sister callista roy's nursing theory of adaptation comes complete with a six step nursing process. i think that, perhaps, this is what you might be a bit confused about? please excuse your american neighbors who may not be familiar with this particular theorist and what you are being taught pertaining to the nursing process. in actuality is isn't all that different from what u.s. nurses are taught, it's just a tad different in it's approach and language used to describe it.
- reading this shortened version of her model may help you. her nursing process involves six steps:
- assessment of behaviour
- assessment of stimuli
- nursing diagnosis
- goal setting
now, i will admit that i'm not that up to date on roy's theory, but the first two steps are asessments. you say you understand those two steps ok. that information from the assessments is then used to develop a nursing diagnosis, set goals, design nursing interventions by manipulating the patient's environment and then evaluating the effectiveness of those interventions and revising them as necessary. this actually is not much different from what coopergrrlrn was trying to tell you, just that roy's language and use of terms is much different than used here in the u.s.
i'm really not sure how you are to formulate the nursing diagnosis. here in the states we have guidelines from nanda (north american nursing diagnosis association) to help us out. i suggest you go back to your instructors and have them clarify just how you are to develop these nursing diagnoses. is it possible that you are also using nanda nursing diagnoses?
the interventions are going to be plain old nursing care that i image you are being taught in basic nursing or nursing fundamentals class. those behavior and stimuli assessment items that are not normal are the things you are going to develop your nursing interventions around. a simple one, for example, might be vomiting. your interventions are going to be things you, the nurse, will do to help the patient adapt (this is within roy's model) such as apply a cold compress to the forehead, have the patient avoid sudden movement, keep an emesis basin near the patient, give oral care after an episode of vomiting. get the picture?
goals are actually based on the nursing diagnosis. for example, if you diagnose someone with bad, smelly feet as a result of not bathing (this is just an example and this is not a real nursing diagnosis) your goal is going to be the person's feet are going to be free of foul smells after a thorough bathing. you see, the goal is kind of like the diagnosis being turned around on itself. when writing goals for nursing diagnoses, however, they may be a bit more complex than something like poor hygiene. you also have to take into consideration what the patient is capable of doing. therefore, you want your goals to be "individualized" for each patient, or tailored to their ability.
does that help you out?
i saw your post earlier, but i was involved in something myself and just didn't have time to write a post. welcome to allnurses!