open access articles on nursing
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Stuart Stress Adaptation Model
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).
"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
Biopsychosocial approach - a holistic perspective that
integrates biological, psychological, and sociocultural aspects of
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
Coping resources - options or strategies that help determine
what can be done as well as what is at stake.
Levels of Prevention
Four stages of psychiatric treatment & nursing care
Health promotion stage
Stuart Stress Adaptation Model can be used across psychiatric
This model is based on standards of psychiatric nursing care and
Stuart GW. (2009). Principles and Practice of Psychiatric
Nursing, 10th Edition Stuart - Mosby Elsevier, Missouri.