IMPLEMENTATION OF CALISTA ROY'S ADAPTATION IMPLEMENTATION MODEL IN HEALTH CARE SETTINGS: A SCOPING REVIEW

Abstract

Introduction: The Roy Adaptation Model (RAM) has been recognized as one of the effective approaches in nursing practice to improve nurse competence and the quality of patient care. With a focus on an individual's ability to adapt to changes in physical and psychological conditions, this model has been applied in various healthcare settings. However, despite its great potential in improving care outcomes, the application of this model faces significant challenges, particularly in terms of inconsistent implementation across different hospital contexts and care cultures, which hinders its effectiveness. The aim of the study was to identify the application of the Roy Adaptation Implementation Model in healthcare settings.

Methods: This study used a scoping review approach with the PRISMA-ScR approach to search for publications from four major databases (Scopus, Pubmed. BMC, and Google Scholar).  Articles selected for analysis included quantitative, qualitative and mixed-methods studies conducted between 2015 and 2025. Inclusion and exclusion criteria were applied to ensure the relevance and quality of the articles analyzed.

Results: From the analysis of 13 articles, it was found that (1) The application of the Roy Adaptation Model (RAM) improves nurses' competence, especially in managing patients with complex conditions such as chronic diseases and post-surgery. (2) The model has also been shown to play a role in reducing anxiety, relieving pain, and improving patients' quality of life. (3) The implementation of RAM shows great flexibility in various healthcare settings, both in hospitals and in community care. (4) The main challenge faced in implementing this model is its feasibility and sustainability in clinical practice. (5) Further research is needed for cross-cultural validation, to ensure effective application of RAM across different cultural contexts and health systems.

Conclusion: The application of the Roy adaptation model (RAM) has been more in patient settings and less in the nurse context. Despite its great potential, challenges remain in its implementation, particularly its feasibility and sustainability in clinical practice. Further research is needed to evaluate the long-term effectiveness and applicability of this model in various global health settings.