The nursing processRAM offers guidelines to nurse in developing the nursing process. The elements:First level assessmentSecond level assessmentDiagnosisGoal settingsIntervention Evaluation Role functionThe basic need of the role function is social integrity. This mean the people need to know who they are in relation to others so that they can act. All people have role in the society, the roles are divided I to primary, secondary , tertiary roles person performs in society Transcultural and holistic careRoy’s theory is transcultural and holisticCultural expressions of the elements of the RAM may lead to changes in practice activities such as nursing assessment. Nursing accepts the humanistic approach of valuing others’ opinions and perspectives. Interpersonal relations are an integral part of nursing. Safe and effective patient careThe Roy Adaption Model is frequently used in nursing practice. the nurse is guided by Roy’s six-step nursing process which includes assessing behaviors, assessing stimuli, developing nursing diagnosis, creating goals, implementing interventions, and evaluating attainment of adaptive goal. Roy’s Adaption Model provides a necessary framework for all nurses to provide patient-centered, appropriate care within all populations for patients to attain optimal health and well-being. ReferencesRoy C. The Roy Adaptation Model. 3. Upper Saddle River, NJ: Pearson Education, Inc;