Roy Adaptation Model (RAM), defined as a process of adaptation in which people respond positively to changes in the environment based on three types of stimuli - focal, contextual and residual (Alligood, 2010). In nursing practice, RAM promotes patient adaptation because nurses manipulate environmental stimuli, thus, enable patients’ to positively cope and adapt to life situations which positively influences health and illness. According to RAM’s theory, people are adaptive systems and adapt to their situation accordingly depending on the type of stimuli they receive (Alligood, 2010). I will illustrate how RAM applies to research, education, and nursing practice. In addition, I will analyze the major concepts of RAM as it pertains to person, health, nursing, and environment. The RAM development began during Sister Callista Roy’s studies in the Master’s program in 1964 at the University of California Los Angeles. The encouragement of Dorothy E. Johnson (advisor and seminar faculty) sparked Sister Callista Roy who was impressed with the concept of adaptation to pursue her interest in the development of the RAM. The development of the model took an additional 17 years of research with staff at Mount Saint Mary’s College in Los Angeles (Boston College University, n.d.). The RAM was developed during a period of time where propositions about nursing becoming a profession would only be achieved if nursing knowledge was supported by research. There was an abundance of nursing researchers working hard to provide a body of nursing knowledge that was researched based, but had yet to be applied to nursing practice and demonstrate that nursing interventions do influence outcome of health care. In a study, by the National Health Service it was determined how the RAM influenced nursing care of the hearing impaired in an elderly hospital, the perception of its value were noteworthy. The RAM affected reflective application and assisted
References: Alligood, M. R. (2010). Nursing theory: Utilization & application (4th ed.). St. Louis, MO: Mosby Elsevier. Boston College University. (n.d.). The Roy Adaptation Model. Retrieved from http://www2.bc.edu/~royca/htm/ram.htm McEwen, M., & Wills, E. M. (2007). Theoretical basis for nursing (2nd ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Meleis, A. I. (2007). Theoretical nursing: Development and progress (3rd ed.). Philadelphia, PA: Lippincott-Raven. Roy, C., & Andrews, H. A. (1999). Roy adaptation model. Stamford, CT: Appleton & Lange. Tolson, D., & McIntosh, J. (1996, November). The Roy adaptation model: A consideration of its properties as a conceptual framework for an intervention study. Journal of Advanced Nursing, 24(5), 981-7. Retrieved from http://ehis.ebscohost.com/ehost/detail?vid=1&hid=101&sid=71d19da0-ba57-484e-9b94-de5c1278ceb4%40sessionmgr114&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=1997005850