Perrett Stephanie E, Biley Francis C
Blood Borne Virus Prison Nurse Specialist, Public Health Wales, Cardiff, UK.
Nurs Sci Q. 2013 Oct;26(4):337-43. doi: 10.1177/0894318413500310.
Roy's adaptation model outlines a generic process of adaptation useful to nurses in any situation where a patient is facing change. To advance nursing practice, nursing theories and frameworks must be constantly tested and developed through research. This article describes how the results of a qualitative grounded theory study have been used to test components of the Roy adaptation model. A framework for "negotiating uncertainty" was the result of a grounded theory study exploring adaptation to HIV. This framework has been compared to the Roy adaptation model, strengthening concepts such as focal and contextual stimuli, Roy's definition of adaptation and her description of adaptive modes, while suggesting areas for further development including the role of perception. The comparison described in this article demonstrates the usefulness of qualitative research in developing nursing models, specifically highlighting opportunities to continue refining Roy's work.
罗伊的适应模式概述了一个通用的适应过程，这对护士在患者面临变化的任何情况下都很有用。为了推进护理实践，护理理论和框架必须通过研究不断地进行检验和发展。本文描述了一项质性扎根理论研究的结果如何被用于检验罗伊适应模式的组成部分。一个“协商不确定性”的框架是一项探索对艾滋病毒适应情况的扎根理论研究的成果。这个框架已与罗伊适应模式进行了比较，强化了诸如焦点刺激和情境刺激、罗伊对适应的定义以及她对适应模式的描述等概念，同时也提出了有待进一步发展的领域，包括感知的作用。本文所描述的比较展示了质性研究在发展护理模式方面的作用，特别突出了继续完善罗伊理论的机会。
