Feeding intolerance has been identified as a significant problem for infants in the Neonatal Intensive Care Unit (NICU). Inquiry has revealed massage therapy as a possible nursing intervention for the problem (Shaeri et al., 2017). Additional knowledge is desired to determine if new research findings present clinically significant evidence for use of the intervention in the NICU patient population. Toward this end, a PICO question has been formulated: does massage application given to infants born at less than 37 weeks gestation reduce feeding intolerance?Given the increased prominence of theory-based nursing, identifying an applicable nursing framework is important. One model that can be used in addressing the identified problem is Roy’s adaptation model (RAM). Indeed, RAM is one of the most common nursing models. Essentially, the model emphasises patient adaptation to the environment (Saini et al., 2017). As per the model, the nurse focuses on improving the patient’s ability to interact with the adjacent environment. Viewing the individual as an adaptive system, RAM asserts that the role of the nurse during the care process is to help the individual adapt to changes in four areas: physiological needs (e.g. oxygenation, nutrition, and neurologic function); self-concept (e.g. self-perception and spirituality); role function (e.g. social roles); and interdependent...
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