Special Sorrow: Terminally Ill Children's Experience of Their Parent's Distress.

The authors of this paper explore the distress that terminally ill children experience when they see the suffering their illness and dying is causing their parents. The authors refer to this experience as special sorrow. The conceptual framework that guides this reflection of the terminally ill child's experience is the Roy adaptation model. The goal of this paper is to explore the concept of special sorrow as lived, so as to help nurses be with such children and their parents in a way that eases sorrow through effective adaptation and transcendence.

A Comparison of Two Case Studies Using the Roy Adaptation Model: Parents of Opioid-Dependent Adults and Bariatric Surgery.

The authors in this paper demonstrate the utility and versatility of the Roy Adaptation Model (RAM) as applied to two contemporary case studies. The first case uses the RAM model to gain understanding and guide nursing practice to assist the parents of a young adult with an opioid use disorder and depression, and the second case involves using the RAM model to help a woman who recently had bariatric surgery cope and adapt postoperatively in a way that helps her maximize the benefits of having had that procedure. The authors discuss how the RAM provides a holistic approach that can be used to provide high-quality, comprehensive nursing.

Surviving the Loss of a Child: A Mexican-American's Story.

This paper tells the story of a mother's loss of her 10-year-old daughter from cancer. It is in part a pain and suffering narrative and a story of remarkable post-loss growth and transformation. It is a story told for busy parents and multitasking nurses, to all of us who need to relearn how to be attentive to others, particularly our children. The woman who tells the story is one of the authors (M.V.-W.); she is a Mexican-American. The paper is based on two interviews of M.V.-W., using questions similar to those used by one of the authors (S.L.B.) with his study of fathers and sibling. Following the interviews is a brief discussion on the loss of a child from a humanbecoming perspective, with a few comments on the immigration of nurses.

Gerentes de escuelas de enfermería: una discusión sobre su adaptación al entorno social según la Teoría de Roy / Nursing School Directors: A Discussion on Adapting to the Social Environment Based on the Roy Theory / Diretores de escolas de enfermagem: uma discussão sobre sua adaptação ao contexto social segundo a Teoria de Roy

Objetivo: la investigación aborda el desempeño gerencial de las primeras directoras enfermeras en la región central de México, con el objetivo de analizar los retos afrontados por ellas en su entorno social durante su gestión en las escuelas de enfermería en la década de los setenta. Método: se llevó a cabo un estudio cualitativo de corte histórico-social, sustentado en la teoría de adaptación; los sujetos de estudio fueron las directoras o sus colaboradoras cercanas. Para la recolección de datos se utilizó la entrevista; los datos se analizaron con la técnica colorimétrica. Resultados: los resultados revelaron que sus retos fueron: sociales, de género y erradicar el estigma social. Los mecanismos innatos: ser visionarias; los adquiridos: vencer el miedo al cargo, adaptarse a la organización universitaria. Conclusión: la investigación ofrece aportes a la teoría, y señala su aplicabilidad en el ámbito gerencial. Se refleja el significado de adaptación en la posición gerencial, mostrando que el nivel de adaptación fue integrado.

Objective: The study addresses the managerial performance of the first nursing directors in Mexico's central region, so as to analyze the challenges they faced in their social environment while managing nursing schools in the seventies. Methods: A qualitative, social-historical approach was used, based on the theory of adaptation. The subjects were directors or their close collaborators. The data was collected through interviews and analyzed with the colorimetric technique. Results: The results showed their challenges were social, gender related and involved eradicating social stigma. The inherent mechanisms were: being visionary; those acquired; overcoming fear of being in charge; and adapting to the university organization. Conclusion: This research contributes to the theory and signals its applicability in the field of management. It reflects the importance of adaptation in managerial positions and shows the level of adaptation was comprehensive.

Objetivo: a pesquisa aborda o desempenho gerencial das primeiras diretoras enfermeiras na região central do México, com o objetivo de analisar os desafios enfrentados por elas em seu contexto social durante sua gestão nas escolas de enfermagem na década de setenta. Método: realizou-se um estudo qualitativo de corte histórico-social, sustentado na teoria de adaptação; os sujeitos de estudo foram as diretoras ou suas colaboradoras mais próximas. Para a coleta de dados, utilizou-se a entrevista; os dados foram analisados com a técnica colorimétrica. Resultados: os resultados revelaram que seus desafios foram: sociais, de gênero e de erradicação do estigma social. Os mecanismos inatos: serem visionárias; os adquiridos: vencerem o medo do cargo e se adaptarem à organização universitária. Conclusão: a pesquisa oferece contribuições à teoria e sinaliza sua aplicabilidade no âmbito gerencial. Reflete-se o significado de adaptação na posição gerencial ao mostrar que o nível de adaptação foi integrado.