Equine-Assisted Activities and Therapies: State-of-the-Art Review

The purpose of this paper is to explore what is known about equine-assisted activities and therapies based on Roy’s adaptation model. Quality of life for vulnerable populations who engage with equine-assisted activities and therapies is considered the main concept here. This state-of-the-art review was conducted from four databases ranging from January 2019 to February 2020. Limited studies examined the effect of equine-assisted activities and therapies on cancer survivors, although preliminary data were promising. The rural context was not extensively examined. Thus, equine-assisted activities and therapies may enhance the quality of life through four adaptation modes.

The Effect of a Training Program Based on Roy’s Adaptation Model on the Adaptation of Patients Undergoing Coronary Artery Bypass Graft in Intensive Care Units

Background: One of the effective nursing measures for enhancing the quality of life (QOL) and adaptation of patients undergoing coronary artery bypass graft (CABG) is the use of Roy’s adaptation model (RAM). Objectives: This study aimed to determine the effect of a training program based on Roy’s adaptation model on the adaptation of patients undergoing CABG. Methods: This quasi-experimental study was performed on 60 patients admitted to the intensive care units (ICUs) of Imam Khomeini Hospital and Golestan Hospital in Ahvaz, southwest of Iran, in 2020. Patients were selected based on inclusion criteria and randomly assigned into intervention and control groups. A four-session training program based on RAM was held for the intervention group. Data were analyzed using SPSS ver. 22. Results: The mean scores of physiological, self-concept, role function, and independence and interdependence dimensions in the experimental group before the intervention were 48.76 (6.36), 23.76 (4.10), 19.60 (2.93), and 25.60 (3.54), respectively. After the intervention, the mean scores in the mentioned dimensions were 101.26 (5.23), 50.80 (3.82), 39.10 (4.15), and 25.47 (3.99), respectively, indicating an upward trend (P < 0.05). Also, the mean score of total adaptation before the intervention was 117.73 (12.00), which rose to 216.63 (7.88) after the intervention (P < 0.05). Conclusions: The results showed that RAM plays an important role in the adaptation of patients undergoing CABG surgery. Thus, this model can provide a suitable framework for examining and providing care for patients undergoing CABG in ICUs.

Analisis Perilaku Percobaan Bunuh Diri pada Klien Skizofrenia dengan Pendekatan Model Adaptasi Roy: Studi Kasus

Abstrak. Bunuh diri merupakan respon maladaptif dari rentang respon protektif diri. Bunuh diri terjadi sebagai akibat dari stress dan depresi yang disebabkan faktor psikososial yaitu kepribadian, psikodinamika, kegagalan yang berulang, faktor kognitif, dukungan sosial, pengalaman masa lalu, dan stressor lingkungan. Model adaptasi Roy memandang manusia sebagai makhluk biopsikososial dan memiliki permasalahan yang menuntut manusia beradaptasi dengan masalah tersebut. Tujuan penulisan artikel ini adalah memperoleh penjelasan empiris dan teoris terhadap faktor psikososial kaitannya dengan perilaku resiko bunuh diri. Studi kasus ini menggunakan metode deskriptif pada kasus kelolaan di rumah sakit jiwa. Pengelolaan stress yang adapatif merupakan upaya preventif terhadap perilaku resiko bunuh diri. Perilaku bunuh diri tidak akan terjadi apabila individu dapat menggunakan mekanisme koping adaptif yang didukung oleh sosial support, hubungan interpersonal, dan kemampuan memilih strategi koping sebagai faktor protektor. Perawat dalam mengelola klien dengan riwayat bunuh diri harus melibatkan keluarga dan masyarakat untuk mengoptimalkan penggunaan faktor protektor tersebut. Kata kunci: Adaptasi Roy, Depresi, Perilaku Bunih Diri, Psikososial, Stress Behavior Analysis of Suicide Experiment with Roy's Adaptation Model Approach: Case study Abstract. Suicide is a maladaptive response of a range of self-protective responses. Suicide occurs as a result of stress and depression caused by psychosocial factors such as personality, psychodynamics, repetitive failure, cognitive factors, social support, past experiences, and environmental stressors. Roy's adaptation model regards the humans as biopsychosocial beings and has problems that demand the humans to adapt the problem. The purpose of this article is to obtain the empirical and theoretical explanations of psychosocial factors related to suicidal risk behavior. This case study uses descriptive methods in cases of management in a mental hospital. Adapatif stress management is a preventive effort against suicidal risk behavior. Suicidal behavior will not occur if individuals can use adaptive coping mechanisms supported by social support, interpersonal relationships, and ability to choose coping strategies as a protector factor. Nurses in managing clients with a history of suicide should involve families and communities to optimize the use of these protector factors. Keywords : Roy's adaptation, Suicide Risk, Depression, Stress, Psychosocial

