...Dorothea Orem’s Theory: Self Care Deficit Critic Kouadio K. Koko BSN, RN University of Virginia School of Nursing Dorothea Orem’s Theory: Self Care Deficit Critic Abstract Dorothea Orem’s self-care theory of nursing is one of the major nursing theories. It pays particular attention to the role of the patient in their own rehabilitation, as it expounds the benefits of self-care. Orem’s theory is well documented and has been used by several researchers as a basis for their research. This particular theory of nursing is broad and can be applied to the primary, secondary and tertiary levels of prevention. Many nursing schools have used this theory as a benchmark or guide in their curriculum development. Introduction The following is a critical review of Dorothea Orem’s self-care theory of nursing; in which she advocates for a patient centered approach to nursing where the patient takes an active role in their own rehabilitation. This critical review takes a look at the purpose of the self-care theory, major concepts and definitions, its assumptions, its strengths and its weaknesses. The information provided in this report could be of benefit to a recently enrolled nursing student or any individual who wants to have a broader concept of one of the major nursing theories. Brief Summary of Theory Orem’s self-care theory of nursing basically surmises that the main purpose of the nurse is to facilitate the patient’s recovery; by helping the patients get to a point where they can...
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...Revision Matrix Following the syllabus instructions, prepare a response to the feedback you received on the Scholarship, Practice, and Leadership Essay by completing the matrix below. Use Microsoft® Word® formatting features to add rows to the template, as needed. Complete the template, save the document, and post your assignment according to the syllabus instructions. Learner’s Name: |Faculty Feedback |Faculty feedback in my own words |My detailed and specific action plan to integrate faculty feedback in my revised essay | |(Include comment numbers, as appropriate) | |(Include APA manual page numbers, as appropriate) | | | Title page should have five requirements |According to APA 6th edition page no: 23 the title page should have a title and it should be self | |Comments: Title page has five requirement: |which includes the |explanatory when standing alone. | |Title of Assignment |Title of the assignment |The recommended letter length for a title is no more than 12 words. Title page includes authors | |Student’s name |Student’s full name |name and the institutional...
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...Theorist Selected: Dorothea Orem Description of Theory: This paper will discuss about Orem’s general theory of nursing and major concepts of her theory are person, health, nursing and environment. Orem’s general theory of nursing consists of three parts. Each theory is presented as a set of assumptions and propositions. According to Current Nursing (2012) (i) Theory of self- care includes: self- care means individuals perform activities on their own to maintain life, health, and well-being. Self- care Agency is a human ability to engaging in self-care conditioned by age developmental state, life experience, sociocultural orientation health, and available resources. Therapeutic self-care demand is,” totally of self-care action to be performed for some period of time by using valid method, sets of operation and action to meet self- care demands”(para.4). Self-care requisite includes three catagories: Universal self-care, developmental self-care, and health deviation self-care requisites. (ii) Theory of self-care deficit clarifies that when nursing is in need and five helping methods: Acting for and doing for others, guiding others, supporting another, providing an environment for personal development in order to meet future demands, and teaching another.(iii)Theory of nursing system describes how patient’s self-care needs will be meet by the nurse and patient. Orem identifies three classifications of nursing system to meet the self-care necessities of the patient are wholly compensatory...
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...I. What is a concept? a. A building block of a theory, can be a few of them, b. abstract ideas that cannot be visualized. Such as pain or coping or social support. You can have an idea in your mind of what these are but you cant actually touch any of these. Can you touch social support? You can probably touch a part of your body that may feel some sense of pain but the actual concept itself cannot be touched. c. Tend to be universal which means they apply equally to everything related. d. Concepts tend to be the basic elements of propositions (or statements that result from reason). If you remember geometry they had the proposition they had the “if A equaled B and B equaled C.Does A equal C.” That is the idea of what propositions are and they take concepts and build on them to create these statements to help define whatever we are discussing such as theory, research study. e. Help to integrate unrelated phenomena into a hypothesis which creates research. Critical to have very defined concepts and the concepts needed to be created into hypothesis so that you had something to study. That is critical when we discuss concepts and research i. Phenomenon is any even that can be experiences via senses, it is observable and can be seen. ii. Proposition: closed sentence or statement 1. Like geometry: If A=B and B=C, then A=C 2. Tend to be true or false 3. Content of beliefs and or assertions...
