION MODEL
ROY ADAPTION MODEL
Name of Student:
Name of University:
Author’s Note:

1ROY ADAPTION MODEL
The aim of the paper is to critically evaluate the articles based on the psychological
conditions that has used Roy adaptation model; and how the selected article provide empirical
support for the Roy adaption model.
Otaghi et al. (2018) has conducted a research based on spiritual and psychological well-
being of breast cancer patients which has used Roy Adaptation Model to estimate the
consequence of care plan. The study has used semi-experimental study where number of
participants were 80 cancer patients which was divided into two equal group. They were asked
questions based on Roy adaptation model’ assessment form. Prior to intervention, there was no
changes in the psychology of cancer patients however, post intervention showed improved result.
The question was generated by using the four adaptive mode to guide the interview to assess the
variables in cancer patients such as aspects of stressors during treatment process. Therefore, it
can be said that finding of the study is based on Roy Adaptation Model affects psychology of
cancer patients. The study provides empirical support for Roy Adaptation Model as it has used
four adaptive means of RAM to guide the questionnaires. The study has supported its guideline
that adaptive behavior gives optimistic response to any modification.
Hamzehpour et al. (2017) has studied the consequence of Roy Adaptation Model in the
physiological feature on the level of mindfulness of patients in ICU. The author has used clinical
trial with 100 patients. The intervention group received nursing care based on RAM and
observed improvement in mental consciousness after fourth day. RAM’s suggestion is supported
by the study reflecting adaptation has been established in four different approaches of behavior
which involves role function, physiologic, self-concept and interdependence. The evidence
provided to the care seeker is based on social and emotional support to improve the level of

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consciousness in the patients in ICU. Therefore, the study does support RAM as it has
incorporated its structural framework in conduction of the study.
Baksi and Dicle (2017) examined the effect of education to the patients suffering from
brain tumors and how they cope with stress. The study has used conceptual framework of Roy
Adaptation Model. The research design of the study is quasi-experimental which included 95
patients; 50 control and 45 intervention. The result showed that education provided in relation
with Roy Adaptation Model is effective in coping with stress. The study partially supports RAM
as conceptual, empirical and theoretical structure of the research of nursing practice is developed
according to the RAM. The study have used adaptive mode and coping process to make the
patients understand that social support is important, although RAM did not affects the
dimensions of coping with stress except for social supports.
The concept and proposition of Roy adaption model was tested by critically evaluating
the methodology used by the author and assessing the result in alignment with the RAM. Finding
of the five element of RAM ie person, goal, activities health and environment was conducted in
each of the articles. The concept was evaluated by examining the adaptive and behavioral
response.

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Reference
Baksi, A., & Dicle, A. (2017). Examining the effect of education given by roy adaptation model
in patiıents with primary brain tumors on symptoms and coping with stress. Int J Caring
Sci, 10(2), 842-58.
Hamzehpour, H., Valiee, S., Majedi, M. A., Roshani, D., & Seidi, J. (2017). Effect of “Roy
adaptation model” in physiologic aspect on the level of consciousness of patients in
intensive care unit: A clinical trial. Scientific Journal of Kurdistan University of medical
sciences, 22(5), 1-12.
Otaghi, M., Nazarpour, B., Taghinegad, H., & Khorshidi, A. (2018). The effect of care plan
based on Roy Adaptation Model on the spiritual well-being of women with breast
cancer. Medical Science, 22(92), 418-422.