The article I chose from the reading is “Theory-guided interventions for adaptation to heart failure.” I chose this topic because this article was very interesting to me. It gave me a better understanding of the application of Roy Adaptation Mode (as the framework). The article explained Roy’s four mode of adaptation including physiological mode, self-concept/group mode, role function mode, and interdependence mode.
The study showed a strong relationship in between Roy Adaptation modes and heart failure patients. I have seen many of heart failure patients on the unit and they have to adapt or change their behavior due to their illness. However, when the nurse or physicians told them that they have to adjust their lifestyle including limiting their salt and water intake. I have seen many of them are become angry. After I read this article, I have become more understand with Roy Adaptation Mode (RAM). As our textbook explains, “Coping process are innate or acquired methods of responding to the change environment.” This article has given me a clearer vision of how utilizing RAM- based intervention can improve the quality life for Heart Failure patients.
My manager and other staff members at my hospital are currently working on a research project related to heart failure and try to prevent readmission for heart failure patients. I think It will be interesting if I can show them this article and use this article as their guidelines. The implications for Clinical Nurse leadership practice include using this research and theory-based care plan for heart failure patients. The Roy Adaptation Model (RAM) also has many implications for the Clinical Nurse Leadership role. The RAM can act as an education tool for heart failure patients.
Baken, G. & Akyol, A. D. (2008). Theory-guided interventions for adaptation to heart failure.Journal of Advanced Nursing, 61(6),