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...Nursing Theory: Compare/contrast two theories Name University Professor Course Date Nursing Theory: Compare/contrast two theoriesIntroduction Theory has so far remained a strategic tool in advanced nursing practice. Firstly, nursing utilizes every feature of management science. Fortunately, the knowledge base of each and every management science takes theory into account. Theory includes methods, principles, and concepts. The principles are usually related, and can be observed and validated or verified when translated into the practice of management. Likewise, concepts are general notions, thoughts, and ideas that tend to form a basis of discussion or action. Therefore, theoretical principles guide clinical nurses to various fundamental nursing concepts and provide productive line of action in a given situation. As a result, nurses should note that taking a hermeneutic or phenomenological approach (strict natural science approach) to nursing is not only naive but also misleading in real-life-settings. Alligood and Tomey, on the other hand, argues that prescriptive theories are often used as fundamental practice guidelines, which play a pivotal role in providing a wide range of practice situations in the nursing and nursing sector (2002). Apart from that, nursing can only become a real profession when it has both a theoretical and a scientific base. This follows the fact that nurses deal mainly with human behavior, thus, nursing is indeed a practice profession. Briefly...
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...APPLICATION OF NURSING THEORY TO CLINICAL PRACTICE: THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a historical overview of the evolution of Orem’s theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory’s usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A. Orem’s Self-Care Theory Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003) is one such model. According...
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...Comparison and Analysis across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care for him or herself. Nursing provides...
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...DOROTHEA OREM Dorothea Orem Jennifer VandenEykel University of Phoenix NUR 403 Theories and Models of Nursing Practice January 8, 2012 Mary McGill, RN, MSN DOROTHEA OREM Nursing Theorist Grid Theorist Selected: Dorothea Orem Description of Theory: “ The central philosophy of the self-care deficit Nursing theory is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they are able. “ ( Nursing-theory.org, 2011) There are three requirements to the self-care theory. The first requirement is the patient to be able to obtain basic human needs: air, food, rest and water. The second area that is a necessity is the maturity level the ability of that person to know when there is a chance of compromise in their growth and development. The final are is when it is necessary for the nurse to step in to provide care, support and education for the patient to maintain health. To summarize the beliefs of Dorothea Orem she strongly believes that a person should strive to provide care for themselves and members of their family. When a person is able to meet the standard self care needs and maintain the proper state of well-being according to their developmental stage they are at an optimal state of health. A person must take opportunities presented to them for receiving education about preventing health problems. Ultimately a person is either independent...
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...1. Theoretical Framework of Dorothea Orem’s Nursing Theory, BSN 2. ……….BSN NUR/513 Theoretical Framework of Dorothea Orem’s Nursing Theory The purpose of this paper is to provide an overview of Orem’s theoretical framework and analyze the critical components of the conceptual nursing model. Orem’s Self Care Deficit Theory is widely used in models of nursing. Orem chaired the Nursing Development Conference Group which examined nursing problems and research. Orem’s interest in curriculum development arise ++her interest in formulating a conceptualization of nursing. Theoretical Framework Orem presented her conceptual framework consisting of four concepts about persons and two about nursing and theories derived from this model – the self care deficit theory. The theory of self care, and the theory of nursing system. Concepts in the model are self care, self care agency, self care demand, self care deficit nursing agency, and nursing system (Fitzpatrick & Hall, 2005). Orem sees nursing as a science, technology, art, and a helping service given to a person with a legitimate need for it by nurses who have specialized knowledge and skills. Nurses help clients meet existing or anticipated demands for self care in order to sustain life and health, recover from disease or injury and cope with their effects (Fawcett, 2005). When speaking of nursing, Orem uses the terms nursing and nursing agency. Orem described the human being as an integrated whole composed of an internal physical...
