Cocept Analysis: Adaptation

The apprehension of reading Using Sis. C eitherista Roys Model of interpretation A Concept compendium St. Augustines Col ramificatione Exploring the Concept of interlingual rendition Adaptation has long been described as one of the mean tools of gentleman and puppet survival. A chameleon changes its color to veil from a predator, a child becomes travel to deal with the death of a love one or a s grayier learns how to go with a prosthetic offset after the traumatic amputation of a leg receiv satisfactory to injury.All of these daubs describe a work go forth of version on behalf of the several(prenominal) in order to deal with a nerve-racking situation. According to Sister C altogetherista Roy (2009) registration is the adjoin and outcome whereby thinking and feeling mortals as undivideds or in groups mathematical function certified aw beness and choice to create human and environmental consolidation (McEwen & Wills, 2011). The purpose of this reputation is to explore the invention of correctation in the hope to bring glade to the use of the term in breast feeding query and practice. This entrust be done in the form of a purpose analysis.A creation analysis is the rigorous dish up of transport clarity to the definition of the concepts used in science (McEwen & Wills, 2011). The concept analysis assist of baby buggy and Avant (2005) entangles selection of a concept, take on the aims or purpose of the concept, identifying wholly the viable uses of the concept, determining the shaping attributes, identification of fashion mold cases identifying borderline, related, contrary, invented and illegitimate cases, identifying antecedents, resultants and lastly defining the data- ground referents (McEwen & Wills, 2011).The concept analysis mental process is important because most of treat supposition has been based on concepts adopted from other chastens, so it is necessary to explore these concepts to disc everyplace thei r relevance to the nursing profession (McEwen & Wills, 2011). Aim of the analytic thinking The aim of this concept analysis of allowance is to discover what descriptors of this concept make it much relevant to nursing practice and research.As dappleed out by Rodgers and Knafl (2000) the value of discussing concepts is to stir the clarification and refinement of an idea that is intended to post to the problem solving efforts of a discipline (Holden, 2005). Literature Review of the Theory Adaptation Taylors (1983) cognitive reading speculation states that unmarrieds use overbearing thought processes as a form of adapting to stressful circumstances. gentle in mildly decreed egotism-relevant distortions enables an man-to-man to maintain an optimistic out waitress, enhance self-esteem and encourage a sense of ascendance when facing a threatening typeface (Henselmans et al. 2009). Taylor proposes that these positive thoughts give an individual a sense of decl atomic n umber 18 which impart then force the individual to coming back rehabilitative action when dealing with a stressful situation. Schkade and Schultz (1992) in their occupational registration theory proposed that there is a normal process that individuals go through as they assay for competency on their jobs. There is an interaction with the environment that drives the individual to attain mastery over work related challenges.In this process the individual evaluates their responses to the challenges based on an versed sense of effectiveness or satisfaction. The self- measure outment variety is the but means of evaluating the aim of adaptation in this theory. Charmaz (1995) proposed that adaptation for most masses is a gradual process of exploitation where an altered individual changes to accommodate corporeal and functional want (Livneh & Parker, 2005). The changes in the individuals pass from a recognition of a loss of their former self -image and the adaptation only c omes close to after that realization.Yoshida (1993) believes that adaptation through identity operator reconstruction only comes about after the individual struggles between their identity as a disabled psyche and their identity as their former self (Livneh & Parker, 2011). There is a constant congenital struggle to which the outcome stinkpot non be predicted. Lewin speaks of a reciprocal, interactive process of adaptation that involves the individual and the environment (Livneh & Parker, 2011). The environment consists of internal and international factors that influence the adaptation process.The internal factors crapper include type and severity of disease and/or the individuals concept of self. The external factors include variables such as somatic, social and vocational aspects of the external environment. The train of adaptation will depend on the interaction between the individual and these environmental factors. Uses of the Concept Adaptation as delimit by Merriam -Webster (2013) is the revision to environmental conditions, revision of a sense organ to the intensiveness or quality of stimulation. Synonyms for adaptation acclimation, accommodation, acclimatization, allowance account and conformation.Charles Darwin theory of inseparable selection states that organisms adapt to their environment to become better fitted to suffer and that they pass these genes on to the next times ( ). According to Natural Resources Canada (NRC) adaptation includes activities that are interpreted onwards impacts are observe (anticipatory) and after impacts have been felt (responsive). both anticipatory and reactive adaptation nookie be planned as a result of deliberate policy decisions and reactive adaptation can alike eliminate spontaneously (NRC, 2008). Defining Attributes Two defining attributes of adaptation are interaction and environment.A familiar theme that emerged during the review of information researched for this discipline was that adap tation occurs after interaction between the individual and the environment. The Roy adaptation model (Roy & Andrews, 1999) viewed the individual as a holistic adjustive system who responds to different stimuli in the environment, he/she processes changes in the environment through ablaze channels that involve perception, learning, judgment and feeling (Cunningham, 2002). Model Cases carriage & Avant (2010) state that a model case illustrates or exemplifies the concept and includes demonstrations of all defining ttributes (CCN, 2012). A model case of adaptation could be a previously withdrawn 45 course of study old female unhurried with a new colostomy. The patient Mrs. X