The Roy Adaptation Model as Theoretical Underpinning for DNP Education
Author(s)
Buckner, Ellen B.Author Details
Ellen B. Buckner, PhD, RN, CNE, AE-C, FNAPLead Author Sigma Affiliation
Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Buckner, Ellen B. by View
Title | Page Views |
---|
Popular Works for Buckner, Ellen B. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Abstract
The Doctor of Nursing Practice (DNP) degree is a practice focused doctorate, with nursing theory providing guidance for integrative practice experiences and the DNP project. The Roy Adaptation Model (RAM) meets the DNP Essentials (AACN, 2006) as a process, a patterning of human-environmental integration, directing actions for making positive change of health in individuals and groups. Evaluative outcomes are measurable in all four adaptive domains (Roy, 2009). The RAM facilitates transforming the care context and culture of practice to holistic, person-centered care. Numerous types of DNP scholarship have been linked with the RAM; philosophical, scientific, and cultural assumptions of the RAM inform the DNP perspective. Middle range theory specifically links scholarship to practice supporting evidence-based practice initiatives.
The RAM middle range theory template assists the practice experienced but nascent scholar to identify stimuli, coping processes, and adaptive modes defining the problem, activities, and outcomes in adaptive terms. Systems outcomes may include transformation of the system of care through collaboration. Practice change can be effected at multiple levels – individual health, group function, and healthcare delivery. DNP theory examples of the RAM will be given from acute care, primary care, community health, nurse anesthesia, and health systems (Hunt & Lord, 2019; Kass, 2018; Mann, 2018; Myers, 2017; Silva, 2018). Sample propositions for middle range theory support changing the culture.
Adaptation is a core concept for nursing practice and interprofessional collaboration. Adaptation in one setting can serve as a model for other systems, creating adaptive change in healthcare broadly through practice generalizability. Utilization of the RAM for practice change supports patient-centered adaptation and cultural adaptation to produce sustainable evidence-based outcomes. Continued theoretical work is needed to identify settings and problems that can be transformed through theory. The scholarship of practice must be grounded in nursing theory such as the RAM.
The participant will:
1. Relate the Roy Adaptation Model (RAM) to DNP Essentials (AACN, 2006)
2. Use middle range theory in designing curriculum for the practice-focused doctorate
3. Describe examples of RAM scholarship in DNP projects
Topics:
The DNP: Applying the Roy Adaptation Model (RAM) in the practice-focused doctorate
The RAM as theoretical underpinning in the AACN DNP Essentials
Middle-range theory uniting practice and scholarship
Exemplars of theory-based DNP projects using the RAM
Description
Nursing Theories: Moving Forward Through Collaboration, Application and Innovation, held November 14-15, 2019 at George Washington University, Washington DC, USA. Hosted by KING International Nursing Group.
Repository Posting Date
2020-01-24T14:14:05ZType
PresentationFormat
Text-based DocumentLevel of Evidence
N/AResearch Approach
N/AConference Information
Name | Host | Location | Date | Nursing Theories: Moving Forward Through Collaboration, Application and Innovation | KING International Nursing Group | George Washington University, Washington DC, USA | 2019 |
---|
Conference Name
Nursing Theories: Moving Forward Through Collaboration, Application and InnovationConference Host
KING International Nursing GroupConference Location
George Washington University, Washington DC, USARights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.