Nancy Roper

Nancy Roper (1918–2004) was a British nurse theorist, lexicographer and creator with Winifred W. Logan and Alison J. Tierney of the Roper–Logan–Tierney model of nursing used widely in nurse training in the United Kingdom, USA and Europe, since mid-1970s.

Life and early career

Nancy Roper was born on 29 September 1918, at Wetheral, near Carlisle, England, her mother was a nanny. Roper had wanted to be a nurse as a child. Her initial training was as a registered sick children's nurse (gaining a gold medal at Booth Hall Hospital, Manchester).

After this she trained as a state registered (adult) nurse in 1943, winning student nurse medals at Leeds General Infirmary. Roper was called up to the Territorial Army as a nurse teacher, in World War II, although teaching was a reserved occupation. Her next role was as a teaching staff nurse, and then senior tutor at Cumberland Infirmary, Carlisle, following completing a sister tutor diploma from London University in 1950.

Later career

Roper was invited to join the Royal College of Nursing study tour in Belgium in 1954. She became an Examiner for the General Nursing Council. She also worked on updating the ''Oakes Dictionary for Nurses,'' which was published in 1961. From 1964, Roper was a self-employed lexicographer and author.

Roper won a British Commonwealth Nurses War Memorial Fellowship to study for MPhil at the University of Edinburgh, graduating in 1970. Her international studies in nurse education also included USA and Canada. Her practical and theoretical question was simply What is nursing?''' which led to a thesis on '''Clinical Experience in Nurse Education''' and identified that most nursing skills and interventions related to daily activities of patients. Roper proposed the first organised approach to nurse care planning, which was researched and refined to become a model of Activities of Living (and known as Roper–Logan–Tierney model of nursing).

Roper was (from 1974 to 1978) the first nursing research officer for the Scottish Home and Health Department, working with the Chief Scientist, and carried out assignments for the World Health Organisation (WHO) European Office. The collaboration with Tierney and Logan continued with the writing of the ''Elements of Nursing'' in 1980. Roper wrote in the British Journal of Nursing in 2002, that as early as when a student nurse she was not happy that rotating wards for different experiences was useful, as there were 'more similarities than differences in nursing patients with different conditions'. The British Journal of Nursing (BJN) Lifetime Achievement Award was given to Roper in 2003, at the Savoy in London. Meeting Roper at the event, BJN editor, Helen Scott said that Roper was "affectionate, open, caring.. mischievous sense of humour' and put people at ease. And Scott reported that in her acceptance speech, Roper said she was 'humbled by the work that practical nurses carry out on a daily basis'.

Roper's model of nursing

Roper’s model of nursing, researched with Tierney and Logan, was originally published in 1976, and revised in 1985 and 1990, and 1998, and it remains the widely-used model of nursing used in the United Kingdom. It is now used as framework for nursing in America and on the continent of Europe with a history of being used particularly well in medical and surgical settings. Nursing methods developed from the activities of living and enhanced for use in a wider range of care settings, include for managing care in the community. A model of activities of daily living was later extended to cover Instrumental Activities of Daily Living for assessing ageing or disabled people's capability to live independently self-managing finances, domestic chores, socialising and communications.

Roper's approach was more holistic as well as practical and reminded the nurse to look at the whole patient's needs, their capabilities and their past, present and future experiences.

"The Roper-Logan-Tierney model is based upon activities of living, which evolved from the work of Virginia Henderson in 1966. The activities of daily living are the key to the model of care which seeks to define “what living means:”

* maintaining a safe environment
* communication
* breathing
* eating and drinking
* elimination
* washing and dressing
* temperature control
* mobilization
* working and playing
* expressing sexuality
* sleeping
* death and dying

The factors that influence activities of living are biological, psychological, sociocultural