NR 501 Week 3 Discussion-Steps of Concept Analysis

NR 501 Week 3 Discussion-Steps of Concept Analysis

Concept analysis can serve a very important role when attempting to gain a common understanding of a topic or scenario. Concept analysis is used to understand concepts for theory development better. There are many different existing methods used to conduct a concept analysis. Following the steps in the process serves as a means to help achieve a mutual understanding of the topic. The selected theory for this assignment is Roy’s adaptation Model. Afraiabifar emphasizes that adaptation is the main concept of Roy’s Adaptation Model[ CITATION Afr13 \l 1033 ]. Afraiabifar further stated that nursing aims to promote adaptation in each of the four modes. This includes physiological, self-concept, role function, and interdependence [ CITATION Afr13 \l 1033 ]. This paper will analyze the Concept of adaptation using Roy’s adaptation model. This will include the purpose of the analysis, review of identified literature, attribute definitions, Empirical referents, construct cases, antecedent & consequence, theoretical applications of the Concept, and a summary of the key information in this paper.

Definition and Explanation of Nursing Concept

 According to the Merriam-Webster dictionary, adaptation is” the modification of the organism or its part that makes it more fit for existence under the conditions of its environment”… (Merriam-Webster, 2019). Merriam–Webster further describes adaptation as “A heritable physical or behavioral trait that serves a specific function and improves an organism’s fitness or survival”… (Merriam-Webster, 2019). For example, post-breast cancer surgery oncology patients could interrupt positive body image. This patient would have to develop a new-found positive body image now. The self-mode Concept uses Roy’s Adaptation Model to view the physical self and personal identity Ursavas (2014). Ursavas further adds that one’s physical self includes body image and sense (Ursavas. 2014).

The patient’s ability to respond to her body changes may be viewed as adapting. In this scenario, the patient became better suited to its environment. Patients and clinicians are constantly adapting to the changes in the environment. Hence, individual assessments, care plans, and specific interventions are important and constantly changing.

Literature Review

Ann’s extensive Literature review showed how the Concept of adaptation applies in different clinical situations and the relevance of Roy’s adaptation model in the nursing approach. Roy’s adaptation model was used to guide interventions in the following clinical scenarios. In the first article, Ursavas used Roy’s adaptation mode to guide care for a patient undergoing conserving surgery for breast cancer[ CITATION Urs14 \l 1033 ]. In this article, a patient was diagnosed with a malignant tumor requiring surgical intervention. According to Ursavas, nurses utilizing Roy’s adaptation model approached nursing care from a holistic view[ CITATION Urs14 \l 1033 ]. While caring for this cancer patient, Roy’s model ensured adaptation. The modes aimed at care for this patient included the Physiological mode, the concept mode, The role function mode, the second article used, and Roy’s adaptation model to promote physical activity among sedentary older adults. According to Rogers, older adults may have issues adapting to age-related decreased physical functions[ CITATION Rog12 \l 1033 ]. In reviewing this article, the physiologic mode, concept mode, role function mode, interdependence mode, and role function modes were assessed.

NR 501 Week 3 Discussion-Steps of Concept Analysis

The third article focused on using Roy’s adaptation Model on the adaptation of older adults in end-of-life decisions. Zhang contrasts the preparation of advanced directives and its impact on end-of-life decisions and adaptations. Many other factors influenced the patient’s adaptability. These include age, gender, family relationships, and health issues. The end of life can be stressful to adapt to. According to Roy, patients mobilize in all ways possible to adapt to stressful situations[ CITATION Zha13 \l 1033 ]. Zhang concluded that patients who prepared a living will in advance displayed signs of better coping and adaptability to end-of-life decisions.

The fourth article focused on a newly diagnosed Hemodialysis patient and the development of a patient-specific care plan and patient-specific education to help adapt to the new diagnosis[ CITATION Afr13 \l 1033]. The ability of the patient to shift their behavior and actions specific to one’s illness is important. The article stressed nurses’ importance in individualizing the patient’s care plan. Roy’s adaptation model helped to individualize the care plan. Utilizing Roy’s adaptation model helps to bring theory to practice. Using the model helped the patient cope with their new illness.

The fifth article focused on the Relationship between family cohesion and adaptability and quality of life of caregivers of children with (ASD) Autism spectrum disorder. The article concluded that the family of patients with (ASD) had higher family support (Lei, 2018).

