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Theory of Dorothy Orem and her importance to nursing practice
Theory of Dorothy Orem and her importance to nursing practice
Theory of Dorothy Orem and her importance to nursing practice
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Nursing as a profession is constantly changing and in need of nurses who are able to adapt with these sudden modifications. Nursing is considered as science as well as an art. Many people who have been experts in nursing have contributed in able to provide the best care for patients as well as their family. One of the well-known nursing theorists who influenced how we care for patients today is Dorothea Orem. She developed the Self-Care Deficit Nursing Theory (SCDNT) which concentrates on patient’s self-care necessities. Born in 1914 in Baltimore, Maryland, Dorothea Orem has come to be one of the well-known theorists who continue to influence nursing in todays practice. She received her nursing diploma from Providence Hospital School of Nursing in Washington, D.C. in the year 1934. In 1939 she received her Bachelors of Science in Nursing Education, and in 1945 she finished her Masters of Science in Nursing Education. Through Orem’s personal life experience as well as expertise in the subject of SCDNT, she was able to create this theory of self-care agency, …show more content…
It is up to the future of health care professionals to carry out these theories in able to provide the best care given to patients.
References
Parker, M. E., & Smith, M. C. (2010). Dorothea Orem 's Self-Care Deficit Theory. In Nursing Theories & Nursing Practice (p. 121-145). Philadelphia: F.A. Davis Co.
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Sampaio, F. A. A., Aquino, P. D. S., Araújo, T. L. D., & Galvão, M. T. G. (2008). Nursing care to an ostomy patient: application of the Orem´ s theory. Acta Paulista de Enfermagem, 21(1), 94-100.
Thi, T. L. (2012). An Analysis of Self-care Knowledge of Hepatitis B Patients. Letter from the Editors From the President, 19(1),
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
In the todays century, the responsibilities, roles, and opportunities for nursing and nurse education has grown abundantly to that of modern day nurses. Many nurses in the eighteen century were not educated nurses and never attended nursing school; however, they still provided care for the sick, poor, and needy and played a vital role in health maintenance. With the hard work from many notable nurses in history such as Florence Nightingale, Clara Barton, and Isabel Robb and the persistence and dedication for change from influential nurses such as Mary Mahoney and Mabel Staupers; nursing today has transformed in many aspects of practice. Although nursing as a profession is continuously evolving throughout the years, the core foundation of nursing hasn’t changed in that nursing is a profession of caring for others and servicing those in need.
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
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Walsh, M. (1997). The Nature of Nursing. In M. Walsh (ed.) (1997). Watson’s Clinical Nursing and Related Sciences. 5th Edition. London: Baillière Tindall.
This paper is a first attempt at forming and articulating my own philosophy of nursing.
... 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.
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
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
The ongoing education and training which supports the nursing as a profession must be maintained. The self-concept of nurses is enormously important in maintaining a professional identity.
Throughout this philosophy paper, I have explored what nursing is based on my personal values and beliefs as it relates to the body of work in nursing. I value the importance of holistic nursing and the care of patients being individualized for them and their family. Also, effectively collaborating among health care professionals to ensure quality care for patients. Additionally, the importance of health promotion as one of the main roles of nurses is being a teacher, since promoting health prevents illness and increases the level of health in clients. These principles will serve as a guide for my personal standards of nursing practice.
Seed, M., & Torkelson, D. (2012). Beginning the recovery journey in acute psychiatric care: Using concepts from Orem's self-care deficit nursing theory. Issues in Mental Health Nursing, 33, 394-398
King, I. M. (1971). Toward a theory for nursing; general concepts of human behavior. New York: Wiley.
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).