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A Systematic Review of Adaptation Measurement Instruments Based on Roy's Adaptation Model in the Nursing Context

DOI: 10.29241/jmk.v11i1.2225

Author

Syamsidar Syamsidar(1), Nurfika Asmaningrum(2*), Rondhianto Rondhianto(3)

(1) Postgraduate student, Master of Nursing Study Program, Faculty of Nursing, Universitas Jember, Indonesia
(2) Master of Nursing Study Program, Faculty of Nursing, Universitas Jember, Indonesia
(3) Master of Nursing Study Program, Faculty of Nursing, Universitas Jember, Indonesia
(2*) Corresponding Author

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Abstract

Background: Measurement of adaptation in nursing based on Roy's Adaptation Model is critical to understanding how patients adapt to chronic medical conditions. This model examines patient adaptation in four main modes: physiological, self-concept, role-function, and interdependence. This study aims to review and evaluate adaptation measurement instruments developed based on Roy's Adaptation Model, as well as assess their effectiveness and limitations in the context of nursing patients with chronic diseases. Methods: This study used a Systematic Literature Review (SLR) approach by following the PRISMA guidelines. The literature search was conducted systematically through reputable academic databases, such as Scopus, PubMed, Google Scholar, and DOAJ. The search strategy incorporated Boolean Operators to ensure broad coverage and topic relevance. The keywords used included measurement instruments, the Roy Adaptation Model, and aspects of validity and reliability. Studies included in this review contained information related to the development or application of patient adaptation measurement instruments with the Roy Adaptation Model in a nursing context. Selected articles were published between 2015 and 2025 and met strict inclusion and exclusion criteria. Results: Twenty articles were found that met the inclusion criteria. Adaptation measurement instruments based on Roy's Adaptation Model showed good validity and reliability, but had limitations in measuring all modes of adaptation holistically. Existing instruments are mostly applied in specific care contexts, such as patients with heart failure, neurodegenerative diseases, and palliative care. Some instruments only measure one or two modes of adaptation, which limits a comprehensive picture of the patient's adaptation process. Conclusions: Although the existing instruments are valid and reliable, there is still a need to develop more holistic instruments that can integrate all four modes of adaptation in one cross-culturally validated measurement tool. Future research is recommended to expand the application of the Roy Adaptation Model in various care contexts.

