Nursing theories
open access articles on nursing theories and models
Stuart Stress Adaptation Model
Introduction
- Stuart Stress Adaptation Model is a model of of psychiatric nursing care, which integrates biological, psychological, sociocultural, environmental, and legal-ethical aspects of patient care into a unified framework for practice.
- The Stuart Stress Adaptation Model of health and wellness provides a consistent nursing-oriented framework (Stuart, 2009).
Assumptions
- "Nature is ordered as a social hierarchy from the simplest unit to the most complex and the individual is a part of family, group, community, society, and the larger biosphere."
- "Nursing care is provided within a biological, psychological, sociocultural, environmental, and legal-ethical context."
- Health/illness and adaptation/maladaptation (nursing world view) are two distinct continuums.
- The model includes the primary, secondary, and tertiary levels of prevention by describing four discrete stages of psychiatric treatment: crisis, acute, maintenance, and health promotion.
- Nursing care is based on the use of the nursing process and the standards of care and professional performance for psychiatric nurses.
Concepts
- Biopsychosocial approach - a holistic perspective that integrates biological, psychological, and sociocultural aspects of care.
- Predisposing factors -risk factors such as genetic background.
- Precipitating stressors - stimuli that the person perceives as challenging such as life events.
- Appraisal of stressor - an evaluation of the significance of a stressor.
- Coping resources - options or strategies that help determine what can be done as well as what is at stake.
- Adaptation/maladaptation -
- Levels of Prevention
- Primary
- Secondary
- Tertiary
- Four stages of psychiatric treatment & nursing care
- Crisis stage
- Acute stage
- Maintenance stage
- Health promotion stage
Conclusion
- Stuart Stress Adaptation Model can be used across psychiatric settings.
- This model is based on standards of psychiatric nursing care and professional performance.
References
- Stuart GW. (2009). Principles and Practice of Psychiatric Nursing, 10th Edition Stuart - Mosby Elsevier, Missouri.
This page was last updated on: 05/12/2020