...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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...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 care through acting, guiding...
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...Contemporary Nursing Theories NUR513/Theoretical Foundation of Practice June 4, 2012 Lisa Ousley Contemporary Nursing Theories Introduction Nursing is a profession that employs the use of the combination of physical science, social science, nursing theory, and technology in the provision of care to others (Sigma Theta Tau International). Nursing theories serve as the groundwork for the practice of the profession. It guides every nurse on how to do things effectively and competently. This paper endeavors to give emphasis on contemporary nursing theories specifically focusing on a variety of aspects, such as definitions, concept statements, metaparadigms, philosophies, and conceptual models. Moreover, this paper also aims to tackle one particular nursing theory in relation to its application in practice. Contemporary Nursing Theories Early nursing theorists aimed in defining what is nursing; conversely, contemporary theorists discussed the metaparadigm concepts in more depth, gave high regard to nursing actions in particular, and attempted to provide the rationale about when is nursing necessary (Daniels, 2004). The works of contemporary theorists like Myra Levine, Dorothea Orem, and Sister Callista Roy as highlighted by Daniels (2004), serve as the theoretical basis for a variety of interventions in current nursing practice. Core Concepts In the theories formulated by Sister Callista Roy, which is known as the adaptation theory and in the -self-care theory by...
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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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...Grand Nursing Theorist Assignment # 2 Grand Nursing Theorist Assignment # 2 Descriptive Analysis For this assignment, I chose to study grand nursing theorist Dorothy Orem and the nursing concept she introduced, the self-care deficit theory (also known as the Orem model of nursing). I chose to study Dorothy Orem because she is well known in Indiana, the state in which I reside. Orem’s grand nursing theory “was developed between 1959 and 2001…[and] is particularly used in rehabilitation and primary care settings where the patient is encouraged to be as independent as possible” (Orem & Taylor, 2011). Background of Theorist “Dorothy Orem was born in Baltimore, Maryland in 1914. She received her diploma in nursing in 1934 from Providence Hospital School of Nursing, Washington, D.C. Orem received her bachelor of science in nursing education in 1939 and a master of science in nursing education in 1945 from Catholic University of America, Washington, D.C. She had a varied background in clinical practice: OR, pediatrics, adult med-surg, private duty, and ER supervisor. She taught biological sciences, served as a director of nursing service and director of the school of nursing at Providence Hospital, Detroit, Michigan. In 1949, she went to the Indiana State Board of Health, Hospital Division, where she worked to help upgrade the nursing services in general hospitals in Indiana” (Hartweg, 1991). “As part of her master’s degree work, Orem had to formulate a definition of nursing...
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...Concept Comparison and Analysis across Theories “Nursing theory is the term given to the body of knowledge applied to support nursing practice. Nursing theory is a framework designed to organize knowledge and explain phenomena in nursing, at a more concrete and specific level. A nursing theory is a set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific interrelationships among concepts for the purposes of describing, explaining, predicting, and prescribing” (“Currentnursing.com”, 2010). Core concepts embody a theory creating the basis for the theory or model. In nursing, concepts help in the development of theories. Theorists have developed different models or theories but have common core concepts. Dorothea Orem’s self-care deficit nursing theory “The central philosophy of the Orem’s self-care deficit nursing theory is that patients want to care for themselves and can recover more quickly and holistically by performing their own self-care as much as they're able. The self-care requisites identified by Dorothea Orem fall into one of three categories” (“Currentnursing.com”, 2010): 1. Universal self-care requisites. a. Air b. Water c. Food d. Activity e. Rest f. Hazard prevention. 2. Developmental self-care requisites. a. Maturational: progresses the patient to a higher level of maturation. b. Situational:...
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...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 care through acting, guiding...
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...Nursing Theorist Timothy Mack University of Phoenix Theories and Models of Nursing Practice NUR/403 Judith Mc Leod July 25, 2010 Nursing Theorist The theorist that I have chosen is Dorothea Orem. This theory describes the role of nursing in helping a patient’s who can no longer care for themselves (Mosby, 2009). The theory is divided into three parts; universal, developmental, and health deviation. Orem’s Theory The universal portion of Orem’s theory consists of the self care that a patient needs to meet their physiologic and psychosocial need. The developmental portion of the theory covers the care when coping through developmental stages, and the health deviation, which cover the care a patient need when theory health has deviated from their normal state. Theory History Dorothea Orem was born in Baltimore Maryland in 1914. After receiving a diploma in nursing, she attended the Providence Hospital School of Nursing earning a BSN degree in 1939. In 1945 he received the MSN degree from Catholic University of America. Dorothea Orem developed her theory in 1959, with the purpose of guiding nurses to assist patients in performing self care. The nurse was to assess the reasons the patient could not perform tasks of their self care and to assess them in discovering ways the patient will be able to meet their self care needs (Potter & Perry, 2009). Orem’s model was designed to assess nurses in assisting a patient to be able to care for their needs. Orem’s...
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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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...Historical Development of Nursing Timeline Nursing has evolved greatly as a profession. Nursing has become an independent practice with its own theory practice, models and distinct interventions (George, 2011). Through the years, nursing leaders have developed many nursing theories that guide our practice today. Their research and contributions to the nursing profession has shaped our present-day practices. This paper will delineate the historic development of nursing science, focusing on the most widely known and used theories. This paper will also canvass the influences of these concepts in the development of the nursing profession, and multidisciplinary influences. Development of Nursing Science Florence Nightingale (1859) Florence Nightingale is considered the mother of nursing. In 1859, Nightingale published her book Notes on Nursing that has “directed nursing practice for over 150 years” (George, 2011, p. 9). She believed that the force for healing resides within the human being and that if the environment is appropriately supportive, humans will seek to heal themselves” (George, 2011, p. 25). Her environmental theory is a valuable concept, which is the basis of nursing practice today. It is applied in all the fields of nursing. 1950s Theories Hildegard Peplau (1952). Hildegard Peplau introduced her interpersonal theory. Her theory focused on the relationship of the nurse and the patient. She believed that there is growth for each individual- the nurse and the...
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...one when they are ill. Each family member must also make a conscious effort in their daily lives to make healthy choices about the way they live. They must eat right, exercise, avoid tobacco, alcohol, drugs, and risky behaviors that can be harmful to them. By modeling these healthy behaviors, family members can set examples for the other members of their family. Another important concept is holding people accountable for their behaviors. They must feel comfortable confronting a family member about their lifestyle choices and explain why they are unhealthy and what other choices could be better. The concept of family most used in my area of practice would be family as context. This means that the patient is the primary focus of the nursing care, and the...
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...Concept Comparison and 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...
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...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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...Theory Nursing theory is determined by a combination of ideas, explanations, relationships, and premise developed by nurses to describe nursing care and practices (Application Theory, 2012). Nursing theories provide knowledge and direction towards the guidelines of how to improve and perfect nursing care (Application Theory, 2012). There are three categories of nursing theories: grand theories, middle-range theories and situation-specific theories (Meleis, 2012). Grand theories focus on a wide range of “experiences, observations, insights, and research findings” (Meleis, 2012, p. 33). These theories are developed over many years of practice and study and are not subjected to empirical testing (Meleis, 2012). Middle range theories have a more limited focus and concentrate on more of a specialized situation in the nursing practice so they are subject to empirical testing (Meleis, 2012). Situation-specific theories concentrate on a specific situation and are limited to that 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...
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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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