Running Head: Dorothea Orem’s Self-Care Deficit Theory. Dorothea Orem’s Self-Care Deficit Theory Name: Institution: Date: Abstract Orem’s self care deficit theory of nursing is one among three theories that make up her grand nursing theory…
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As such, the nursing profession is meant to intervene by simply facilitating self care where necessary through education or supportive means to help subjects learn about self care. The theory emphasizes the essence of the patients’ or groups’ participation in facilitating their care. It facilitates healthcare provision through education, direct action, guidance, support and provision of the appropriate environment for engaging in self care. In spite of the proven efficiency of the theory in aspects such as addressing the root cause of health problems, the theory faces challenges that arise from non-compliance to educational values delivered due to complacency and negligence. This review of the theory not only reviews the overall aspects of the theory, but also the probable application, efficiency, challenges and improvements necessary. Introduction Nursing theories are derivatives of conceptual frameworks with principles and doctrines that define the underlying basis of nursing practice. Unlike the name suggests, they are not purely opinionated and theoretical, but rather supported by actual knowledge that has proven their applicability through time. The theoretical aspect originates from the fact that they were theoretically formulated, but in actual sense they have been proven as being effective through their application as functional elements of nursing practice. The concepts of nursing theories define and characterize the nursing practice. In a nutshell, nursing denotes a human interaction developed to foster health by working within the boundaries of the patient and his environment (Dennis, 2008). According to Orem, the practice is both therapeutic and supportive. The supportive aspect is meant to enhance wholeness in the event of a patient’s experience of failing health by facilitating care that the patient cannot achieve through personal efforts. There are numerous theories that support and define the practice of nursing, but this paper particularly highlights Dorothea Orem’s “Self-Care Deficit Nursing Theory,” which is a middle range theory that makes up the three theories under her grand theory. Dorothea Orem’s grand theory was developed during her working experience which included serving as a nurse practitioner, educator, administrator and consultant. It is during her engagement with the development of the education field of nursing that she formulated the theory as part of her dissertation works at the masters’ level (Currentnursing.com, 2012). Orem’s Self-Care Deficit Nursing Theory The self-care deficit theory is mainly based on the principle of encouraging patients to be independent in the facilitation of their own care. It is the central focal point in Orem’s grand theory. The theory defines when nursing intervention is deemed necessary (Dennis, 2008). It also describes how patients and groups of people in need of healthcare can get helped by nursing interventions. The application of the theory often comes to play when the involved subject/s are unable to facilitate self-care. The inability to administer personal care when in need of healthcare is what gives the theory the deficit denotation. As such, the theory is used in identifying cases with deficit of care, where the subjects in question are unable to sufficiently undertake steps that guarantee them good health. According to the theory, nursing serves
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The intent behind the theory is to organize and put forth the structure of nursing knowledge and to explain the various aspects of nursing knowledge. A number of people have emphasized upon the complexity of the nursing profession. Orem herself observed once that if nursing is scrutinized under the lens of human practical science, one can appreciate how complicated and intricate it is (Marriner-Tomey & Alligood, 2006).
A nursing theory usually helps a nurse to be able to describe, predict or explain the occurrence of certain ideas. The nurse can also be able to predict practice outcomes as well as patience’s reactions. He or she can also be in a position to explain the occurrence of the said reactions.
The central idea in this theory is that we all have natural ability to take care of ourselves. This ability is tied to not only our right but also our responsibility to care for ourselves. This theory further builds on the concept of human development; that human development highly depends on a person’s ability to depend on themselves and their thirst to control what they do.
Dorothea Orem was a prominent nursing theorist who significantly contributed to the nursing profession by developing a theory of nursing known as Orem Model of Nursing. Orem got the idea to develop her theory through her work as a nursing consultant.
Metaparadigms refer to the person, environment, health and nursing contexts in nursing (Walker & Avant, 2011). These metaparadigms are defined by tenets which vary across different nursing theorists.
The Glaserian grounded theory is an inductive qualitative methodology that permits the researcher to identify the main problem of a group of persons and the behaviors they use to solve their main problem; thus, this theory applies to research. In this theory the main
The author of the paper explains that Orem’s General or Grand Theory of Nursing comprises three condensed theories, namely “self-care theories”, “self-deficit theory” and “nursing theory”. The theory was developed by Dorothea Orem. The theorist Orem was born in Baltimore in the year 1914.
The education for nurses also moved into the college and university setting, allowing for greater personal development through degreed programs. Additionally, nursing theories were developed in regards to how a patient was observed and interviewed, taking in a more
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