Nursing Practice: Dorothea Orem Theory In Practice

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). 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).

From these realizations I have concluded that the professional nursing theories which most align with my own philosophy is a combination of Jean Watson’s theory of human caring and Rosemarie Parse’s theory of human becoming.

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. The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered.

Dorothea Orem’s Self-Care Deficit Nursing Theory (SCDNT) has been a part of nursing theory since publication in 1971 (Fawcett & Desanto-Madeya, 2012). During this time, it has been used as a framework for many research projects and nursing school curriculum and as a guide to nursing practice (Fawcett & Desanto-Madeya, 2012).

Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices. They make up the biggest health care occupation in the United States. Nursing job duties include communicating between patients and doctors, caring for patients, administering medicine and supervising nurses ' aides”(study).

In the Journal of Advanced Nursing article, Whither Nursing Models? The value of nursing theory in the context of evidence-based practice and multidisciplinary health care, author Niall McCrae (2011) discussed key points related to the utilization of nursing models in modern-day clinical practice. With so many advances made since Nightingale times, some argue that evidence-based research and practice should trump the ideas of theorists before them. McCrae cited sources that illustrate a volley of opinions on the topic: are nursing theories essential or are they matters of the past? Upon evaluation of this article, it is evident to the reader that, although they can seem outdated, nursing theories cannot completely be removed from practice as

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

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.

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.

In the following paragraphs, the grand theory of Jean Watson will be explored for its usefulness in practice. We will explore how the theory is congruent with current nursing standards and nursing interventions. Next, we will study if her theory has been tested empirically, if it is supported by research and if it is accurate. We will explore if there is evidence that her theory has been used by nursing educators, researchers, and nursing administrators. Then we will study how her theory is relevant socially and cross-culturally. Finally, we will explore if her theory contributes to the discipline of nursing and a summary will be presented of this review.

Nursing is proving care, support, and serve people who are in need. The purpose of nursing is to improve patient 's health condition to a better life. The goal of this paper is to explain my personal philosophy and clarify some of my values of nursing.

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.

A nurse must be able to perform activities like moving a patient, lifting heavy equipment, being on their feet for much of their shift, etc. The nursing profession can be very taxing on a person’s body and society as a whole is seeing the effects of this. Older nurses who have been in the field for a long time are no longer able to perform these tasks and it is causing them to change their area of expertise, or even leave their profession entirely. This has negatively impacted effective health care delivery and proper patient-centered care because these nurses are not able to effectively help their patients. Research shows that there are a large amount of nurses that are near or at the retirement age. This could lead to a dramatic decrease in nurses and possibly a nurse shortage. However, even though there is a large amount of older nurses presently in the field, there are a growing number of young nurses. This creates an intergenerational team of young and old nurses that could be very beneficial to hospitals. The older nurses would be able to pass down their knowledge and tips to younger nurses, allowing them to obtain years of knowledge/experiences just by learning from the older nurses. Also with changing stereotypes of gender roles, more males have entered the nursing field, increasing the amount of nurses. Although this may be a positive, there

It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.

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. Holistic nursing practices often require the combination of self-care and personal development activities into one 's life. Holistic nurses involves in self assessment, self-care and personal development, aware of being the sole instruments of healing. Holistic nursing emphasizing on integration of spirituality, self-responsibility, self-care and reflection in their lives. Smith (2006) discussed her life as a holistic nurse. White & Clegg (2009) highlighted approach in context of providing support to patients suffering from long-term conditions. The idea of healing the person as a whole being dates back to period of Florence Nightingale who held the view that nurses duty was to keep optimal conditions for healing. Rourke (1991) tried to find out