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Orem self care deficit theory in nursing practice
Orem self care deficit theory in nursing practice
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Dorothea Orem's Self Care Nursing Theory Analysis 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. Theory Description Origins of the Theory The origins of the SCDNT began when Dorothea was asked to write the nursing curriculum for the Department of Health, Education and Welfare in Washington, DC. She along with other colleagues began the process for creating the curriculum and during this time the SCDNT began to develop. She published her first book on nursing theory in 1971 (McEwen & Wills, 2011). Also, she mentions that there was no particular theorist she based her theory (McEwen & Wills, 2011). Meaning of the Theory There are three primary concepts in the SCDNT. The concepts are self-care, self-care deficit and nursing systems (McEwen & Wills, 2011). In addition, authors McEwen and Willis breaks down Orem’s self-care theory with several requisites. They are universal, developmental, health deviation and therapeutic (McEwen & Wills, 2011). Plus, concepts of deliberated action and product of nursing are defined. Definitions The definition of self-care according to O... ... middle of paper ... ...g in positive patient outcomes. In conclusion, the SCDNT has been analyzed and shown to be beneficial to future of nursing Works Cited Barnes, J., Conrad, K., Demont-Heinrich, C., Garziano, M., Kowalski, D., Neufeld, J.,...Palmquist, M. (1994-2014). Generalizability and Transferabililty. Writing@CSU. Colorado State University. Retrieved April 1, 2014, from http://writing.colostate.edu/guide.cfm?guidedid=65 McEwen, M., & Wills, E. (2011). Theoretical Basis for Nursing (3 ed.). Philadelphia, PA: Lippincott, Williams & Wilkins. Pearson, A. (2008). Dead poets, nursing theorist and contemporary nursing practice. International Journal of Nursing Practice, (14), 1-2. 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
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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.
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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).
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Nursing is considered one of the most trusted professions in the world. It is an essential part in the caregiving of sick, injured, and even healthy individuals. Developing a philosophy with any profession is the beginning basis of any practice. The nursing philosophy is usually incorporated from the science of nursing. That is because the field of health care is constantly changing, which causes the need of better competence in the health field of providing caring (Flagg, 2015). With nursing it starts by the science behind it. Then along with knowledge and experiences, that is when the nursing philosophy is developed. Researching differences between new ideas and cultural differences can then expand the viewpoint into a bigger picture.
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Compared with medical professionals, nurses appear to be reluctant to rely on professional rationales for their actions, preferring to use managerial justifications and implementing ‘top down’ approach to care. (Adamson, 2013). When a gap in nursing care is perceived, theory is often used to improve these outcomes. Theory provides an overall vision and understanding of the profession of nursing by offering guidance. Not only in nursing, but theory can be applied to any profession as it serves as a tool for guidance of practice. The legitimacy of a profession is based on its ability to generate and apply theory (McCrae, 2012). Without nursing theory, nursing would be a profession guided by by medicine and physicians. Theory guides nurses by shaping its professional boundaries and helps nurses make decisions on current and potential patient needs.