This support helped the patient and family manage the illness and balance properly. Family cohesion and adaptability had a positive outcome on Family Life. Lei further illustrated that illnesses may affect patients and family members [ CITATION Lei18 \l 1033 ]. In this scenario, role function mode in Roy’s adaptation model was the primary Concept used to examine the role of adaptation, and it rendered positive outcomes. The last article focused on Roy’s adaptation model related to Chronic Obstructive Pulmonary disorder[ CITATION Aky12 \l 1033 ]. Increased adaptation to the illness was noted with the utilization of Roy’s adaptation model to outline the plan of care.

Defining Attributes

 Three attributes of adaptation are coping, education, and support. These three attributes help to promote adaptation in various clinical situations. Utilizing Roy’s Adaptation Model, a patient physiological, self-concept, role function interdependence mode, and role function mode are key in healing. When examining each mode, a care plan is derived to optimize patient care. The physiologic mode focuses on the immediate symptoms of an illness—and the self-concept mode focuses on developing a positive body image. The role function mode focused on self-love and relationships. The interdependence mode helps identify effective coping mechanisms related to family support. These modes help to formulate an individualized care plan with relevant interventions to aid patient recovery and adaptation to their new illness. Ursavas stressed the importance of using these modes[ CITATION Urs14 \l 1033 ]. Ursavas further stressed how essential theories are in nursing care and how nursing practice is enhanced[ CITATION Urs14 \l 1033 ].

Antecedent & Consequence

 One antecedent would be a new diagnosis of a chronic illness. In this scenario, patients and nurses must adapt to have the correct coping mechanisms to deal with the situation. Consequently, these health-related changes will imbalance one’s previous quality of life. When patients can cope with illnesses, improved outcomes are reported. Patients are also able to understand their illnesses. This improves patient compliance and may decrease repeat hospitalizations. According to Rogers, adaptation is the primary Concept in Roy’s adaptation model [ CITATION Rog12 \l 1033 ]. Rogers further emphasizes that patients who reported adaptability and proper coping mechanisms had better outcomes in their disease process. This demonstrates that adaptation to illnesses improves patient quality of life.

NR 501 Week 3 Discussion-Steps of Concept Analysis

Empirical Referents

There are many ways to promote adaptation and measure a patient’s response to disease or chronic illness. One empirical referent is providing cancer patients with a functional assessment tool. This tool is called the Facit-Pal 14 questionnaire[ CITATION Meh17 \l 1033 ]. This distress tool is used to evaluate quality of life. Providing This distress questionnaire measures signs and symptoms related to receiving a new cancer diagnosis and life changes. It also measures the patient’s quality of life-related to their cancer diagnosis. This distress questionnaire is often used to measure the need for patient support. Nurses can help the patient adapt to illness by referring the patient to the necessary services related to the questionnaire results. This may include social work, pain management, and palliative care. To measure the effectiveness of the referrals, patients may be resurveyed after receiving help from the referrals. After implementing the referrals, an improved functional tool score will help measure the effectiveness of the patient’s adaptation and coping mechanisms with a support team in place.

Construct Cases

 One model case in the article explored Roy’s adaptation Model as it related to Physical activities in older adults. Rogers concluded that although all modes of adaptation are important, the mode that would assist the patient in adapting the most in the given clinical scenario was the physiologic mode[ CITATION Rog12 \l 1033 ]. This article highlighted using mind-body practices that blend physical movement and deep breathing exercises to encourage physical activity among sedentary older adults. These exercises are thought to improve health benefits, including strengthening muscles and improving balance using a mind-body approach[ CITATION Rog12 \l 1033 ].

This intervention was chosen as the primary solution to help the body adapt to age-related decreased physical activity. Coping, education, and support were useful attributes in this scenario. This mode focused on mind, body, and soul and concluded that enhancing spirituality and self-efficacy increased strength endurance in older patients. This further proves that the utilization of theory in clinical practice is important. A borderline case in the same scenario would be a patient not receptive to learning and not agreeable to education services. This patient could receive the same services but may not have the same outcome if he is not receptive to learning. This patient may not be able to adapt to their illness.

