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Orem's self-care deficit theory
1. Historical Evolution of Nursing Theory
Scope of a nursing theory
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Introduction
The nursing field is a career that is based on many theories that assist nurses to administer the best nursing care possible. This assignment will distinguish between a theory, philosophy and paradigm, then the following theories will be discussed under person, health, environment and nursing. The theories are: Orem, Henderson, Nightingale, Peplau, Rogers, Watson and Leninger.
Distinguish between a Philosophy, theory, and paradigm
Philosophy is the study of how something began or came to being, a theory is a belief that something occurred or occurs a certain way and trying to explain it using research. A paradigm is a simple way to explain something using a pattern or a model.
Discuss the following Nursing Theories
1. Dorothy Orem’s theory of self-care deficit
a. Person
“The person is
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It functions interchangeably with the human process that ensures health for individuals and the community.” currentnursing.com/nursing_theory/interpersonal_theory.html 5. Rogers’s theory of personality.
a. Person
“This theory states that “a person is an irrefutable whole, the whole being greater than the sum of its parts.” It states that humans are a dynamic field in a continuous exchange with the environmental fields both of which are infinite.”( Berman 2014:
b. Health
“Rogers also states that both human and environment are characterised by a pattern and that the human is constantly and creatively interacting with the environment”
( Berman 2014:
c. Environment
The human and the environment are one, for health to be achieved there has to be an alignment between the two. ( Berman 2014:
d. Nursing
‘In nursing these theories are applied by:
• Focus on the patient’s wholeness.
• Seek to promote symbolic intervention between the two energy fields.
• Coordinate the human field with the rythmatics of the environmental fields.
• Direct and redirect patterns of interaction between the two energies.’ ( Berman 2014:
6. Watsons
a.
Our awareness, our perception within nature, as Thomas states, is the contrast that segregates us from our symbols. It is the quality that separates us from our reflections, from the values and expectations that society has oppressed against itself. However, our illusions and hallucinations of nature are merely artifacts of our anthropocentric idealism. Thomas, in “Natural Man,” criticizes society for its flawed value-thinking, advocating how it “[is merely] a part of a system . . . [and] we are, in this view, neither owners nor operators; at best, [are] motile tissues specialized for receiving information” (56). We “spread like a new growth . . . touching and affecting every other kind of life, incorporating ourselves,” destroying the nature we coexist with, “[eutrophizing] the earth” (57). However, Thomas questions if “we are the invaded ones, the subjugated, [the] used?” (57). Due to our anthropocentric idealism, our illusions and hallucinations of nature, we forget that we, as organisms, are microscopically inexistent. To Thomas, “we are not made up, as we had always supposed, of successively enriched packets of our own parts,” but rather “we are shared, rented, occupied [as] the interior of our cells, driving them, providing the oxidative energy that sends us out for the improvement of each shining day, are the mitochondria” (1).
Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.
This is a research paper conducted on the very highly pursuited field of nursing. Nursing is a profession in the healthcare field that focuses or assisting others. Not to mention, nurses are heroes because of the many lives they save every day. This is an example that one doesn’t need tights or a cape to be a hero. Never the less, there are many reasons one may want to become nurse. Some of those reasons may be for personal gain or the greater good. However, before becoming a nurse one needs to be educated about educational requirements, licenses and certifications, projected salaries, and the projected job outlook for the next five – ten years for nursing. This research paper will provide thorough information on those four major aspects of
In the history of nursing we have come a long way and this is because of the nurses before us. They wanted to learn, lead, teach and make a difference in the care of patients. There are 4 main nurse theorists in the second part of our text book. I am going show how they are alike and different from one another. What makes each one of them unique and the differences they played in the development of each nursing philosophy.
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.
As I made my way through the nursing program, I witnessed my ideas and perceptions of the nursing practice and what nursing means to me change over time. By examining my Philosophy of Nursing assignment from first year, I can see that my current perspective on the nursing practice is similar to what it was yet has expanded as a result of being able to work alongside various Registered Nurses over the past four years. My philosophy of nursing has also slightly changed. Although my philosophy is still based on the nursing metaparadigm, that is nursing, health, the person, and the environment, I believe that my understanding of each one has evolved. Therefore, I believe it is crucial for me to further explore my current perspective on the nursing
Nursing’s development from an occupation to a profession follows the devotion and sacrifice of many amazing women throughout history. Considered to be one of the oldest professions, women have performed what could be considered nursing duties since the beginning of time. Although there have been many events and many individuals who have contributed to nursing’s evolution from the occupation it was once considered to the profession that now exists, the development of formal education opportunities and scholarly resources and the women who created them is what fascinates me most. Without knowing, each of the following five women helped lay the groundwork for what Lucie Kelly, RN, PhD, FAAN, eventually termed the eight characteristics of a profession
"Philosophy is an attitude towards life that evolves from each nurses’ beliefs" (Parker, 2001). It is the philosophy that underlies our practice what brings to life our desire to be nurses. Philosophy is essential because it is the natural extension of our interest in knowing the truth (Parker, 2001). A metaparadigm is the widest perspective of the discipline and a way to describe the concepts that concern the profession of nursing (McEwen & Wills, 2014). In this paper, my philosophy of nursing will be discussed through reflection on the four nursing metaparadigm concepts to determine if anything should be added or taken out.
It is necessary to change and optimize one's environment to promote comfort and healing, because poor sanitation leads to poor health.
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
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).
McIntyre, M. & McDonald, C. (2014). Nursing Philosophies, Theories, Concepts, Frameworks, and Models. In Koizer, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yiu, L., & Stamler, L. (Eds.), Fundamentals of Canadian nursing (3rd ed.). (pp.59-74). Toronto, Canada: Pearson.
Sieloff, C. L., & Raph, S. W. (2011). Nursing theory and management. Journal of Nursing Management, 19(8), 979-980. doi:10.1111/j.1365-2834.2011.01334.x
A career in nursing has always sounded like an extremely rewarding and beneficial profession. Nurses have the great opportunity to care for patients on a daily basis, nurses are responsible for helping patients maintain a long, healthy life. In this paper, I will discuss how I became interested in nursing, how my values relate to those of a nurse, and my goals pertaining to the nursing program.
The environment and health are very closely linked. The environment in which we inhabit and go about our daily lives, directly impacts on our physical, mental and social well-being. There are biological, chemical and physical factors that can affect human health in a physical and mental way. The World Health Organisation states that "health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity" (WHO 1948), meaning that although many factors relating to health are associated with environmental pollution, they can also be caused by the environment in which we work and live in. The relationship between the environment and health, can however be quite complex. Human health is not only as a result of air, water and ground pollution, but also things such as food, genetics, life style and quality, which directly affect human susceptibility to illness, disease and possibly death. Disruptions to the environment, such as substance dispersal, climate change, acidification, ground pollution, photochemical air pollution and over fertilisation can also impact on human health. Therefore, there are direct and indirect links to the environment and health issues.