Dorothea Orem's Conceptual Model

Mary’s sixteen month training made her a greater nurse. This training made it possible for her to be asked to speak for the NACGN, become a member of that association, and later become a member of the ANA. Mary’s active membership in the nursing associations, and her outstanding work as a nurse made it possible for an award to be named after her. It is because of Mary that women of all races who aspire to be in the nursing profession can make it through like Mary

“She envisioned what nursing could be and should be and set about bringing this vision to fruition. She created a model of nursing that persists to this day in the form of honor and respectability associated with nurses, highly structured nursing education, and holistic patient care approaches. She was ahead of her time, engaging in research and effecting sweeping policy changes when women were heavily discouraged from such endeavors.” She was a leader and reformer who led the way for the development of science based practice in the 21st century. “If we were to derive one simple lesson from Nightingale’s life and work, it would come from this single unifying thread that society has a big responsibility for the health of all its members.”

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

These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;

Dorothea Orem’s SCDNT appears to be consistent with current nursing standards. Over 400 nursing articles were noted during a literature search by Biggs (as cited in Smith & Parker, 2015). According to McEwen and Wills (2104), SCDNT has been used to formalize care for inpatients and ambulatory care, as well as in community based programs, mother-baby and community nursing. While the use of SCDNT in current nursing practice is a strength, it bears noting that Biggs (as cited in Smith & Parker, 2015) observed an area of weakness that SCDNT has not always resulted in further development of nursing practice.

As a nursing student, I need to ensure I am performing my tasks, including perineal care, to the highest standard, and addressing areas of concern that I observe during my shifts. As mentioned by Marshall & Bailey (2008), incontinence can greatly impact the quality of life of a patient, as well as increases their risk of potential perineal skin breakdown. Improper perineal care following incontinence can lead to painful skin irritation, UTIs, and pressure sores. Frequent monitoring, and management of incontinence are the first steps in appropriate management. Seeing as I was diligent in observing and reporting the incident of improper perineal care, I was able to follow these crucial first steps in preventing a potential UTI in this geriatric patient.

Dorothea Orem’s self-care deficit nursing theory is one such nursing theory that has been reworked to take into account the changes in our world, while still maintaining the initial framework (Taylor & Renpenning, 2011). Purpose of Self-Care Deficit Nursing Theory Dorothea Orem (as cited in Taylor & Renpenning, 2011) described her purpose in formalizing the Self-Care Deficit Nursing Theory as a way of defining the structure of nursing and explaining knowledge, rules and roles of nursing. Orem was attempting to answer the question of why, when and how a nurse is needed in the care of a patient (Smith & Parker, 2015). According to Younas (2017), self-care deficit nursing theory is also a practical effort to delineate the patient role along with that of the nurse.

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.

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.

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

The practice of nursing evolves daily from theories and philosophies that are proven by researchers, resulting in growth of the medical profession and advanced evidence based knowledge. Philosophies According to Alligood (2014b), philosophies are specific theories that focus on one or more metaparadigm concepts in a wide spectrum philosophical way (p. 43). For a person to understand philosophies it is required to understand the knowledge type, metaparadigms. Metaparadigm Metaparadigm is the vast perspective of a discipline and a way to describe a concern specifically to a profession or department (Alligood, 2014b, p.42).

The field of nursing has greatly evolved over the years; the Nightingale era of nursing in the 19th century looks vastly different when compared to the current nursing era that is guided by scientific knowledge and factual principles. Understanding the patterns and structures of modern nursing knowledge is fundamental to the discipline of nursing (Carper, 1978). As defined by Carper (1978), the current field of nursing is guided by four patterns of knowing: (a) empirics, (b) esthetics, (c) personal knowledge, and (d) ethics. Empirical knowledge, also known as “nursing

Nursing is a profession that started as part of the larger medical field. Nursing has dropped its dependence on the medical field and it has grown independent with its models and separate interventions. Many nursing leaders have devised different theories to fit into the nursing field. There are some different nursing theories that encompass the nursing theory. The need theory, unitary human theory, self-care theory, interpersonal theory, transcultural nursing, and from novice to expert theories are all nursing theories.

The responsibilities that come with caring for a disabled patient are huge. Their quality of life depends on

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?