The Roy Adaptation Model Past, Present, and FutureRoy适应模式的过去，现在，和将来.pptVIP

Sr. Callista Roy, PhD, RN, FAAN Professor and Nurse Theorist Boston College Connell School of Nursing Council Advancement Nursing Science Washington , DC September 14, 2012 Generating Cumulative Knowledge: Evidence for Practice Purpose-Discovery through Innovation To purpose a pathway to cumulative knowledge as a basis for evidence for practice by: Synthesizing research based on one conceptual model Deriving middle-range theories based on the cumulative knowledge Providing a broad definition for evidence for practice and demonstrate the evidence for the derived theories Presenting an exemplar of how cumulative knowledge can create change for practice Cumulative Knowledge Annual Review of Nursing Research—started in 1983, H. Werley Publishes state of the science papers—integrated review on one topic Metaanalysis—usually of clinical trials Critique of Use as Evidence—Move from focus on empirics to focus on diverse patterns of knowing and use of theory-guided, evidence-based holistic nursing practice Fawcett, Watson, Neuman, Walker Fitzpatrick, 2001 Cumulative Knowledge Based on One Theoretical Model—Roy Adaptation Model Have common concepts close to practice Concepts cross clinical areas, based on adapting people and groups; can be generalized Large number of studies Multiple methods Measurements may be the same Basis within heritage of nursing perspective Results of Literature Review 1995-2010 178 studies met research and links to model criteria 106 were referred journal publications and 72 were dissertations Articles published in 47 English-language journals Dissertations completed at 32 different universities in the United States Studies Organized by Method Quantitative Studies (n=127) Descriptive (59) Explaining, Predicting and Prescribing (43) Interventions (25) Qualitative Studies (n=40) Content Analysis (n=8) Grounded Theory (n=4) Ethnography (n=3) Phenomenology (n=17) Mixed Methods (n=6) Case