Dorothea Orem
Dorothea Orem's Self-Care Deficit Nursing Theory (SCDNT) focuses on the patient's role in his own care. The main starting point of Orem's theory is that patients can recover more effectively and maintain their health better when they are actively involved in their own self-care. The theory can be divided into three sub-theories: the theory of self-care, the theory of self-care deficit, and the theory of nursing systems (Tanaka, 2022).
I chose Orem's theory because it empowers patients. It supports their autonomy and promotes personal responsibility in health management. It is also a theory that lines up well with the idea of patient-centered care and holistic approaches to wellness. When nurses help patients to engage in self-care activities, they empower them to develop skills that can be used to improve their quality of life and prevent complications once they leave in-patient care (Jones, 2020).
The literature supports the efficacy of Orem's theory in various clinical settings. For instance, a study by Nasiri et al. (2023) showed that using SCDNT in chronic illness management leads to improved patient outcomes, because it encourages consistent self-care practices. Plus, Orem's theory supports a structured nursing process, which helps nurses to assess, plan, implement, and evaluate care most effectively. In other words, the theory gives a nurses a practical guide, which is what makes it such an invaluable tool for developing nursing knowledge and improving practice standards: it has real-world utility, is easy to use, and it can truly make a difference (Jones, 2020).
Overall, Dorothea Orem's Self-Care Deficit Nursing Theory is an important nursing model that helps with patient empowerment and self-management, and that is supported by substantial evidence in academic literature. Its application in various healthcare settings shows that it is an effective approach that can improve patient outcomes, which makes it a good choice for nursing practice.
References
Jones, D. (2020). Exploring the attitudes, beliefs and behaviours of community nurses towards
patient self-care.Primary Health Care,30(5).
Nasiri, M., Jafari, Z., Rakhshan, M., Yarahmadi, F., Zonoori, S., Akbari, F., ... & Rezaei, M.
(2023). Application of Orem's theory?based caring programs among chronically ill adults: A systematic review and doseresponse meta?analysis.International nursing review,70(1), 59-77.
Tanaka, M. (2022, May). Orem's nursing self?care deficit theory: A theoretical analysis focusing
on its philosophical and sociological foundation. InNursing forum(Vol. 57, No. 3, pp. 480-485).
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