One contrary case is resistance to adaptation. This is evidenced in the article related to patients making end-of-life decisions. Zhang identifies that women were more likely to be more adaptable to end-of-life decisions[ CITATION Zha13 \l 1033 ]. Women were also more likely to have their living will complete than men. Zhang correlates that patients who prepared a living will in advance showed signs of better-coping mechanisms and adaptability to end-of-life decisions[ CITATION Zha13 \l 1033 ]. One may conclude that because females are more likely to complete a living will, they have a better chance of developing coping mechanisms and adapting to illness more efficiently.

Theoretical Applications of the Concept

Concept analysis aims to show how concept adaptation is relevant to nursing theory. Patients are in a vulnerable situation when dealing with illness. They must adapt and rely completely on someone else to guide their decisions and needs. This could be full reliance on family, nurses, and physicians, or some may not have family support. Either way, they will have to adapt to their new situation. Roy’s adaptation model helps guide practice in health promotion and gives clinicians a theoretical model to guide interventions in patient care[ CITATION Rog12 \l 1033 ]. Nurses must also be able to adapt to the individual patient’s circumstances. The nurse’s versatility and ability to adapt is usually the behavior that gives the patient a sense of hope, trust, and comfort during difficult times.

Conclusion

 Adaptation from Roy’s adaptation model can be used in many scenarios, including clinical situations in hospital settings. This may include Code blues, rapid responses, deaths, Births, combative patients & families due to illnesses. These different emotions and clinical situations require that nurses and patients adapt to the scenario. The ability to shift behavior and actions specific to each patient is important. Nurses have to individualize care, interventions, and treatment to the needs of each patient. Roy’s adaptation model helps to individualize patient care. This model helps to bring theory to practice using assessments, intervention, and patient education. In my advanced role as a nurse leader, I have learned that each clinical patient scenario may differ. By utilizing Roy’s adaptation model, I can individualize my interventions, help my patients adapt, and improve their quality of life.

References

Afraiabifar, A. (2013, July). Roys Adaptation Model-Based Patient Education For Adaptation of Hemodialysis Patients. Iranian Red Crescent Medical Journal, 15(7), 566-572. doi:doi: 10.5812/ircmj.12024

Akyil, R. (2012). Roy’s Adaptation Model- guided education for chronic obstructive pulmonary disease adaptation. Journal of Advanced Nursing, 69(5), 1063-1075. doi:doi:101111/j1365-2648- 2012-06093.x

Lei, X. (2018). Study on Relationship between family Cohesion and Adaptability And Quality of Life Caregivers of children with ASD. Social Welfare Interdisciplinary Approach, 8(1), 132-143.

Mehnert, A. (2017). One in two cancer patients is significantly distressed: Prevalence and indicators of distress: Prevalence indicators of distress. Psycho-Oncology, 27(1), 75-82. doi:doi:10.1002/pon.4464

Merriam-Webster. (2019). Webster Online Dictionary Adaptation. Retrieved March 23, 2019, from https:/www.merriam-webster.com/dictionary/adaptation

Rogers, C. (2012). Roy’s Adaptation Model To Promote Physical Activity Among Sedentary Older Adults.

Geriatric Nursing, 21-26.:doi:10.10.1016/j.gerinurse.2012.02.002

Ursavas, F. E. (2014). Nursing Approach Based on Roy Adaptation Model in a Patient Undergoing Breast-Conserving Surgery for Breast Cancer. The Journal of Breast Health, 10(3), 134140:doi:10.5152/tjbh.2014.1910

Zhang, W. (2013). Older Adults Making End of Life decisions: An application of Roy’s Adaptation Model.

Journal of Aging Research, 2013, 1-8. Retrieved March 21, 2019, from https:/www.Hindawi.com/journals/jar/2013/470812/

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NR 501 Week 3 Discussion-Steps of Concept Analysis

At the end of Week 3, your concept analysis is due. This discussion provides an opportunity to start this
assignment. Select a nursing concept supported by a nursing theory and address the following
components included in a concept analysis:

• Definition of Concept
• Identification of three attributes of the Concept
• Description of one antecedent and one consequence of the Concept
• Identification of two empirical referents
• A brief explanation of theoretical applications of the Concept (How is the Concept relevant to a nursing theory?

This information does not have to be comprehensive but provides a foundation for the upcoming
assignment. Be sure to include scholarly references.