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...Early in her career, Orem gained experienced as a staff nurse in a variety of hospitalclinical settings. While serving as director of nursing service at a Detroit hospital, she recallsthat she was asked a substantive question and didn’t have an answer because she “had noconceptualization of nursing” (McLaughlin-Renpenning & Taylor, 2002, p. xii).Orem goes on to say while working at Indiana University where her goal was to upgradethe quality of nursing in general hospitals throughout the state, she noted that nurses haddifficulty articulating needs to hospital administrators in the face of demands made upon themregarding such issues as length of stay, scheduling admissions and discharges, etc.(McLaughlin-Renpenning and Taylor, 2002). As a result, Orem recognized a need to look for the uniqueness of nursing. Specifically she was looking for an answer to questions such as“What is nursing?”, ‘What is the domain and what are the boundaries of nursing as a field of practice and a field of knowledge?”, and “What condition exists when judgments are made that people need nursing?” In a 1996 newsletter to the International Orem Society she puts it thisway, “What do nurses encounter in their worlds as they design and produce nursing for others?What meaning can and should nurses attach to persons, things, events, conditions, andcircumstances they encounter?” In 1978, Orem (cited in Fawcett 2005) commented that the task required identification of the domain and boundaries of nursing as...
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...Historical Perspective Essay: Dorothea Orem Historical Perspective Essay: Dorothea Orem Introduction The foundation for the nursing profession that provides principles to generate knowledge defines nursing theory. Successful nurses must be rooted in theory and understand the philosophy that drives their actions. Dorothea Orem is a nurse with a vision that studied human behavior, with the core concept of self-care in the patient/nurse relationship. This paper seeks to explain Dorothea Orem’s Theory including the contribution of her research as it relates to nursing development and paradigms of nursing. Dorothea Orem Caring for one’s self, as Dorothea Orem believes, is the responsibility of each person. “Self care is a deliberate, learned action performed by a person who has the powers and developed capacities to regulate their own functions in order to contribute and maintain their personal well-being” (Seed & Torkelson, 2012, p. 394-395). Orem believes that the responsibility of care is the patient’s, although at times, nursing care will be necessary. “The goal of nursing practice is to assist patients to become adequately prepared to engage in their own care, and thus, have improved patient outcomes and a better quality of life” (Simmons, 2009, p. 419). Orem’s theory contains three different systems, or stages; wholly compensatory, partially compensatory, and educative stage. A person requiring complete assistance, such as being...
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...Self-Care Deficit Theory Concept Analysis: Self-Care ABSTRACT Dorothea Orem’s Self-Care Deficit Nursing Theory has been used as a basis for nursing care since she first proposed the theory in 1959. The focus of this paper is to define the Self-Care Theory in broad terms and to analyze the concept Self-Care Deficit Nursing Theory using the Chinn and Kramer “Integrated Theory and Knowledge development in Nursing” process. The SCDNT is an important theory in nursing and helps to guide the nursing process and improve patient care with measurable results. It is also an important theory for developing curriculum in nursing schools and has proved invaluable to care providers when performing self-care for others. 1 In 1959 Dorthea Orem, a nurse from Baltimore, Maryland, developed the theory of Self-Care defined as a condition that “in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the inability of the parent (or guardian) to maintain continuously for the child the amount and quality of care that is therapeutic “(Orem, 1995, p.53-54). Orem posited that to determine if people need nursing care then it is “ the inability of persons to provide continuously for themselves the amount and quality of required self-care because of situations of personal health” (Orem, 2001, p. 20)...
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...Analysis across Theories UOP Theoretical Foundations of Nursing NUR/513 Concept Comparison and Analysis across Theories Nursing theory is relatively new and as such, it continues to evolve as new knowledge is gained. There are numerous theories of nursing, each of which took years to develop and most of which continue to evolve and adapt. There are commonalities between and among the existing theories although each may focus more heavily on different aspects of responsibilities. It has to do with the philosophical foundations for each theory. Moore, (Moore, 2008) reported a nursing metaparadigm of four basic concepts: "person, health, environment, and nursing." Another author suggested the core concepts of nursing theory and practice are caring, assessment, teaching and learning, collaboration, managing care, communication and professional behaviors, (Opperman Med Law Consulting, 2008). These core concepts as identified by these authors can be found in some fashion in all nursing theories. Orem commented that nurses could do nursing but they could not explain what nursing is (Hartweg, 1991). She was also interested in what conditions had to exist for a person to seek help from nurses (Hartweg, 1991). The first answer she determined was that people sought help when they could not care for themselves (Hartweg, 1991). Orem's work was inspired by those she considered big thinkers, like experts in philosophy, metaphysics and action theories as well as the...
