» » » » Roy's Model of Nursing : Applying Roy’s Model to [Assess] Families
, , Edit

Roy's Model of Nursing : Applying Roy’s Model to [Assess] Families

When using Roy’s model as a theoretical framework, the following can serve as a guide for the assessment of families.
  • I. Adaptation Modes
    • A. Physiologic Mode
      • 1. To what extent is the family able to meet the basic survival needs of its members?
      • 2. Are any family members having difficulty meeting basic survival needs?
    • B. Self-Concept Mode
      • 1. How does the family view itself in terms of its ability to meet its goals and to assist its members to achieve their goals? To what extent do they see themselves as self-directed? Other directed?
      • 2. What are the values of the family?
      • 3. Describe the degree of companionship and understanding given to the family members,
    • C. Role Function Mode
      • 1. Describe the roles assumed by the family members.
      • 2. To what extent are the family roles supportive, in conflict, reflective of role overload?
      • 3. How are family decisions reached?
    • D. Interdependence Mode
      • 1. To what extent are family members and subsystems within the family allowed to be independent in goal identification and achievement (e.g., adolescents)?
      • 2. To what extent are the members supportive of one another?
      • 3. What are the family’s support systems? Significant others?
      • 4. To what extent is the family open to information and assistance from outside the family unit? Willing to assist other families outside the family unit?
      • 5. Describe the interaction patterns of the family In the community.
  • II. Adaptive Mechanisms
    • A. Regulator: Physical status of the family in terms of health?ie, nutritional state, physical strength, availability of physical resources
    • B. Cognator: Educational level, knowledge base of family, source of decision making, power base, degree of openness in the system to input, ability to process
  • III. Stimuli
    • A. Focal
      • 1. What are the major concerns of the family at this time?
      • 2. What are the major concerns of the individual members?
    • B. Contextual
      • 1. What elements in the family structure, dynamic, and environment are impinging on the manner and degree to which the family can cope with and adapt to their major concerns (i.e., financial and physical resources, presence or absence of support systems, clinical setting and so on)?
    • C. Residual
      • 1. What knowledge, skills, beliefs, and values of this family must be considered as the family attempts to adapt (ie, stage of development, cultural background, spiritual/religious beliefs, goals, expectations)?