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Concept Analysis on Self-care: Orem´s Theory on Nursing

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1538 words
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Concepts are essential elements in theories which provide ideas for research in nursing. Concepts give knowledge that can be applied to nursing practice, education and administration. (Parker & Smith 2010). Concept analysis brings about clarity. The methods of concept analysis have the following steps. Select the concepts, determine the purpose of the anaysis, identify all uses, define attributes, a model case of the concept, consequences of the concept, and define empirical references of the concept (Walker & Avant 1995)

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)

I would like to explore the concept of self-care to get a better understanding of the concept to enhance self-care promotion in ambulatory surgery patients when they are discharged to home. Self-care is a concept that has many different meanings to different individuals in different situations of care. By analyzing this concept and how it’s used it will better prepare me to enable patients to be more independent in their care at home. Nursing care directed toward returning control of the situation to the patient allows the process of self-care and healing to begin. Orem’s self-care model can promote successful practice wh...

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...P. (2011). Care of self - care by other - care of other: the meaning of self-care from research, practice, policy and industry perspectives. International Journal of Evidence-Based Healthcare, 9(1), 3 24. doi:10.1111/j.1744-1609.2010.00196.

Parker M. E., & Smith M. C. (2010). Nursing theories and nursing practice (3rd ed.). Philadelphia, PA: F. A. Davis Company.

Richards, S. (2012). Self care -- a nursing essential. Practice Nurse, 42(11), 26-30.

Richard, A., & Shea, K. (2011). Delineation of Self-Care and Associated Concepts. Journal of Nursing Scholarship, 43(3), 255-264. doi:10.1111/j.1547-5069.2011.01404.

Walker, L.O. & Avant, K.C., 1995, Strategies for theory construction in nursing, Appleton & Lange, Norwalk (USA).

World Health Organisation. 2009. Self-care in the Context of Primary Health Care. Report of the Regional Consultation, Bangkok, Thailand

In this essay, the author

  • Explains that they searched the internet to get a generalized view of how the concept was being used. they narrowed the search to post-op patients and self-care.
  • Explains the three defining attributes of self-care: ability, performance, awareness, and decision making.
  • Opines that self-care includes the cognitive state of the person providing care, no physical limitations, and a good supportive environment for learning.
  • Defines empirical referents as classes or categories of actual phenomena that by their existence or presence demonstrate the occurrence of the concept itself.
  • Opines that parker m. e. and smith c. (2010). nursing theories and nursing practice (3rd ed.
  • Cites the world health organization's report on self-care in the context of primary health care.
  • Explains that concepts are essential elements in theories that provide ideas for research in nursing. orem's theory of nursing uses self-care as a grand theory and consists of three minor interrelated theories.
  • Concludes that the definition of self-care could vary depending on the context in which the term is used.
  • Illustrates orem's theory of self-care in a hypothetical patient who had lithotrypsy for kidney stones.
  • Explains godfrey, harrison, lysaght, lamb, graham, i., and oakley, p. (2011). care of self - care by other.
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