Review Of Dorothea Orem's Theory Of Self Care Deficit Theory

According to the researcher, a high BMI of over 30 kg/m2 in the pre-pregnancy period increases the chances of adverse effects on the mother and the child. The mother has an increased risk of mortality, pre-eclampsia, and gestational diabetes and the child is at risk of congenital anomalies, infant mortality and reduced rate of breastfeeding. The researcher does not bring out the problem directly but argues that in the UK and internationally, the number of women who are obese during pregnancy is on the rise and this means an increase in the healthcare cost of managing these women. The main problem is that despite there being guidelines and standards of care published internationally, and pathways of care developed, a barrier to the practice

The research seems to rely entirely on the nursing theory. However, the researchers did not state the theoretical framework for this piece of research. The theoretical framework that would have been suitable for this study is the theory of self-care deficit by Dorothea Orem 's. This theory has three interrelated theories: that of self-care, self-care deficit and that of nursing systems. This study tends to be based on the self-care deficit theory which states that nursing care is required when an individual is incapable or is limited in providing effective self-care. This is applied where the mothers require support and information form the healthcare professions in order to be able to apply the care pathways to manage their weight (van Hoeven, et al,

The results were presented in a narrative form using various identified themes. The quantitative parts of the questionnaires were analyzed using descriptive statistics such as the mean and standard deviation. Data from the qualitative parts were analyzed using the framework analysis. Data from the third study which involved clinical audit was analyzed descriptively using percentage compliance by SS. A convergence coding matrix was then used to integrate the threads from studies 1, 2 and 3 into themes and meta-themes. One finding of the study from the semi-structured interviews on the overall view of the obese care pathways by the mothers is that they had a positive view and experience. They came into a consensus that they benefited from the care pathways. They felt reassured that healthcare professionals had a concern about their health and that of their babies. They also felt that the healthcare professionals were friendly, understanding and