The Roy Adaptation Model used as a guide for the nursing care of an 8-year-old child with leukemia

The Parent-Staff Interaction Model of Pediatric Care

Nursing models have had a long and often troubled history of development. Many that have been developed are not applicable in the pediatric setting. Models of pediatric care, though in use in many developing countries, are often not applicable within the cultures of those countries. This article outlines the history of the development of nursing models, the debate that has accompanied their progress, and the way in which they have been applied. An argument about the influence of culture on the way children are cared for in hospitals is postulated, and explanations are given as to why current models are not appropriate for use in pediatrics. A new philosophical model for pediatric nursing, the Parent-Staff Interaction Model of Pediatric Care, is presented and analyzed using Jacqueline Fawcett's framework for evaluation of nursing models. Its applicability to and use in any culture is explained, and feedback for further development is requested.

Families of children with cancer: the impact on anxiety experienced by fathers

By using the contextual model of family stress, this study examined fathers' family stress experience when caring for a child receiving cancer treatments. A descriptive correlational study was designed to examine the relationships between fathers' uncertainty, sense of mastery, and anxiety. Eighty fathers were recruited from two teaching hospitals in Taiwan. A pilot study was conducted to establish the reliability and validity of the Chinese language version of the above instruments. These instruments showed an acceptable internal consistency and satisfactory construct validity. Results showed that fathers' level of education had a significant effect on paternal anxiety. Uncertainty and fathers' education level equal to or higher than university are good predictors of paternal anxiety, which explain 25% of the variance. The results provide insight into the paternal experience of family stress and suggest ways to improve family-centered nursing interventions and thereby establish better family well-being.

Families of Chinese children with malignancy: the factors impact on mother's anxiety

This study examines the impact of the stress experienced by mothers during a child's cancer treatment. A descriptive correlation study has been designed to examine the relationships between uncertainty, sense of mastery, boundary ambiguity, and anxiety. The sample consists of 100 mothers recruited in two teaching hospitals in Taiwan. The sense of mastery was found to act as a mediator between uncertainty and anxiety, whereas uncertainty was a good predictor of boundary ambiguity. The first 2 months of treatment and the incidence of cancer recurrence represented a significant special experience for mothers. Nursing intervention to improve the mothers' sense of mastery and to assist families in establishing functional patterns of parent-child interaction is discussed.

Pre-amputation assessment using Roy's Adaptation Model

This article describes the use of Roy's Adaptation Model as a framework for the assessment of a 69-year-old man undergoing a right below-knee amputation. The model recognizes that individuals are subject to internal and external stressors which can lead to adaptive or ineffective responses. The practitioner can help the patient to make adaptive responses to these stimuli through nursing interventions. The components of the model are illustrated using the patient as a case study. A comprehensive assessment in the four adaptive modes (physiological, self-concept, role function and interdependence) is undertaken and nursing diagnoses are made.

A comparison of three theories of nursing used as a guide for the nursing care of an 8-year-old child with leukemia

This article evaluates three nursing theories that can be used to provide a framework for holistic pediatric oncology nursing practice: the Roy Adaptation Model, the Neuman Systems Model, and the Orem General Theory of Nursing. Each theory is compared in terms of its view of man, health, environment, nursing, and the nursing process. Critique of each theory is presented. The decision of which theorist to use as a basis for practice is left to the individual nurse. This article explicates the similarities and differences in the three theories.