Theoretical Analysis Of Orem's Self-Care Deficit Nursing Theory

My personal philosophy of nursing seeks to incorporate the art of conveying nursing science holistically with care and human dignity. The four nursing metaparadigm concepts are described in relation to nursing as a science and an art and provide the base upon which my view of nursing and my personal philosophy are derived. As a nursing student at UIC, I am well aware of the fact that the best outcome for any patient may not be improvement in health, but rather, a dignified death during the end of life care. End of life care includes a significant quality in care and human dignity.

This assignment will explore the Roper, Logan and Tierney model used in first clinical placement and will explain how it helped to guide nurses to focus on the fundamentals of patient care. Patient dignity is upheld by using this model following the principles outlined in the Code of Professional Conduct and Ethics for Registered Nurses and Midwives as will be discussed.

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).

How can we not talk about family when family’s all that we got? Everything I went through you were standing there by my side (Khalifa, 2015) are a few of my favorite lyrics. Growing up I remember constantly being surrounded by family. Not to mention family can play a large part in compliance because of their influence. Furthermore, including the family when treating a patient generally holds the best results. At the same time family does not have to mean blood relative, in reality family is whoever that individual deems their family their support system. When a patient is diagnosed with a chronic illness such as Diabetes they are most likely going to require medication, appointments, and lifestyle changes. Compliance can be increased drastically

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.

Empirical referent studies support Watson’s theory by affirming the existence of a positive relationship between patient satisfaction and nurse caring behaviors in numerous clinical settings. Nursing education plays a significant role in the achievement the caring concept and is accentuated throughout the nurse's professional career (Labrague, Mcenroe-Petitte, Papathanasiou, Edet, & Arulappan, 2015). Patient satisfaction is a measurable component used to determine the care received from nurse clinicians. Stroehlein (2016) indicates that although there is a large constituent of many occupations, caring in the nursing occupation assumes an exceptional meaning with a higher purpose. Caring is multifaceted and comparable have determined individuals whose intention is to open the eyes of the society through rendering high quality patient care (Stroehlein, 2016).

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.

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).

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.

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 part of my studies of the Perspectives on nursing module I have been assigned to examine dignity as a value which underpins nursing practice. Dignity is a multi-faceted concept and can be defined as ‘’ The state or quality of being worthy of honour or respect’ (https://www.oxforddictionaries.com/definition/english/dignity, 2015)’. Respect for the dignity of the person is the number one principle of the Code of Professional Conduct and Ethics for Registered Nurses and Midwives (NMBI, 2014). Also, this principle notably finds its origins in the Universal Declaration of human rights (United Nations, 1948) (Nursing and Midwifery Board of Ireland, 2014). Throughout this piece I will emphasize how this principle interacts with nursing

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

Many influences even though the historical or contemporary that is important to shape the profession of nursing. The Health Practitioners Competence Assurance Act 2003 [HPCA] and Nursing Council of New Zealand Code of Conduct for Nurses 2012 [COC] underpin the nursing practice, in order to promote the nursing profession. Professional boundaries play an important role in nursing. This essay will identify and discuss how the historical influence which is Florence Nightingale and the contemporary influence that is education has shaped the profession of nursing, the purpose and impact of the HPCA and COC on nursing, how they are implemented in the workplace and also define and explain the importance of the professional boundaries in nursing.

The nursing theory chosen is that of need theory by Virginia Henderson. Henderson has contributed a lot in nursing throughout her journey as a nurse. She intended to define the unique focus of nursing practice, but at the end, it ends up being one the nursing theories that are being used in every clinical setting. Her contribution has helped shaped the way nurses care for their patients and the components she developed help serves as guidelines which nurses used to care for patients.

Dorothea Orem was an extravagant nursing theorist whose theories were first published in 1971 (Dorothea Orem 's Self-Care Theory, 2014). Orem established several fascinating theories of nursing which are still are current in today’s nursing. Orem proposed three nursing theories that are identified as: self-care theory, theory of Self-care deficit and theory of nursing system (Dorothea Orem 's Self-Care Theory, 2014). Orem’s nursing theories are defined as a grand theory (Nursing Theories: An Overview, 2014). Grand theory is defined as an abstract outline under which the key conceptions and values of the discipline can be acknowledged (Nursing Theories: An Overview, 2014). Orem’s theories mainly proposed that