The application of theoretic knowledge has to be well structured during nursing care. According to the self-care deficit theory of nursing, attaining the individual therapeutic self-care demand and maintaining the patient self-care agencies are the required result. (Smith 2012). 3.1 Assumption and assertion of the theory The assumption relating to this theory were devised in the early 1970s. Orem in 2001, highlight five fundamental nursing law (Smith 2012) and these include; 1.
The adaptive system has two major internal control processes called the regulator and cognator subsystems. These subsystems are viewed as innate or acquired coping mechanisms used by the adaptive system to respond to changing internal and external environmental stimuli. The regulator subsystem responds automatically through neural, chemical, and endocrine coping processes. Stimuli from the internal and external act as input to the nervous system. The cognator subsystem responds to inputs from external and internal stimuli that involve psychological, social, physical and physiological factors including regulator subsystem outputs.
When seeking behavior change, self-initiated reconfiguration of the individual environment remains essential. The following are the fundamental concepts of the model. They are person, environment, health, and nursing. The person is the biopsychosocial organism which acquires shaping from the environment. It also endeavors to establish an environment that can lead to a full expression of the inherent and acquired potential McCutcheon, Schaar & Parker, 2016).
Discussion of Evidenced-Based Practice as a Science The science of nursing is based on evidence-based practices and constitutes the core of nursing. What is wrong with the patient? Why are they here? What information do you have to support your care plan? What subtle changes in their condition are important?
The research objective is to formulate and validate standards against which quality in nursing research in a nursing department can be valued. The methodological basis for the study Muller’s phases of standard formulation was used as. The optimal, specific standards were formulated using a process which was deductive and validated by using the standards in a department of
Firstly, is the restores practices that modify the impact of illness and disease. In this way the nurse is able to assess holistically. Specifically, asking questions about their spiritual and social life. Secondly, is the supportive practices that are oriented toward modification of relationships or the environment to support health. This requires the nurses knowledge on the ability to judge their patients level of education and observe for patients response.
Nursing model identifies itself and defines the factors or phenomena of work in a nursing situation and describes their relationship. The conceptual framework for the present study was developed based on Sister Callista Roy’s Adaptation model. Adaptation is the central feature and a core concept of this model. Problems in adaptation arise when the adaptive system is unable to cope with or respond to constantly changing stimuli from the internal and external environments in a matter that maintains the integrity of the system. The person is defined as an adaptive system.
The conceptual system includes the personal, interpersonal, and social systems. These three components are all in constant interaction with one another. One must understand those concepts to grasp King’s Theory of Goal Attainment. Nurse’s jobs are based on patient centered care as well as helping those patients reach their goals. As the nurse-patient relationship evolves, patient involvement is very important in order to set realistic and achievable goals.
The stages in the nursing process generate a framework that can be tailored depending on the particular needs of the patient. Timmins & Kelly (2008)stated that through this aspect, the patients and nurses work together in order to create holistically and achievable care that is person-centred and individualised. There are four steps in the nursing process, which are assessing, planning, implementation, and evaluation (APIE). Under these steps, the cyclical and systematic guide is used in order to assist nurses in the process of delivering quality and patient centred care. However, in 1974, a fifth step diagnosis was introduced by the North American Nursing Diagnosis Association in the nursing process but the UK follows the four steps framework.
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.