Keywords

Adaptation measurement, Roy's Adaptation Model, and nursing

References

Bennett, Jeanette M., Glenn Reeves, George E. Billman, and Joachim P. Sturmberg. 2018. "Inflammation-Nature's Way to Efficiently Respond to All Types of Challenges: Implications for Understanding and Managing 'the Epidemic' of Chronic Diseases." Frontiers in Medicine.
https://doi.org/10.3389/fmed.2018.00316 Chen, Cong Ying, Hui Ding, and Shang Shang Wang. 2024. "Effectiveness of Roy Adaptation Model-Based Cognitive Stimulation Therapy in Elderly Patients with Non-Small Cell Lung Cancer Undergoing Curative Resection." Tohoku Journal of Experimental Medicine 263(1): 27-34. https://doi.org/10.1620/tjem.2023.J108 Clement David-Olawade, Aanuoluwapo, David B. Olawade, Iyanuoluwa O. Ojo, Motunrayo E. Famujimi, Temitope T. Olawumi, and Deborah T. Esan. 2024. "Nursing in the Digital Age: Harnessing Telemedicine for Enhanced Patient Care." Informatics and Health 1(2): 100-110.
https://doi.org/10.1016/j.infoh.2024.07.003 Culha, Ilkay, Elif Gursoy, and Hulya Bulut. 2020. "Investigating the Effect of a Structured Discharge Training Program on Patient Outcomes Following Gynecologic Oncology Surgery." Clinical Nursing Research 29(8): 616-26. https://doi.org/10.1177/1054773820917299 Dambi, Jermaine M., Lieselotte Corten, Matthew Chiwaridzo, Helen Jack, Tecla Mlambo, and Jennifer Jelsma. 2018. "A Systematic Review of the Psychometric Properties of the Cross-Cultural Translations and Adaptations of the Multidimensional Perceived Social Support Scale (MSPSS)." Health and Quality of Life Outcomes. https://doi.org/10.1186/s12955-018-0912-0 Dangis, Glenda Helen, and Meriam Laoyan. 2018. "The Influence of Multiculturalism within Higher Education : Nursing." http://www.theseus.fi/handle/10024/147763. Danuta Wasserman, Miriam Iosue, Anika Wuestefeld, Vladimir Carli. 2020. "World Psychiatry - 2020 - Wasserman - Adaptation of Evidence‐based Suicide Prevention Strategies during and after the.Pdf."
https://doi.org/10.1002/wps.20801 Demirel, Cihat, and Serap Parlar Kiliç. 2024. "The Effects of Education Based on the Roy Adaptation Model on Medication Adherence and Psychosocial Adjustment in Hypertensive Patients." Journal of Vascular Nursing 42(2): 89-98. doi:10.1016/j.jvn.2024.01.003.
https://doi.org/10.1016/j.jvn.2024.01.003 Diaz, Leidy Johanna Rueda, and Diná de Almeida Lopes Monteiro da Cruz. 2017. "Adaptation Model in a Controlled Clinical Trial Involving Family Caregivers of Chronic Patients." Texto e Contexto Enfermagem 26(4): 1-10. https://doi.org/10.1590/0104-070720170000970017 Doğan, Satı, and Olcay Çam. 2020. "The Effect of Adaptation Theory-Based Therapeutic Approach on Adolescents Anger Management." Journal of Child and Adolescent Psychiatric Nursing 33(2): 85-94. do
https://doi.org/10.1111/jcap.12268 Erdoğan, Nermin, and Fatma Öz. 2023. "Evaluation of the Psychoeducation Program Given to Behcet's Patients in the Context of the Roy Adaptation Model." Nursing Science Quarterly 36(4): 399-409.
https://doi.org/10.1177/08943184231187867 Frazão, Cecília Maria Farias de Queiroz, Ana Beatriz de Almeida Medeiros, Maria das Graças Mariano Nunes de Paiva, Bertha Cruz Enders, Marcos Venícios de Oliveira Lopes, and Ana Luisa Brandão de Carvalho Lira. 2015. "Nursing Diagnoses and Adaptation Problems among Chronic Renal Patients." Investigacion y Educacion en Enfermeria 33(1): 119-27. https://doi.org/10.17533/udea.iee.v33n1a14 Hallihan, Hagar, Mary C. Kapella, and Anne M. Fink. 2021. "Alcohol Disorders in Military Veterans: An Evaluation with the Roy Adaptation Model." Nursing Science Quarterly 34(4): 392-97.
https://doi.org/10.1177/08943184211031595 Jennings, Karen M. 2017. "The Roy Adaptation Model: A Theoretical Framework for Nurses Providing Care to Individuals with Anorexia Nervosa." Advances in Nursing Science 40(4): 370-83.
https://doi.org/10.1097/ANS.0000000000000175 Kinalski, Sandra da Silva, Margrid Beuter, Eliane Raquel Rieth Benetti, Marinês Tambara Leite, Larissa Venturini, and Marcos Antônio Gomes Brandão. 2023. "Nursing Microtheory in the Prevention of Delirium in Older Adult in the Intensive Care Unit." Revista Latino-Americana de Enfermagem 31.