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...Comparison and Analysis Across Theories Comparison and Analysis across Theories The purpose of the nursing theories is to provide an interrelating framework focusing on the nursing practice. The defined nursing theories promote better patient care, improve the status of nursing profession, and improve the communication between the nurses, and provide guidance to the researches and education (Keefe, 2011). Not all nursing theories have the same meanings; however, they play the important role of explaining the key concepts and principles of nursing practice in understanding way. Dorothy Orem’s Self-Care Deficit Theory and Sister Callista Roy’s Adaptation Model are considered as grand nursing theories. The grand nursing theories are a conceptual model, which identifies the focal point of nursing inquiry and guide the development of mid-range theories that will become useful to nurses and also to other health professionals. According to Walker and Avant (2011), these theories contributed in “conceptually sorting the nursing from the practice of medicine by demonstrating the presence of distinct nursing perspectives.” In this essay, Orem’s Health Care Deficit Theory and Sister Callista Roy’s Adaptation Model are compared and analyzed for their importance in nursing. Orem’s Self-Care Deficit Theory Orem’s Self-Care Deficit Theory is one of three grand theories written by Dorothea E. Orem. According to Orem, nursing becomes necessary when an individual can no longer care...
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...DOROTHEA OREM - NURSING THEORIST IN SOME SITUATIONS, PATIENTS ARE ENCOURAGED TO BE MORE INDEPENDENT. THIS CAN BE ESPECIALLY TRUE IN REHABILITATION SETTINGS, IN WHICH PATIENTS ARE TRANSITIONING OUT OF BEING CARED FOR BY PHYSICIANS AND NURSES AND BACK HOME TO EXCLUSIVE SELF-CARE. IN THESE CASES, THE SELF-CARE DEFICIT NURSING THEORY CAN BE APPLIED TO HELP PATIENTS BE MORE INDEPENDENT AND PREPARE TO BE RELEASED FROM THE HEALTHCARE FACILITY WHERE THEY ARE BEING CARED FOR. BIOGRAPHY OF DOROTHEA E. OREM DOROTHEA E. OREM WAS BORN IN 1914 IN BALTIMORE, MARYLAND. IN THE EARLY 1930S, SHE EARNED HER NURSING DIPLOMA FROM THE PROVIDENCE HOSPITAL SCHOOL OF NURSING IN WASHINGTON, D.C. SHE WENT ON TO COMPLETE HER BACHELOR OF SCIENCE IN NURSING IN 1939 AND HER MASTER'S OF SCIENCE IN NURSING IN 1945, BOTH FROM THE CATHOLIC UNIVERSITY OF AMERICA IN WASHINGTON, D.C. DOROTHEA OREM DIED ON JUNE 22, 2007. CAREER OF DOROTHEA E. OREM DOROTHEA OREM HAD A DISTINGUISHED CAREER IN NURSING. SHE EARNED SEVERAL HONORARY DOCTORATE DEGREES. SHE WAS GIVEN HONORARY DOCTORATES OF SCIENCE FROM BOTH GEORGETOWN UNIVERSITY IN 1976 AND INCARNATE WORD COLLEGE IN 1980. SHE WAS GIVEN AN HONORARY DOCTORATE OF HUMANE LETTERS FROM ILLINOIS WESLEYAN UNIVERSITY IN 1988, AND A DOCTORATE HONORIS CAUSAE FROM THE UNIVERSITY OF MISSOURI IN COLUMBIA IN 1998. SHE WAS ALSO GIVEN MANY AWARDS DURING HER CAREER: THE CATHOLIC UNIVERSITY OF AMERICA ALUMNI ACHIEVEMENT AWARD FOR NURSING THEORY IN 1980, THE LINDA RICHARDS AWARD...
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