Application of Nursing Theory: Orem’s Self Care Deficit Nursing Theory The theory being presented is Dorothea Orem’s self-care deficit nursing theory. Theory utilization in nursing is extremely important, theory helps to guide nursing research and nursing practice. There is a close and concrete circular relationship between theory, research, and practice that has been in existence since the beginning stages of nursing practice as a profession (Im & Chang, 2012). Theory utilization continues and will continue in the future to help guide nursing practice and research. Im and Chang (2012) state, “with evolutions and changes in nursing environments, theoretical thoughts in nursing have been developed, refined, and evolved in nursing history” (p. 156). Nursing theories and borrowed theories have been a foundation in nursing since the nursing discipline began to identify as a profession (Im & Chang, 2012). Over the years amazing …show more content…
According to O’Shaughnessy (2014) “a self-care deficit occurs when the relationship between demands for self-care are greater than the individuals current ability” (p. 496). When Orem’s theory is utilized the outcomes of the patients can be greatly impacted (O’Shaughnessy, 2014). Seed and Torkelson (2012) states that “the basis for the theory is to describe how and when nursing care is needed to assist patients who are unable to meet their own self-care needs” (p. 395). The strategy being used is the use of the Orem’s self-care deficit nursing theory in self-management of diabetes through specific patient education. Once the patient’s specific deficit(s) has been identified then the patient and their family can begin an education program on their disease process. Each patient will meet with their diabetic care coordinator and establish the following: an initial assessments, goal list, plan, implementation of the set plan, and
Diabetes education is a structured education and self-management (at diagnosis and regularly reviewed and reinforced) to promote awareness. Diet and lifestyle, healthy diet, weight loss if the person is overweight, smoking cessation, regular physical exercise. Maximizing glucose control while minimizing adverse effects of treatment such as hypoglycemia. Reduction of other risk factors for complications of diabetes, including the early detection and management of hypertension, drug treatment to modify lipid levels and consideration of antiplatelet therapy with aspirin. Early intervention for complications of diabetes,, including cardiovascular disease, feet problems, eye problems, kidney problems and neuropathy.
This entails that the professional nurse provide not only ordinary but extraordinary care and support to make it possible for these individuals to achieve their requirements for self-care. Furthermore, the professional nurse judiciously and collaboratively partakes in the individual’s health care provided by the medical doctor. Dorthea Orem understood that individuals possess the natural capability of self-care, and nurses have a duty to place emphasis on enhancing that capability. Nurses who deliver direct care can support these capabilities by offering learning opportunities and teaching methods that enhance self-care activities, therefore contributing a positive and encouraging influence on the individuals and caregivers quality of
This approach is based on four principles which are; to teach patients to assume their responsibility, to be well informed about their prevailing health issues, make them realize that their cooperation and willingness in treatment and prevention plan is in their own benefit and, let them take their own decisions. As narrated by Taylor (2006), Dorothea E. Orem's Self-care deficit theory of nursing emphasize that "People should be self-reliant and responsible for their
With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some
... M.A. (2006). Applications of Dorthea Orem's self care deficit nursing theory. In M.E. Parker (Ed.) (2006). Nursing theory and nursing practice (2nd ed., pp. 149-155). Philadelphia: EA. Davis Company.
Incorporating these theories into the everyday practice of nurses has developed a stronger and more advanced nursing discipline. The knowledge that the theorists shared strengthens the fundamentals of nursing concepts, values and beliefs that is being taught to each and every nursing generation to come. As a nurse, and someone who has sustained sleepless nights providing bedside care to the weak, frail and dying, practicing nursing through the components of nursing models in order reach an over all goal has been my struggle. Without theories, nursing would not be as advanced as it is scientifically, which would not benefit the
Norris SL, Lua, J, Smith SJ, Schmid CH & Engelgau, MM 2002, ‘Self- Management Education for Adults With Type ‘Diabetes’, Diabetes Care, Vol. 25 no.7, July, pp.1159-1171.
