Theoretical Analysis of Orem’s Self-Care Deficit Nursing Theory Self-Care Deficit Nursing Theory, Part II Dorothea Orem’s Self Care Deficit Nursing Theory (SCDNT) published in 1971 has been studied by numerous nursing students and continues to be used as a base for nursing care today (McEwen & Wills, 2014). Are concepts theoretically and operationally defined? As SCDNT is described as a conceptual model, there are many concepts, however, according to Smith and Parker (2105) there are six main concepts, four being patient related and two nursing related along with a peripheral concept that connects with all the concepts. The first patient related concept of self-care is defined as a purposeful action to maintain life, while the second concept of self-care agent is defined as the person receiving care (McEwen & Wills, 2014). The agent can be further defined as the patient, a family member delivering care or the nurse (Smith & Parker, 2015). Therapeutic self-care demand is outlined as the nurse delivering care due to the patient’s inability to provide their own therapeutic care (McEwen & Wills, 2014). The final patient related concept, self-care deficit, relates to the inability to provide self-care (Taylor & Renpenning, 2011). The two concepts related to nursing are described as nursing systems, which becomes necessary when the patients’ needs exceed that which can be managed by self–care making nursing required (McEwen & Wills, 2014).Nursing agency is comparable to
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
After 10 years working as a registered nurse in many aspects of healthcare, felt an overwhelming desire to advance my career and myself to expand my role in caring for others. Becoming a nurse practitioner has always been a goal of mine. During my time working as a nursing manager, I became acutely aware of the need of skilled and talented providers that desire to provide passionate care to all individuals. I became especially concerned with the needs those with limited access to healthcare services. I knew my desire to care for individuals in a more autonomous role and I set out to develop the skills needed to meet the need I witnessed.
Orem’s Self-Care Deficit Nursing Theory One of the most exciting things about nursing is that it is always changing. One of the frustrating things about nursing is that it is always changing. Nursing theory is no different. Theories are continually being updated and revised as worldviews and healthcare itself changes (McEwen & Wills, 2014).
Philosophy of Nursing Everyone’s values and beliefs about the profession of nursing are all different. The four concepts of nursing are interrelated and all mean something different to every person, too. Throughout this paper, I will be reflecting on my values and beliefs about nursing through the four concepts while comparing them to a nursing theorist with views that are most similar to my own.
Caring for The Individual: An Examination of Personal Nursing Philosophy Arianna Mailloux 400164224 NURSING 2AA3 Ashley Collins Harris February 19, 2018 As a novice nurse, developing and understanding of ones’ own personal feelings about nursing is important to help shape your clinical practice. Within this paper I will examine my personal assumptions, beliefs and values of the four nursing paradigms to develop a personal philosophy of nursing. This philosophy will be aligned with a known nursing theory and the comparisons will be discussed. Section I: Personal Philosophy of Nursing Person
Orem’s Self-Care Deficit theory includes 3 constituent theories, namely; the theory of self-care, the self-care deficit theory and theory of nursing systems. The theory states that an individual as an obligation to tend to their own needs. The person has a right and responsibility to engage in continuous self-maintenance, the capability to do so is termed an ‘’agency’’ ( Denyes, Orem and Bekel , 2001). In a nursing environment promoting independence is integral to practice, as with the thinking behind Orem’s theory , ‘’Implementing interventions to maintain a sense of control over their own experience of health maintenance promotes better outcome’s ‘’ (O’Shaughnessy ,2014). In practice ,using the self-care theory , the individual efficiently attends to their own need and also maintains their
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
It also clarifies nursing values and development and allows for accountability. It involves patients in co-ordinated nursing care (Feo and Kitson, 2016). The Roper, Logan and Tierney model helps nurses to focus on patient care by following the fundamental rights of maintaining independence of the ADL’s without diminishing dignity. Recognising that their knowledge, attitudes and behaviour may be influenced by biological, psychological, sociocultural, environmental and politico-economic factors and respecting their decisions in such. Overcoming and preventing illness to maintain independence is the nurses key focus in delivering patient care which follows the direction of the RLT model of nursing (Roper, Logan and Tierney, 2001).
(2018). Nursing theorists and their work (9th ed.). St. Louis, Missouri: Elsevier. British Broadcasting Corporation. (n.d.).
It is created through analysis of research and construction of concepts and theories (Busso, Poles, & Monteiro da Cruz, 2014). Concept analysis serve a purpose within theory development as it represents continuation of knowledge in nursing profession. When theories and concepts are developed, it must be practiced in a clinical setting to validate research. The caring concept applies to Jean Watson’s Theory of Human Caring as it creates an environment for healing, bonding, and improving patient outcomes. The concept of caring depicts the attitude of the nurse and the inclination given to meet the needs of the patient from emotional or physical standpoints (Emerson, 2017).
Nurses intervention are there to coordinate the rhythm between human and environment and assisting the patient in the change process and toward a better health. 9. Dorothea Orem- Orem’s theory creates self care, known as the practice of activity, in which the patient performs his personal routine and needs independently to maintain health and lifestyle, according to age, developmental state, experiences in life, and cultural background. Orem identifies 5 requisites as known as; Activity of Daily Living; .The maintenance of sufficient intake of food and water.
Theory Description The nursing theory chosen is that of need theory by Virginia Henderson. Henderson has contributed a lot in nursing throughout her journey as a nurse. She intended to define the unique focus of nursing practice, but at the end, it ends up being one the nursing theories that are being used in every clinical setting. Her contribution has helped shaped the way nurses care for their patients and the components she developed help serves as guidelines which nurses used to care for patients.
My perspective on holistic nursing and self-care Introduction In context of World Health Organization, self-care is often defined as activities individuals, families and communities undergoes with the motive of increasing health, overcoming disease, limiting illness and restoring health ("What is", n.d.). The knowledge and skills are gained from both professional and lay experiences for such activities. According to Klebanoff & Hess (2013), holistic nursing is defined as all nursing practice that has only motive of healing the whole person as its prime goal. A holistic nurse is like a licensed nurse who often incorporates a “mind-body-spirit-emotion-environment” approach to the practice of traditional nursing.
Nursing theories have an impact on nursing practice as they
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge