Quarterly scientific journal

Implementation of adaptive model «Callista Roy» in patients with coronary disease: Closure of gap between theory and practice

Stefanos Digonis


Nursing Theory of Adjustment (Theory Roy) asserts that the individual is an adaptive system that ties in the changes of his environment. Inability of conformance is defined as "maladjustment" and signals the need for nursing care. Aim: The evaluation of the theory's implementation capabilities and the assessment of intervention's results in the study of an incident in Greek Nursing reality in a public hospital. Method and Material: A review of international bibliography is carried out in the electronic databases Pubmed & Cochrane. Then, was accomplished the supervision and the implementation of the model of Roy in a patient with coronary artery disease during his waiting for CABG in a University hospital cardiac surgery clinic in the province. The methodology of intervention based on the principles of the theory of Roy. Results: In modern nursing is necessary the creation of special training programs for patients with coronary artery disease for further improvement of their life's quality. Every preoperative day composed also a prioritization process of the patient's most important daily needs. From the model's application ensue the following nursing diagnoses: Day 1: breathing disorder, 2nd day: fear of imminent death, 3rd day: tiredness, 4th day: chest pain 5th day: sleep disorder. The daily nursing care plan based on the principles of nursing process. The patient showed a positive response to nursing care and entered in the operating room with the best possible psychological and biological state. Conclusion: Nursing Theory of Adjustment may be applied to the Greek nursing reality, if be taught sufficiently in Universities and become part of the culture in the exercise of Nursing Act

Keywords: Coronary artery disease, clinical practice, nursing education, theory Roy

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