Medium reach theory for nursing in cardiovascular rehabilitation

ABSTRACT Objectives: to describe a medium-range nursing theory for the cardiovascular rehabilitation process. Methods: theoretical development study, addressing the elaboration of medium-range theory, based on Roy’s Adaptation Model, which combined theoretical deduction with induction strategies, based on literature review and concept analysis. Results: the Medium-Range Theory for Nursing in Cardiovascular Rehabilitation presents eleven concepts and respective definitions, organized in relationships that represent elements, through modeling and image representation. Theoretical assumptions and propositions are presented. Final Considerations: the theory presented aims to contribute to the description of the cardiovascular rehabilitation process from the perspective of the adaptation of the person, family and groups, as well as to impact the nursing care implemented to patients in the process. The procedures advanced from conceptualization to operationalization, through the production of theoretical propositions that will guide future theoretical testing.

Validation of Nursing Diagnoses for people with chronic kidney conditions on conservative treatment

ABSTRACT Objective: To develop and validate Nursing Diagnoses statements of the International Classification for Nursing Practice (ICNP®) aimed at the care of people with chronic kidney conditions undergoing conservative treatment. Method: This is a methodological research structured in sequenced construction stages, cross-mapping, content validation by the Delphi Technique by specialist nurses, and categorization of Nursing Diagnoses. Results: Forty-two specialist nurses participated in the first round and 34 in the second. A total of 179 Nursing Diagnoses statements were prepared, categorized according to Roy’s adaptation model, of which 160 were validated for content, with Content Validity Index ≥ 0.80. Conclusion: The Diagnoses developed and validated show the modes of adaptation to health of people with chronic kidney conditions undergoing conservative treatment, influenced by biological, psychological, social, and cultural needs, with the Physiological Mode being the most prevalent.

Roy's Adaptation Model Application in Nursing Care for Pregnant Women With Preeclampsia: Literature Review

Incidence of preeclampsia cases is about 5-8% of all pregnancies. This research aims to analyze articles related the application of nursing model in pregnant with preeclampsia. The design of the research used is the literature review, articles collected using search engines such as EBSCO, Sciencedirect, Proquest and Elsevier. The article used was published in 2010-2019. Based on the article collected obtained the results that diagnose preeclampsia while pregnant can cause anxiety and fear increases during pregnancy. Because of this condition, individuals have increased blood pressure so as to develop a pathological nature. The role of nurses in providing therapy according to this model is to focus on human beings as a biopsicosocial creature as a unified and interconnected whole. Further studies are advised consider the effects on various variables by taking into account the random effects and changes in the model with the addition of contextual effects in the analysis.

Gambaran Penyesuaian diri Lansia dalam Konteks Model Adaptasi Roy di Loka Rehabilitasi Sosial Lanjut Usia Kendari

Introduction: Changes in the elderly need social support from friends, family and the surrounding environment so that they can easily adjust to the changes that occur. This study aimed to describe the self-adjustment of the elderly in the context of Roy's Adaptation Model at the Elderly Social Rehabilitation (ESR) of Kendari.Methods: The study was a qualitative research with a phenomenology approach. The participants in this study were eight elderly who lived in Kendari's ESR and two nurses as triangualition participants. Sampling used a purposive sampling technique. The researchers employing in-depth interview, observation, dan documentation study in collecting data. The data were analyzed using thematic analysis.Results: The study resulted in four themes including entry process to ESR, self-change, coping mechanisms and response indicate that the elderly self-adjusment social rehabilitationsite in the context of Roy’s Adaptation Model describing the human adaptation system through several stages, namely input, control and output where in the life of the elderly who live in ESR is influenced by the entry process in LRSLU as an internal stimulus or an external stimulus. Thus, there is a process of self-adjustment in the form of self-change and coping mechanisms, with various kinds of coping carried out to produce a behavior in the form of adaptive or maladaptive responses.Conclusion: This study concludes that the elderly in adjusting themselves through several stages namely input, control and output to adapt to the environment goodbye in the elderly social rehabilitation workshop (ESR) Kendari with self-changes and various coping mechanisms so as to produce behavioral responses.