Orem's Theory In Emergency Management In The Emergency Room

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

The nursing theories that are currently being implemented in the psychiatric area of the emergency room should continue to be implemented along with other nursing theories. With the nursing theories that are currently being implemented it is not solving the problem of a non-therapeutic environment for the pscyharitic patients that are boarding in the emergency room waiting for an inpatient bed to become available, there needs to be other nursing theories implemented in order to solve this problem. The policies and procedures that are put into place in this part of the department should be evidence based and should allow the patient to have a therapeutic environment so the patient is able to start the healing and recovery process while the patient is boarding in the emergency

The major concern with this population of patients is that the patients are not in a therapeutic environment when he or she is boarding in the emergency room waiting for an inpatient bed, which does not allow the patient to start the healing and recovery process. A theory that could be put into place is chaos theory, which involves “finding the underlying order in the apparent disorder of natural and social systems” (McEwen & Wills, 2014, p. 296). In the emergency room currently, the psychiatric area of the department is in disorder. The policies and procedures for this area of the department are confusing and ever changing, it is hard to keep up to date with the latest policies and procedures and because of this, the patients do not have a therapeutic environment that he or she needs. The role of the chaos theory is that it examines systems that are on the “edge of disorder” (Brabender, 2016, p. 9). With the implementation of chaos theory and multiple other nursing theories the area of the emergency room that is designated for the psychiatric patient will be a therapeutic environment so that way while the patients are boarding waiting for an inpatient bed to become available so the patient is able to start his or her recovery and healing