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An Analysis of Roy’s Adaptation Model of Nursing as Used Within Acute Psychiatric Nursing

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An Analysis of Roy’s Adaptation Model of Nursing as Used Within Acute Psychiatric Nursing
et al.

Journal of Psychiatric and Mental Health Nursing, 2004, 11, 221–228

An analysis of Roy’s Adaptation Model of Nursing as used within acute psychiatric nursing
D. PATTON rpn rnt bns(hons) pgdiped msc
Lecturer, School of Nursing and Midwifery, University College Dublin, Ballsbridge Campus, Ballsbridge, Dublin, Ireland

Correspondence:
D. Patton
School of Nursing and Midwifery
University College Dublin
Ballsbridge Campus
Ballsbridge
Dublin
Ireland
E-mail: Declan.Patton@ucd.ie

PATTON D. (2004) Journal of Psychiatric and Mental Health Nursing 11, 221–228
An analysis of Roy’s Adaptation Model of Nursing as used within acute psychiatric nursing This article examines the use of Roy’s Adaptation Model of Nursing within acute psychiatric nursing. The analytical framework used to analyse the model was that of McKenna’s
(1997) framework. The author believed this framework would allow for analysis of an abstract nature to occur. After examining the model under different headings it was concluded that there exists a research gap in relation to the use of Roy’s model within acute psychiatric nursing. It is recognized that Roy’s model is well developed and therefore has the potential to positively effect nurse practice and patient outcomes within acute psychiatric nursing. However, it is also acknowledged that a greater level of research-based evidence is required in order to fully justify the use of the model within acute psychiatric nursing.
Keywords: McKenna’s analytical framework, nursing models, Roy’s model
Accepted for publication: 10 September 2003

Introduction
Within nursing the development and utilization of nursing models is an area of constant growth. Within psychiatric nursing the development and use of nursing models is not so evident (Barker 2001). The reason for this may lie in the fact that psychiatric nursing can go without the use of nursing models, as such models do not address what nurses do within clinical



References: Barker P. (2001) The tidal model: developing an empowering, person-centred approach to recovery within psychiatric and Barker P., Jackson S. & Stevenson C. (1999) What are psychiatric nurses needed for? Developing a theory of essential nursing Barker P., Leamy M. & Stevenson C. (2000) The philosophy of empowerment Begley C. (1996) Using triangulation in nursing research. Journal of Advanced Nursing 24, 122–128. Benner P. (1984) From Novice to Expert: Excellence and Power in Clinical Nursing Practice Cahill J. (1998) Patient participation: a review of the literature. Chapman H. (1999) Some important limitations of competencybased education with respect to nurse education: an Australian perspective Chinn P. & Kramer M.K. (1995) Theory and Nursing: A Systematic Approach, 3rd edn. Mosby, St. Louis. Cranston M. (2002) Clinical effectiveness and evidence-based practice Fawcett J. (1987) Analysis and Evaluation of Conceptual Models of Nursing Fawcett J. (1995) Analysis and Evaluation of Theories of Nursing . Fletcher E. & Stevenson C. (2001) Launching the tidal model in an adult mental health programme Gournay K. (1995) What to do with nursing models. Journal of Psychiatric and Mental Health Nursing 2, 325–327. McClarey M. & Duff L. (1997) Clinical effectiveness and evidence-based practice. Nursing Standard 11, 33–37. McKenna H. (1994) Nursing Theories and Quality of Care: Developments in Nursing and Health Care McKenna H. (1997) Nursing Theories and Models. Routledge, London. Metzger McQuiston C. & Webb A.A. (1995) Foundations of Nursing Theory Miller F. (1991) Using Roy’s model in a special hospital. Nursing Standard 5, 29–32. Nordgren S. & Fridlund B. (2001) Patients’ perceptions of selfdetermination as expressed in the context of care. Journal of Advanced Nursing 35, 117–125. Orem D.E. (1995) Nursing: Concepts of Practice, 5th edn. Rodwell C. (1996) An analysis of the concept of empowerment. Roper N., Logan W. & Tierney A. (2000) The Roper–Logan– Tierney Model of Nursing Roy C. (1979) Relating nursing theory to nursing education: a new era Roy C. (1980) The Roy Adaptation Model. In: Conceptual Models for Nursing Practice (eds Riehl, J.P. & Roy, C.), pp. 179– 188 Roy C. (1984) Introduction to Nursing: An Adaptation Model , 2nd edn Roy C. (1997) Future of the Roy model: challenge to redefine adaptation Roy C. & Andrews H.A. (1991) The Roy Adaptation Model: The Definitive Statement Roy C. & Andrews H. (1999) The Roy Adaptation Model, 2nd edn Schon D.A. (1983) The Reflective Practitioner. Basic Books, New York. Smith L. (1996) Issues raised by the use of nursing models in psychiatry. Nurse Education Today 6, 69–75. Stevenson C., Barker P. & Fletcher E. (2002) Judgement days: developing an evaluation for an innovative nursing model. Walsh M. (1991) Models in Clinical Nursing: The Way Forward.

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