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.
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.
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 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).
Her model of nursing was progressive for the time in that it refers to a nursing diagnosis during a time in which nurses were taught that diagnoses were not part of their role in health care. There are specific characteristics identifiable in the Twenty-One Nursing Problems. The theory has interrelated the concepts of health, nursing problems, and problem-solving. Problem-solving is an activity that is inherently logical in nature. The framework focuses on nursing practice and individual patients.
Watson’s nursing theories express that the mind, body and spirit of the patient should be taken into consideration. I agree with Watsons that while providing care the nurse should consider care base on the patient as a whole and not just focus on the disorder. I was taught to use Maslow’s hierarchy of need while planning and providing care for my patients. Maslow’s hierarchy is use to prioritize a patient need from life treating issues to love and belong. This hierarchy helps me to provide care which include the patient mind, body and spirit as Watson had
She believed that this career was more of a “service to society” (Roy Adaptation Model, 2016, p.1). In order to become this service to society, Roy needed to know three things: Who is the focus of nursing care? What is the target of nursing care?
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. Watson’s theory of human caring outlines the science behind caring as a driving force and framework for practice in nursing. It explores the concept that “humanities address themselves to deeper values of the quality of living and dying, which involve philosophical, ethical, psychosocial and moral issues” (Watson, 2005, p. 2). Within her original text, Watson outlined 10 “carative factors” which help integrate the science of healthcare field with the more holistic nuances of nursing and the phenomena that is the human
Colombel et al (2010) provided that nurses are required to modify the planning process to the needs of individual patients and the implementation of MACROS can enable the nursing staff to ensure that plan is considering the measurability, achievability, realistic aspects, written results, and focused on the client. It was found that the pain of Allen was due to the causes leading to Crohn’s disease. The inflammation was planned to be treated with the intravenous hydrocortisone, which is the anti-inflammatory drug and prescribed for reducing the inflammation. Fisher et al (2008)further reflected that the initial doses of this planned drug are required to be forty to sixty grams on daily basis and she was prescribed for forty grams. Hill (2015) reflected that once the reduction in the pain is achieved the doses are reduced leading to
For my nursing experience, I have worked in research and specialist hospital in day medical unit. This unit receiving many of cancer patients to provide them routine chemotherapy doses. My focus was arranging their appointments and educating them how to adapt with routine chemotherapy and cancer disease environment. However, Roy, Callista adaptation theory is a grand theory that focuses on promoting adaptation for individuals and groups and responding positively to particular environment changes. Roy believed that "the goal of nursing is to improve adaptive for particular person" through using four adaptive mode (Physiologic needs, Self-concept, Role function, Interdependence) and specific information about the person.
The PICOT stands for population, intervention, comparison, outcome, and time. This format helps researchers to answer specific clinical questions that are related to particular scenarios. These scenarios may include intervention, etiology, diagnosis, prevention, prognosis, and meaning. Furthermore, two methods are commonly used in nursing research: quantitative and qualitative methods. Quantitative method research usually measures something, such as percentage of people with a particular disease in a community, whereas qualitative method research can seem imprecise (McCusker & Gunaydin, 2015).