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Interview with Dorothea Orem

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Answers to the questions #10-12.
#10. Do you believe your theory systems when followed enables health care providers to better meet the needs of the patient, or do you believe the strict protocol hinders and prevents care therapies that might otherwise be more effective for the patient, and why?
My theory is very simple; a person must have the ability to take care of himself. I believe it enables health care providers to better meet the needs of the patient. Nurses use my theory on a daily basis for taking care of the patients such as making the patient’s transition from the hospital to their own home much smoother. An example of using my Self Care Theory is educating a patient on their diabetes so they can be independent about taking care of their diabetes and outcomes. Education to the patient is very critical. Eventually the nurse set s goals set by the patient and evaluates the results of the plan.
#11. Your “Self Care Theory” is considered a grand nursing theory, which is reflective of personal insights, useful practices designed by empirical testing, therefore one may considered this biased, would you agree why and why not? What do you consider to be the differentiation of your theory over some others classified under the same “Grand Theory” Category?
No I don’t feel my Self Care Theory is biased because it’s a requirement of every person, not just a certain age group. Every person can benefit from my theory. My Self Care Deficit theory is said to be one of the Grandest Theories because it is most complex and has the broadest scope of all the nursing theories. My theory is also different because I did not stress mental health on this theory.
#12. Since grand theories consist of conceptual systems and broad perspectives for practice, what other theorist would you consider to be the closest to your nursing perspectives?
I consider Virginia

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...subject matter (Meleis, 2012). The intention of this paper is to explore grand theories. Grand theories are divided into four sub-groups: needs, interaction, outcome and caring (Meleis, 2012). Some of the issues grand theorists concentrate on include the development of the patient to nurse relationship, a patient’s ability to adapt to environmental challenges, and self care deficits (Smith & Parker, 2010). To provide more insight into the specifics of grand theory, 4 theorists were chosen to explore and compare their educational backgrounds, philosophy of nursing, definition of nursing, and the purpose of their theory. The 4 theorists and their theories chosen for this comparative are Imogene King’s Theory of Goal Attainment, Dorothea Orem’s Self-Care Theory, Virginia Henderson’s Need Theory, and Jean Watson’s Theory on Human Caring. Imogene King, founder of the Goal...

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