Ashley Taylor
Maryville University
Roy’s Adaptation Model (RAM) is one of the most commonly used theories in nursing research and education for today’s modern nursing. It focuses on a person’s adaptation to his/her environment and guides nursing interventions in order to promote healthy adaptation. I chose the adaptation model because her model closely resembles my thoughts on nursing. The holistic approach and value on adaptation that RAM presents is one that closely aligns with my nursing philosophy. When reviewing and analyzing RAM, the Barnum critique is used in order to break down the model and interpret its weaknesses and strengths. “Barnum suggested that passing judgment on theories happens both subjectively and objectively” (Meleis, 2012, p.181). He proposes that a critique should consist of both external and internal criticism. This criteria walks us through a step by step process of breaking down the RAM and determining its overall usefulness in nursing practice. The internal criticism consists of five concepts: Clarity, Consistency, Adequacy, Logic Development, and Level of Theory Development (Meleis 2012). The external criticism consists of: Reality Convergence, Utility, Significance, Scope of theory, and Complexity (Meleis, 2012). This paper will walk through each concept and highlight what aspects of Roy’s Adaptation Model are present.
Internal Criticism
Clarity
Clarity can be enhanced for the adaptation model. Its five concepts (adaptation, person, nursing, environment and health) are well defined and there is also clear definition of the four adaptive modes (physiological, self-concept, interdependence and role function). However, some suggests there is an overlap between these modes, especially self-concept and interdependence, and a clearer definition should be found. Also, “Roy’s physiological mode requires more clarity to better relate it to the other three modes”
References: Shosha, G. A., & Kalaldeh, M. A. (2012). A Critical Analysis of Using Roy’s Adaptation Model in Nursing Research. International Journal of Academic Research, 4(4), 26-31. doi:10.7813/2075-4124.2012/4-4/B.3 Barone, S.H., Roy, C.L., Frederickson, K.C. (2008). Instruments Used In Roy Adaptation Model-Based Research. Nursing Science Quarterly, 21(4), 353-362 Fredrickson, K. (2000). Nursing knowledge development through research: Using the Roy Adaptation Model. Nursing Science Quarterly, 13, 12-16 Meleis, A. I. (2012).Theoretical Nursing: development & Progress (5th Ed). Philadelphia, PA. Lippincott, Williams & Wilkins.