Nursing Theory Critique
DOROTHEA OREM'S
References
Dorothea Orem Theory - Nursing Theory. N.p. Retrieved from ssshttp://www.nursing-theory.org/theories-and-models/sssorem-self- care-deficit-theory.php
'Dorothea Orem's Self-Care Theory'. N.p., 2015. Retrieved from ssshttp://currentnursing.com/nursing_theory/sssself_care_deficit_theory. Html
Kaur, S., Behera, D., Gupta, D., Verma, S.K. (2009). Evaluation sssof a supportive educative intervention on self-care sssinpatients with bronchial asthma. Nursing and Midwifery sssResearch Journal, 5(2).
Medical Archives - Personal Paper Collections: Dorothea Orem sssCollection. N.p., 2015. Retrieved from http://ssswww.medicalarchives.jhmi.edu/papers/orem.html
Theoretical Foundations of Nursing. 'Dorothea E. Orem'. N.p., sss2015. Retrieved from http://nursingtheories.weebly.com/sssdorothea-e- orem.html
Conclusion
Discussion #2
Clinical Example: A 67 year old post-op patient was admitted to your unit after a knee replacement. The pain is controlled, hemovac is removed, and as per care plan it is time to get this patient ambulating and ready for discharge.
Question: Keeping in mind the Theory of self-care deficit, how would you help this patient?
Reflection
Navgeet Gill, Harpreet Sandhu, Stephanie Holden, Megan O'Toole & Rachelle Cheema
Discussion #1
Theory Application
Clinical Example: A 64 year old male patient was admitted with pneumonia 2 weeks ago, and is being discharged tomorrow after completing antibiotic therapy. This morning, he rings the nurse and requests a bed bath. This patient has no comorbidities and is able to provide his own care.
Question: Keeping in mind the Theory of Self-care, how would you help this patient?
Reflection
- What can be adopted in to nursing practice?
- Increased promotion of self-care
- Implementation of nursing systems when needed
- Clinical example: A 22 year old patient that is 2-day post-op is recovering from an appendectomy.
- Disagree with portions of Theory of self-care deficit
- Patients are not necessarily incapable of performing self-care
- Clinical example: A 70 year old patient is scheduled to be discharge in 3 days, shows no motivation to complete activities of daily living, dependent on nursing staff.
How Important is This Theory?
- Explain relevance of theory for nursing practice today.
- What guides your assessment of the relevance or usefulness of theory?
- Does this theory have clinical significance in your practice? Is it of practical value?
- Do you understand and appreciate the value of this theory?
Self Care Deficit Theory
How Accessible is the Theory?
- The purpose of the theory is achievable.
- Concept’s empiric indicators are identifiable.
- Observing individuals with altered health conditions can test this theory through research.
- Words and definitions are clearly defined and reflect their meaning.
- The theory includes both abstract and concrete concepts.
- The concepts are clinically relevant and used in practice
How Simple is the Theory?
Three categories
1. Self-care
- Self-care
- Self-care agency
- Therapeutic self-care demand
- Self-care requisites – universal, developmental, health deviation
2. Self-care deficit
3. Nursing system
- Social or interpersonal
- Regulatory technologies
- How are these related?
How Clear is This Theory?
- Major concepts are clearly defined:
- Nursing, health, human being, nursing client, nursing problem, nursing process, and nursing therapeutics.
- Theory is organized, comprehensive:
- Logical, simple to comprehend
- Provides comprehensive base to nursing practice
- Guide to improve practice
- Semantic clarity/consistency
- Definitions
- Purpose
- Structural clarity/consistency
- Connection of concepts
How General Is This Theory?
- What is the theory? Purpose?
- Self Care Deficit Theory
- Conceptual-->Practical Nursing
- Direction and guidance for nursing practice
- Who does this theory apply to?
- Nurses
- Terminology easy to understand
- Self care, self care deficit, nursing system
- When is this theory best applied?
- Used in rehabilitation and primary care to promote independence
- Can be used to teach students for preventative measures
- Easily measured and evaluated
Introduction
Outline
- Born and raised in Baltimore, Maryland in 1914
- 1934 – Diploma from school of Nursing.
- 1939 – Bachelor of Science in Nursing.
- 1945 - Master of Science in Nursing Education.
- Primary focus: teaching, research, and administration.
- Served as: a director of nursing, a biology and nursing instructor, an associate professor and as the Dean of the school of nursing.
- 1959: developed the Self-Care Deficit Theory of Nursing.
- 1971: published Nursing: Concepts of Practice, outlines her theory of nursing.
- Held numerous conferences and workshops around the world.
- International Orem Society.
- Ice Breaker
- Introduction
- Theory Critique
- Clarity of theory
- Simplicity of theory
- Generality of theory
- Accessibility of theory
- Importance of Theory
- Theory Application
- Discussion 1 & 2
- Conclusion
Ice Breaker