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. The purpose of this theory, being to define both nurse and patient roles and nursing as a profession, is seen as a strength of the self-care deficit nursing theory.
The Theory of Self-Transcendence: History of the Theory The theory of self-transcendence is a middle-range nursing theory which was developed by Pamela Reed (Cramer, 2013; Smith & Liehr, 2008). Self-transcendence theory establishes a framework for healthcare providers through the promotion of well-being during life-altering events (Reed, 2008). In addition, this theory provides a holistic framework for nursing care focused on the relationship between persons and their environment (Reed, 2008). This can be achieved by creating self-transcendence activities that promote improved well-being through a broadening of personal boundaries (Reed, 2003). As a result, this facilitates the general public 's acceptance of grieving and loss while enhancing
IMPORTANT OF CONCEPT IN NURSING Research is important to the nursing profession. It provides new knowledge, improve health care, and challenge current nursing practice with new ideas. The understanding of the different research design assist nursing in selecting the best design to answer a research question or test a hypothesis that provide enough evidence for change. Nursing presents a vast range of questions which straddle both the major paradigms, and it has therefore embraced an eclectic range of research designs and begun to explore the value of critical approaches and feminist methods in its research. The current nursing literature contains a wide spectrum of research designs exemplified in this issue, ranging from randomised controlled trials,and cohort studies, at the scientific end of the spectrum, through to grounded theory, ethnography,and phenomenology at the interpretist/naturalistic end.Future issues of this journal will explore these designs in depth.
Evidence-based practice specifically focuses on a holistic approach that encompasses clinical expertise, patient values, and the best researched evidence to improve patient care outcomes. As healthcare trends change to comply with the adoption of enhanced technology, compliance of government healthcare reimbursements, and higher quality care, strong leadership and continued research is needed (Huber, 2014). Nurse leaders have the vital, but sometimes challenging duty of promoting evidence-based practices in a usually complex healthcare setting. Not only should the nurse leader gather clinical data that may help improve patient outcomes and nurse practices, nurse leaders should also encourage a work environment that is open to the change that results from evidence-based practice discoveries. Through the development of a building-block approach, nurse leaders can promote evidence-based practices by incorporating the process in every aspect of the healthcare structure they supervise.
Critical Thinking: Tanner (2006), had introduce the term ‘thinking like a nurse’. When I read this article I was wondering what it means and takes to think like a nurse, I am a nurse by profession and yet I don’t even know what it means. In order to be a professional nurse, nurses are required to learn to think like a nurse. To my surprise, to be able think like a nurse, a nurse got to clearly defined and understands what is critical thinking and clinical reasoning. Both terms are powerful terms and these terms explain the mental processes nurses use to make certain that they are doing their most excellent thinking and decision making for their patient’s better outcomes.
They classify the phenomenon of interest (Alligood, 2014). Concepts may have a different meaning in a vast theoretical system, it is important to ensure the clarity of a specific concept that will ensure the construction of a body of knowledge in a given area. Managing GDM includes having the support of family, friends and healthcare providers. Health care providers such as nurses need to ensure that education about the disease process and management is available to the patient because an absence of clarity results in less consistent and undesired outcome. Concept analysis is the beginning step of theory development to develop a conceptual definition (Alligood,
Nursing practice mostly is based on nursing theories which makes the nursing discipline a profession. The nursing theories have differentiates focus of nursing from other profession. Nursing theories provide direction and guidance for structuring professional nursing practice, education and research. Besides, nursing theories serve to guide on assessment, intervention and evaluation of nursing care in order to provide effective decision making and implementation quality of nursing care. Hence, I would like to implement Dorothea Orem’s self-care theory in my clinical area of practice.
The theoretical framework gives a detailed reason to why the highlighted research ques-tion exists. Orem’s self-care deficit theory of nursing is the theoretical framework relat-ing to this research because the theory is further divided into three sub-theories in which requisite are line with the following: Individual stages of development and goals, Health conditions, Developmental states, Energy consumption and expenditure, Atmospheric conditions and also the theory gives room to investigate possible causes of malnutrition alongside nurse’s intervention by assessing the need for care, approaches and required interventions. According Orem in 2001, nursing can be viewed as part of the health sector that provides authorized care to individuals.
(2013, March). Active-learning strategies: The use of a game to reinforce learning in nursing education. A case study. Nurse Education in Practice, 13(2), 96-100. http://dx.doi.org/https://doi-org.ezproxy.samford.edu/10.1016/j.nepr.2012.07.010 Fitzgerald, K., & Keyes, K. (2019). Teaching methods and settings.