Because self-care varies from person to person, it also comes in many different forms. Now that I am in nursing school
The nursing theories that are currently in place in the emergency room to promote professional growth and development are vital; however, there are other nursing theories that could be implemented to help improve professional growth and development. A theory that should be implemented to more effectively promote professional growth and development is Orem’s theory of self-care deficit. Orem’s theory is considered a “realistic reflection on nursing practice” (McEwen & Wills, 2014, p. 146). If the nurse is not taking care of him or herself, “stress [can] accumulate [and the] nurse can … become angry, exhausted, depressed, and sleepless” (Ruff & Hoffman, 2016, p. 8). By the nurse having these feelings he or she is not able to take care of him
Polonsky, W.H (2006). ’Encouraging effective self-management in diabetes.’ In: k101 An introduction to health and social care, resources, Block 3, pg19, Milton Keynes, The open university.
I chose to do a concept analysis on ‘Self-Care.’ The nursing theory that uses this concept is Orem’s theory of nursing. This theory is a grand theory and consists of three minor interrelated theories; self-care, self-care deficit, and nursing systems. (Parker & Smith 2010). Orem defines self-care as when an individual initiates activities and performs to maintain life, health and well-being on their own and self-care deficit as not meeting adequate self-care requisites which include “limitations for knowing, deciding and producing care to self or dependent. (Parker & Smith, 2010)
The grand theory to be analyzed in this paper is Orem’s Self-Care Deficit Nursing Theory (SCDNT). The method used to analyze Dorothea Orem’s theory is Walker and Avant Theory Analysis (WAT). Theory analysis is a process of evaluating a nursing theory. The WAT is comprised of seven steps. The steps are defining the origins, meaning, logic, usefulness, details, structure and testability of the theory (McEwen & Wills, 2011). “Critical reflection of a theory determines how well the theory serves its purpose” (McEwen & Wills, 2011, p.95). Therefore, a critical reflection will be applied to the SCDNT. The purpose of this paper is to analyze and critique the SCDNT using the WAT method of theory analysis.
To make good nursing decisions, nurses require an internal roadmap with knowledge of nursing theories. Nursing theories, models, and frameworks play a significant role in nursing, and they are created to focus on meeting the client’s needs for nursing care. According to McEwen and Wills (2014), conceptual models and theories could create mechanisms, guide nurses to communicate better, and provide a “systematic means of collecting data to describe, explain, and predict” about nursing and its practice (p. 25). Most of the theories have some common concepts; others may differ from one theory to other. This paper will evaluate two nursing theorists’ main theories include Sister Callista Roy’s
Nursing theories are actions care that a nurse provides to a patient to prevent a sickness, maintain and promote health. Many of the theorists contribute to a frame work or a blueprint of how nurses should provide care to patients. Many these theories are part of nursing care and most of them they go hand in hand. Nursing theory aims to describe, predict and explain the phenomenon of nursing (Chinn and Jacobs1978).Nursing is apprehensive with laws and principles governing the life processes and functioning of sick or well human beings. Nursing theories are beneficial in understanding the knowledge of nursing and its application (Smith and Liehr, 2008).
One of the theories of nursing is Dorothea Orem’s self-care theory, also called the self-care deficit theory. Nursing theories are important for several reasons. The profession is strengthened when knowledge is built on sound theory (Black, 2014). Theory is important for reasoning, thinking, decision-making, and supporting excellence in practice (Black, 2014). Dorothea Orem’s theory is a conceptual model that provides a structure for critical thinking in the nursing process (Black, 2014). A conceptual model provides a comprehensive and holistic perspective of nursing (Black, 2014). Orem published her theory in 1959 and continued to develop her model, eventually formalizing three interrelated theories: theory of self-care, theory of self-care deficit, and theory of nursing system (Black, 2014). The focus of Orem’s model is the patient’s self-care capacity. The process helps to design a nursing process specific to each patient that will provide for the self-care deficit of the patient (Black, 2014). Self-care deficits exist when the patient has limitations and the self-care requirement is greater than he patient’s capacity (Manzini & Simonetti, 2009).