https://doi.org/10.1590/1518-8345.6707.4071 Lok, Neslihan, Kadriye Buldukoglu, and Ebru Barcin. 2020. "Effects of the Cognitive Stimulation Therapy Based on Roy's Adaptation Model on Alzheimer's Patients' Cognitive Functions, Coping-Adaptation Skills, and Quality of Life: A Randomized Controlled Trial." Perspectives in Psychiatric Care 56(3): 581-92.
https://doi.org/10.1111/ppc.12472 Mansouri, Akram, Shahram Baraz, Nasrin Elahi, Amal S. Malehi, and Bayan Saberipour. 2019. "The Effect of an Educational Program Based on Roy's Adaptation Model on the Quality of Life of Patients Suffering from Heart Failure: A Clinical Trial Study." Japan Journal of Nursing Science 16(4): 459-67.
https://doi.org/10.1111/jjns.12255 Morrow, Mary R., and Callista Roy. 2022. "A Nurse Theorist's Life of Providence: A Dialogue With Sister Callista Roy." Nursing Science Quarterly 35(3): 311-14. https://doi.org/10.1177/08943184221092439 Nasiri, Elham, Nasrin Galehdar, Tahereh Toulabi, and Khatereh Anbari. 2024. "The Effects of an Educational Program Based on Roy ' s Adaptation Model on Psychosocial Adaptation among Patients with Permanent Pacemaker." 2(2): 66-73. Nawai, Ampicha. 2019. "Chronic Pain Management Among Older Adults: A Scoping Review." SAGE Open Nursing 5: 1-17. doi:10.1177/2377960819874259.
https://doi.org/10.1177/2377960819874259 Öztepe Yeşilyurt, Kıymet. 2023. "The Effect of Roy Adaptation Model on the Adaptation Status of Patients after Surgical Intervention." Journal of Education and Research in Nursing 20(3): 277-83.
https://doi.org/10.14744/jern.2021.21246 Pistorius, Calie. 2017. "DeltaHedron Innovation Insight_Vol 1.1/17 April 2017_Developments in Emerging Digital Health Technologies." DeltaHealth (1). Salazar-Barajas, Martha Elba, Manuel Lillo Crespo, Perla Lizeth Hernández Cortez, María de los ángeles Villarreal Reyna, Esther Carlota Gallegos Cabriales, Marco Vinicio Gómez Meza, and Bertha Cecilia Salazar Gonzalez. 2018. "Factors Contributing to Active Aging in Older Adults, from the Framework of Roy's Adaptation Model." Investigacion y Educacion en Enfermeria 36(2).
https://doi.org/10.17533/udea.iee.v36n2e08 de Souza, Nayana Maria Gomes, Viviane Martins da Silva, and Marcos Venícios Oliveira Lopes. 2022. "Middle-Range Theory of Ineffective Breathing Pattern in Children with Congenital Heart Disease." Revista Latino-Americana de Enfermagem 30. https://doi.org/10.1590/1518-8345.5826.3783 Tallier, Peggy C., Patricia R. Reineke, and Keville Frederickson. 2017. "Evaluation of Healthy Living Wellness Program with Minority Underserved Economically Disadvantaged Older Adults." Nursing Science Quarterly 30(2): 143-51. https://doi.org/10.1177/0894318417693285 Thomas, Kimberley, R. Dean Hardy, Heather Lazrus, Michael Mendez, Ben Orlove, Isabel Rivera-Collazo, J. Timmons Roberts, et al. 2019. "Explaining Differential Vulnerability to Climate Change: A Social Science Review." Wiley Interdisciplinary Reviews: Climate Change. https://doi.org/10.1002/wcc.565 Trambert, Renee, Mildred Ortu Kowalski, Betty Wu, Nimisha Mehta, and Paul Friedman. 2017. "A Randomized Controlled Trial Provides Evidence to Support Aromatherapy to Minimize Anxiety in Women Undergoing Breast Biopsy." Worldviews on Evidence-Based Nursing 14(5): 394-402. doi:10.1111/wvn.12229. https://doi.org/10.1111/wvn.12229 Wang, Xiyi, Qi Zhang, Jing Shao, and Zhihong Ye. 2020. "Conceptualisation and Measurement of Adaptation within the Roy Adaptation Model in Chronic Care: A Scoping Review Protocol." BMJ Open 10(6). doi:10.1136/bmjopen-2019-036546. https://doi.org/10.1136/bmjopen-2019-036546 Zheng, Lina, and Qi Jin. 2022. "Roy Adaptation Model-Based Nursing Diagnosis and Implementation Reduces the Sense of Shame and Enhances Nursing Outcomes in Female Patients with Breast Cancer." American journal of translational research 14(8): 5520-28. http://www.ncbi.nlm.nih.gov/pubmed/36105053%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC9452335.

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