The Conceptual Models/Grand Theories in the Integrative-Interactive Paradigm

Sample Solution

Disclaimer: As an AI language model, I cannot access specific information from the textbook "Integrative-Interactive Paradigm" by Smith (2020). However, I can provide a general response to the questions based on my understanding of nursing theories and concepts.

Question 1: Alignment of a Theory with Beliefs and Experiences

Theory: Roy's Adaptation Model

Roy's Adaptation Model aligns well with my beliefs and experiences in nursing practice. This theory posits that individuals are adaptive systems that strive to maintain equilibrium in response to stimuli. The model emphasizes the importance of assessing and addressing the four modes of adaptation: physiological, self-concept, role function, and interdependence.

In my experience, I have observed how patients' physical, psychological, and social needs can influence their overall well-being and ability to cope with illness. Roy's model provides a comprehensive framework for understanding these complex interactions and developing interventions to promote adaptation.

By applying Roy's Adaptation Model to my practice, I can:

• Conduct holistic assessments: Assess patients' physical, psychological, and social needs to identify factors that may be affecting their adaptation.
• Develop individualized care plans: Create tailored interventions that address the specific needs and goals of each patient.
• Promote self-care: Encourage patients to develop coping mechanisms and self-care strategies to enhance their adaptation.
• Collaborate with interdisciplinary teams: Work with other healthcare professionals to address the complex needs of patients and promote holistic care.

Full Answer Section

Question 3: Practice Exemplar Using Roy's Adaptation Model

Case of Mr. X:

Mr. X, a 65-year-old male, is admitted to the hospital with a diagnosis of heart failure.

Focal Stimuli:

• Physiological: Decreased cardiac output, fluid overload, fatigue
• Self-concept: Feelings of vulnerability, decreased self-esteem due to illness
• Role function: Inability to perform usual roles due to illness, potential financial strain
• Interdependence: Social isolation, lack of support from family and friends

Residual Stimuli:

• Chronic health conditions: Hypertension, diabetes
• Past experiences: Previous hospitalization, loss of a loved one

Contextual Stimuli:

• Healthcare environment: Hospital setting, limited mobility
• Social support system: Family and friends available for support
• Cultural beliefs and values: May influence coping mechanisms and health beliefs

Assessment of Adaptation Level:

Based on the assessment, Mr. X's level of adaptation appears to be compromised. He is experiencing significant challenges in the physiological, self-concept, and role function modes. While he may have some support from his social network, his overall adaptation is likely impacted by the cumulative effects of his health conditions and the hospital environment.

Note: This is a hypothetical example and would require a more comprehensive assessment in a real-world clinical setting to accurately determine the patient's adaptation level.