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Self-care deficit theory analysis
How does dorothea orem's theory support nursing practice
Dorothy Orem's theory applications to nursing practice
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Dorothea Orem Self care deficit
Dorothea Orem considered one of the foremost nursing theorists according to (currentnursing.com) was born in 1914 in Baltimore MD. She earned her diploma in nursing from Providence Hospital School of nursing located in Washington DC around the 1930’s. She then moved forward earning a bachelor’s in education from and Masters in Education from catholic University in Washington DC. She eventually attained an Honorary Doctorates: Doctor of Science from Georgetown University (1976) and Incarnate Word College in San Antonio, Texas (1980); Doctor of Humane Letters from Illinois Wesleyan University, Bloomington, Illinois (1988); Doctor Honoris Causae, University of Missouri-Columbia 1998 (www.nursesinfo.com). Dorothea Orem formal idea in nursing concepts of practice was published in 1971, then in 1980 and finally in 1985. Dorothea Orem worked for the division of hospital and institutional services of the Indiana state of health from 1949-1957. During this time she had a goal to upgrade the quality of nursing in general hospitals throughout the state. It was also during this time she created her definition of nursing practice. She also worked for the US Department of Health, Education, and Welfare where she helped published Guidelines for Developing Curricula for the Education of Practical Nurses" in 1959. Dorothea Orem later on served as acting dean of the school of nursing and as an assistant professor of nursing education at the Catholic University of America in 1959, where she continued to expatiate on her concept of nursing and self care.
Dorothea Orem began working on her nursing theory, while she worked with the Indiana State Board of health. She noticed that, nurses were able t...
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...f nursing: standards & practice. Clifton Park,, NY: Thomson Delmar Learning.
Foster, P.C., & Caine, R.M. (1995) Self-Care Deficit Nursing Theory: Dorothea E. Orem. In J.B. George (4th Edition) Nursing theories the base for professional nursing practice (pp. 100-150). Upper Saddle River, New Jersey: Prentice Hall.
Http://www.nurses.info/. (2010). doi: http://www.nurses.info/nursing_theory_person_orem_dorothea.htm
Kumar, C. P. (2007). Application of Orem's Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes [Abstract]. International Journal of Nursing Terminologies and Classifications, 1-10. doi: http://findarticles.com/p/articles/mi
Nursing theories:self care deficit theory. (2010, January 26). Retrieved April 09, 2010, from http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
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Morkes, Andrew Yehling, Carol Walsh, Nora and Walsh, Laura. Ferguson’s Careers in Focus: Nursing. Second Ed. Chicago: Ferguson Pub., 2003. Print
IOM (Institute of Medicine). (2011). The future of nursing: leading change, advancing health. Washington, DC: The National Academies Press.
Tomey, A. M. (2006). Nursing theorists of historical significance. In A. M. Tomey & M. R. Alligood (Eds.), Nursing theorists and their work (pp. 54-67). St. Louis, MO: Mosby.
Nightingale, F. (1898). Notes on nursing: what it is and what it is not. New York, NY:
The history of nurses hadn’t developed until the nineteenth century. The first law was passed to require that nurses attain a license in 1938. After passing this law, the New York State began a movement to have certain programs to promise new standards in the field. Since the first schools were opened the training and criteria has changed tremendously. Education standards for nurses have improved in many different ways. Programs are an option throughout the country, and there are laws to back up the qualification and training standards for licensure. The nursing field is an important role as a part of the health care team, and can benefit one is so many ways. The history of nurses has changed from being a minor occupation to a major one. In today’s society people rely on nurses, doctors, and specialists more than ever. Nurses have brightened our future in the most beneficial way (Hopke 592).
When one thinks of the evolution of nursing, several noteworthy women come to mind, yet one stands out, Florence Nightingale. In Notes on Nursing, Nightingale says “…put the patient in the best conditions for nature to act upon him.” (1859, p.75) She established standards that reformed the industry. For example; her practices of sanitation and aseptic methods led to a decrease in hospital mortality rates. By keeping records of care given, techniques used and the outcomes; by utilizing these records, she implemented documentation and evidence-based practice. She started the ball rolling on the transition of nursing from a belittled trade to the profession it is now proclaimed to be. Nightingale, in conjunction with other
McEwen, M., & Wills, E. M. (2011). Theoretical basis for nursing (3rd ed.). Philadelphia, PA: Wolters Kluwer Health Lippincott Williams & Wilkins.
Nursing originally derived from the medieval era when nuns exercised their assistance to medical practitioners for injured Christian Warriors. The basics of nursing education were outlined by Florence Nightingale during the arrival of the Crimean War. In great detail she wrote a book entitled “Notes on Nursing” that explained the duties and subjections of a nurse. Nursing was then considered for the first time a professional job because particular training and education was needed to fulfill the duties. Many physicians recognized the significance of nursing and instructed a course for people who aspired to be potential nurse. During the Civil War the demand for nurses became a great need for the massive number of injured veterans. Nurse Registration Acts was passed and in 1903 North Carolina was the first state to grasp the Nursing Licensure Act. Nursing has expanded tremendously into its own individual categories such as Registered Nurses (RNs), Nurse Practitioners (NPs), and Licensed Practical Nurses (LPNs), etc. Nursing continues to evolve over...
Thorne, S. (2010). Theoretical Foundation of Nursing Practice. In P.A, Potter, A.G. Perry, J.C, Ross-Kerr, & M.J. Wood (Eds.). Canadian fundamentals of nursing (Revised 4th ed.). (pp.63-73). Toronto, ON: Elsevier.
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).
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
Walker, L. O. & Avant, K. C. (2011). Strategies for theory construction in nursing. Upper Saddle River, NJ: Pearson Education, Inc.
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.
Tomey, A.M., & Alligood, M.R. (2006). Nursing theorists and their work (6th ed.). St. Louis, MO: Saunders Elsevier.
Self-care is a necessary practice in everyone’s life. This practice allows people to relax and replenished themselves. The first time I heard of this term was in during one of my social work classes. As we began to discuss self-care it became clear, that without proper self-care people, not just social workers are doing themselves a disservice. Self-care encompasses more than general rest. Self-care deals with emotional wellbeing, good health and spiritual wellbeing. All of these areas are key to having good self-care. The reading provides a good description self-care, it stated that self-care is achieving an equilibrium across our personal school and work lives. Achieving equilibrium in my personal life will only increase my ability to support and help others.