response to theory kevin ngugyn

I  chose to compare and contrast Sister Callista Roy’s The Roy Adaptation Model (RAM) an interactive process and Margaret Newman’s Health as an Expanding Consciousness (HEC) a unitarian process. While both acknowledge the multifaceted nature of individuals, their concepts, assumptions, and applications differ significantly. Understanding these frameworks equips us to deliver holistic and patient-centered care. RAM offers a practical approach to addressing immediate needs, while HEC encourages us to consider the bigger picture

RAM implications provide a framework for assessment using the four adaptive modes. RAM guides nurses to design interventions that address specific adaptive challenges. RAM emphasizes adaption as a key concept. It allows individuals to constantly adjust to internal and external stimuli to maintain balance and well-being (Jennings, 2017). The model identifies four adaptive modes: physiological, independence, self-concept, and role function. RAM assumptions are individuals strive to maintain a state of adaption, adaptation is influenced by philosophical, scientific, and cultural factors, and nursing intervention aims to promote these adaptations. RAM is applied in guiding assessments and interventions with diverse health conditions. It is useful for addressing the challenges derived from the four modes (McEwen & Wills, 2023,178). 

HEC presents a more philosophical perspective. It views health as a continuous process of expanding consciousness. Illness is not solely the absence of disease, but an integral part of the individual’s life experience. From the next, “persons as individuals and human beings as a species, are identified by their patterns of consciousness (McEwen & Wills, 2023,198).”The focus is on recognizing patterns within these experiences and fostering growth through them. HEC assumes Health is an evolving unitary pattern of the whole, including patterns of disease, Consciousness is the informational capacity of the whole and is revealed in the evolving pattern, Pattern identifies the person–environment process and is characterized by meaning.

(Endo, 2017) . HEC implications encourage nurses to view patients’ experiences with a broad perspective focused on personal growth and emphasize the importance of therapeutic communication to facilitate self-discovery. The application of HEC Is more relevant in chronic illness. Nurses are encouraged to support patients in finding meaning in their experiences and fostering resilience in the face of illness (McEwen & Wills, 2023,198). 

Understanding these frameworks equips us, as future nurses, to deliver holistic, patient-centered care.  RAM provides a roadmap for addressing immediate needs. At the same time, Newman’s theory encourages us to consider the bigger picture, fostering the individual’s potential for growth and a deeper sense of well-being.

Endo E. (2017). Margaret Newman’s Theory of Health as Expanding Consciousness and a Nursing Intervention from a Unitary Perspective. Asia-Pacific journal of oncology nursing, 4(1), 50–52. https://doi.org/10.4103/2347-5625.199076

Jennings K. M. (2017). The Roy Adaptation Model: A Theoretical Framework for Nurses Providing Care to Individuals With Anorexia Nervosa. ANS. Advances in nursing science, 40(4), 370–383. https://doi.org/10.1097/ANS.0000000000000175Links to an external site.

McEwen, M., & Wills, E. M. (2023). Theoretical basis for nursing (6th ed.) (pp.164-212).Lippincott Williams and Wilkins.

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