Student 1 Perspective
The adaptive process model is a holistic system that facilitates the constant interaction of the patient with the changing internal and external environment. This model implies the optimum health wellbeing of the patient, adequate quality of life, and death with dignity. Also, it includes the four physiological regimes role function, self-concept, and interdependence (Shosha & Al Kalaldeh, 2012).
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The dual system model assumes that the assessment of risky decisions of the nurse is formed by the combined input of valuation by the intuitive, experiential and affective-cognitive system, and the valuation by the deliberative, reflective, analytical, or logical-cognitive system into a single value. This system implies that the decision-making situation takes into consideration the possible outcomes and their profitability as well as deliberate rule-based interventions.
Despite the rational approach in the case of the dual system model, the adaptive model seems more reasonable. It promotes the effective adaptation of the patient during care, in case the regimes are implemented correctly.
It enables constant monitoring of the patient’s condition and changing of the interventions accordingly so that the nursing care plan remains updated.
Student 2 Perspective
The conceptual adaptive model implies that the nursing interventions are required when the patient develops difficulty in overcoming any internal and external factors. The role of the nurse is to identify the aspect that has caused the problem and then to plan the response to it in a way that the wellbeing of the patient remains overall positive.
The dual-process model, in turn, postulates that the intuitive and deliberate processes, which both derive from the information about the patient’s condition, guide the decision-making of the care provider (Djulbegovic, Hozo, Beckstead, Tsalatsanis, & Pauker, 2012). The immediate interventions are frequently required in a complex environment with several variables affecting it. This approach facilitates both automatic and controlled processing in decision making to achieve better nursing outcomes by obviating possible errors.
The diagnostic mistakes stem from disassociation of intuitive and deliberate decision-making. For this reason, the dual-process model should be considered more reliable regarding the elimination of the medical mistakes caused by unconscious contextual reasoning (Djulbegovic, Hozo, Beckstead, Tsalatsanis, & Pauker, 2012). It implies that non-analytical and analytical decision-making are compiled to gain higher medical accuracy.
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Student 3 Perspective
According to the six nursing steps of the adaptation model, the patients should constantly interact with the environmental factors to maintain integrity. The nurse should, firstly, estimate the patient’s behaviors and then discover the irritants that affect the behavior. The propositions of the diagnosis should be made before setting the activities to facilitate the adaptation (Shah, 2015). At this point, managing the stimuli effectively and leading continuous assessment to ensure the best nursing outcomes is crucial (Shah, 2015). By managing the irritants, the nurse increases the interaction of the patient with the environment and other variables; thus, contributing to the health of the patient.
A dual-processing model is an approach to healthcare in which the specialist analyzes the symptoms and other additional clinical evidence before any therapeutic activities. The medical judgment is always the key position regarding the diagnostic statement as well as in terms of any other treatment-related interventions. In this context, the described approach addresses the needs of the patients’ best as it facilitates higher autonomy of the healthcare provider and considers several variables to state the most accurate diagnosis and follow-up measures.
Djulbegovic, B., Hozo, I., Beckstead, J., Tsalatsanis, A., & Pauker, S. G. (2012). Dual processing model of medical decision-making. BMC Medical Informatics and Decision Making, 12(94), 1-13.
Shah, M. (2015). Compare and contrast of grand theories: Orem’s self-care deficit theory and Roy’s adaptation model. International Journal of Nursing Didactics, 5(1), 39-42.
Shosha, G. A., & Al Kalaldeh, M. (2012). A critical analysis of using Roy’s adaptation model in nursing research. International Journal of Academic Research, 4(4), 26-31.