shied out-of-door from learning how to cope for her colostomy, refusing even to look at the colostomy during colostomy care. Subsequently Mrs. X straight asks assume questions, has become much gnarled even to the exhibit of changing her colostomy appliance. During this process the view as encourages th e patient by ask informal ended questions about her feelings, the flirt with too assures the patient that when she is ready to speech or learn someone will be available to answer her questions.Mr. L is a 35 year old newly diagnosed diabetic, who is open and receptive to sustenance and life-style changes that has become necessary to reserve his blood glucose levels. The adaptation can be seen by the patient taking disassemble in the discussion with his nutritionist, asking appropriate questions and requesting information about resources that will be available to him should he need more support in adjusting to his new lifestyle changes. A contrary case is an fount that does non display the attributes of the concept. Ms.B a 25 year old that received a right lower limb amputation due to a car accident refuses to take part in physiotherapy. In fact, she is approximately hostile to the healthcare team and does not take part in any(prenominal) discussion about her plan of care and her rehabilitation. Attempts by the nurses to build a healing(p) relationship by asking open ended questions and sitting with the patient to widen comfort and support are not acknowledged. Related cases, according to Walker & Avant (2010), include most but not all of the attributes that relate to adaptation (CCN, 2012).Safety in some cases can be related to adaptation. Nurses find that they will have to step in and modify a patients environment to aid in the adjustment to an ongoing ailment. This whitethorn include dimming the lights, providing a quiet atmosphere and limiting visitors for a patient that has a dissecting aortic aneurysm. The nurse understands that it is important for this individual to have a calm quiet environment he/she also knows the importance of administering antihypertensive medication and sedative as needed to get to an internal environment that is conducive to this persons health.Providing safety may also come in the form of providing a clutter free environment for all patients. This includes ensuring that the bed is in the lowest position, all electrical cords are secured justly and the patients belongings and the call up light are within the patients reach. These little changes go a long dash in support people adjust to the strange environment of a hospital room and by performing these tasks the nurse is fulfilling his/her role of promoting adaptation according to Roys Adaptation Model. Antecedents and ConsequencesAccording to Walker and Avant (1995), antecedents are the events or incidents that happen before the concept (Cheng, Foster & Huang, 2003). An antecedent to adaptation is stress, stress which can affect the system as a result of an accident, infection or an indisposition. The onset of a physical trauma or the diagnosis of a life threatening illness can set into motion a string of psychosocial experiences, reaction or responses (Livneh & Parker, 2005). The goal of nursing at this point would be to promote ad aptation (McEwen & Wills, 2011).The needs of the patient will be assessed and the plan for an appropriate discourse should be formulated. Control over the situation maybe beyond the scope of nursing practice however, the goal is for the patient to pronounce to achieve integration with the environment, external or internal. Consequences are the events or incidents that happen as a result of the concept. A consequence of adaptation is that a change has taken place, a change in first moment or behavior. A patient that was not able to ambulate without assistance may now be able to walk around their home using crutches or a cane.The newly diagnosed breast crabby person patient is no longer frightful because she has developed a positive outlook about her disease. She has started to look for support groups and researching natural intervention to help battle her illness. Taylor (1983) proposed that self -generated look perceptions prevent helplessness and promotes structural thought and action (Henselmans et al. , 2009). Empirical Referents Walker and Avant (2010) define an empirical referent as a measurement tool or mechanism for the demonstration of the existence of the defining attributes of a concept (CCN, 2012).Cognitive adaptation is mensural by the individuals feelings of fudge or mastery over the illness as well as the individuals positive outlook relating to their illness. whizz of the tools used to measure optimism is the Life orient Test (LOT). It consists of eight items and yields a intact score between 0 and 32. An recitation of a question is I incessantly look on the bright locating of life. The participants are asked to rate this dictation on a 5 point scale, ranging from 0 (strongly disagree) to 5 (strongly agree). The Pearlin and Schoolers instruction Scale is used to assess feelings of control over events.Seven items are used to assess global beliefs of perceived control earlier than events being controlled by fate. Five items are phrased in a positive way and two items in a oppose way. An example of a statement is I have little control over the things that happen to me. A five point scale is used here also 1 (strongly disagree) to 5 (strongly agree). Higher points on both scales, indicates a higher level of perceived control or optimism which points to positive adaptation. Conclusion Adaptation is an innate grassroots function that all humans and organisms must have to overcome different stressors in life.How one adapts is closely related to our lintel strategies. Adaptation can be positive which results in human and environmental integration (McEwen & Wills, 2011). The nurses role in this process is to adapt to the patients needs by performing a thorough assessment to be able to provide the tools needed for the individual to positively adjust to complications that they are experiencing. References Chamberlain College of nursing. (2012). NR 501 Theoretical founding for advanced nursing practice. Concep t Analysis Directions with Scoring Rubric.St Louis, MO Author Chen, S. F. , Foster, R. L. , & Huang, C. Y. (2003). Concept analysis of pain. Tzu Chi Nursing daybook 23 Cunningham, D. A. (2005). Adaptation of Roys adaptation model when caring for a group of women coping with menopause. 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