Callista Ray

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Generating Middle Range Theory: From Evidence to Practice by Sister Callista

Roy with the Roy Adaptation Association
Article in Journal of Hospital Librarianship · July 2015

DOI: 10.1080/15323269.2015.1049073
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Journal of Hospital Librarianship
ISSN: 1532-3269 (Print) 1532-3277 (Online) Journal homepage: http://www.tandfonline.com/loi/whos20
Generating Middle Range Theory: From Evidence

to Practice by Sister Callista Roy with the Roy
Adaptation Association
Mary Pat Harnegie
To cite this article: Mary Pat Harnegie (2015) Generating Middle Range Theory: From Evidence
to Practice by Sister Callista Roy with the Roy Adaptation Association, Journal of Hospital
Librarianship, 15:3, 342-343, DOI: 10.1080/15323269.2015.1049073
To link to this article: http://dx.doi.org/10.1080/15323269.2015.1049073
Published online: 15 Jul 2015.
Submit your article to this journal
Article views: 154
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Download by: [South Pointe Hospital] Date: 02 November 2015, At: 04:33
342 Reviews
Chapter 8 recognizes that not only are patient populations cultur-

ally diverse but so also within hospital staff backgrounds and training are
potential hazards. Chapter 9 looks at birth and its cultural rituals, whereas
Chapter 10 discusses attitudes concerning life support, expressions of grief,
organ donation and autopsies, and end-of-life issues. Chapter 11 addresses
mental health, and Chapter 12 deals with practices and perspectives of tradi-
tional medicine. Chapter 13 is a new chapter discussing improving adherence
to treatment recommendations, and Chapter 14 talks about changes that can
be made to provide a more culturally sensitive atmosphere for patients and
provides examples of changes hospitals have made to accommodate cultural
differences.
Each chapter begins with an introductory paragraph and ends with a
summary and key points. There are 5 Appendices: Cultural Profiles, Selected
Downloaded by [South Pointe Hospital] at 04:33 02 November 2015
Religions, Dos and Don’ts of Providing Culturally Competent Care, Tips for
Working with Interpreters, and Summary of Case Studies. They provide syn-
opses of examples of cases, lists, and broad cultural profiles. There are also
an extensive bibliography and an index.
Caring for Patients from Different Cultures covers a wide range of topics
and provides sound alternatives for providing the best possible care to health
care professionals practicing in multicultural communities. This fifth edition
is a must-read and should be in every hospital library.
Carole M. Gilbert
Editor, Journal of Hospital Librarianship
Royal Oak, Michigan, USA
Sister Callista Roy with the Roy Adaptation Association. (2014).

Generating Middle Range Theory: From Evidence to Practice.
New York: Springer Publishing Co., 383 pages, $69.00, softcover, ISBN:
978-0-8261-1009-1.
Sister Callista Roy, PhD, RN, FAAN, has been a primary voice in the world of
nursing education and research, especially nursing theory, since 1974 with
the publication of Conceptual Models for Nursing Practice. She is best known
for a nursing theory named after her called the Roy Adaptation Model, which
had its 3rd edition published in 2008. She is often featured in Who’s Who
in Nursing Theorists textbooks. Incorporated in 1991, The Roy Adaptation
Association (RAA) is a society of nursing scholars who seek to advance
nursing practice by developing basic and clinical nursing knowledge based
on the Roy Adaptation Model.
Reviews 343
The preface states
this book stems from significant trends established in nursing, yet it may
be the first of its kind . . . the approach offered is generating middle
range theories from 172 studies based upon the Roy adaptation model
. . . to provide evidence for practice.
The five sections of this work include an introduction to the overview of

creating knowledge practice. Parts II and III discuss the data for knowledge
development and middle range theories derived from research. Parts IV and
V focus on defining and exemplifying evidence-based practice and on pre-
senting a worldview of the use of the Roy Adaptation Model–based research.
Downloaded by [South Pointe Hospital] at 04:33 02 November 2015
A Doody’s Review of this work gave it 94 out of 100.

The research criteria and study selection fully exhibit the basics of how
the Roy adaptation criteria are applied and produced a bank of great nursing
research. The complete research descriptions can be easily implemented to
improve nursing care and patient care and satisfaction. The analysis and
application of the research studies are well done and clear to any Roy model
user. The work is a road map to applying the Roy Adaptation Model in
research and provides evidence for practice.
The audience for this work might be individuals who have backgrounds
in nursing theory and advanced practice nursing. There is no background
information or discussion to usher a novice into the world of nursing the-
ory. Why is middle range theory better than other sort of nursing theory?
How does one form a middle range theory? That knowledge gap provides a
disconnection for this reviewer.
Outside of my “disconnect” with the basis of the middle range theory,
I found this to be a powerful work in the area of research analysis and
application of the research for practice. The power of the work is the scope
of the selection process of 172 research projects and classification criteria into
subcategories of quantitative and qualitative studies. The application of the
Roy model criteria to individual study types exemplify the scientific method
and reasoning model of what makes a good study (versus a bad study).
The complete process description is an authoritative tutorial of research data
being processed into useable evidence for practice. Marvelous work!
Mary Pat Harnegie

Cleveland Clinic
Cleveland, Ohio, USA
ORCID
Mary Pat Harnegie http://orcid.org/0000-0003-2096-2357
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See discussions, stats, and author profiles for this publication at: https://www.researchgate.

Generating Middle Range Theory: From Evidence to Practice by Sister Callista

Article in Journal of Hospital Librarianship · July 2015

Mary Pat Harnegie

The user has requested enhancement of the downloaded file.

ISSN: 1532-3269 (Print) 1532-3277 (Online) Journal homepage: http://www.tandfonline.com/loi/whos20

Generating Middle Range Theory: From Evidence

Mary Pat Harnegie

To link to this article: http://dx.doi.org/10.1080/15323269.2015.1049073

Published online: 15 Jul 2015.

Submit your article to this journal

Article views: 154

View related articles

View Crossmark data

Full Terms & Conditions of access and use can be found at

Chapter 8 recognizes that not only are patient populations cultur-

Sister Callista Roy with the Roy Adaptation Association. (2014).

The preface states

The five sections of this work include an introduction to the overview of

A Doody’s Review of this work gave it 94 out of 100.

Mary Pat Harnegie

Mary Pat Harnegie http://orcid.org/0000-0003-2096-2357

View publication stats

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