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Theory Evaluation of Dorothea Orem's Self-Care Deficit Nursing Theory

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Theory Evaluation of Dorothea Orem's Self-Care Deficit Nursing Theory

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Self-Care Deficit Theory is Currently used in Research

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Self-Care Deficit Theory is Currently used in Research

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The Self-Care Deficit Theory can significantly improve the health of women with hypertension (Nasresabetghadam, 2021).

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Orem's Theory as a Current Theoretical Framework and Guide for Treating Patients

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Orem's Theory as a Current Theoretical Framework and Guide for Treating Patients

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In a comparative analysis, Orem's Self-Care Deficit Theory currently shows benefit to patient care. Knowing various theories allows the researcher the ability to properly choose which to use as a framework for study, and allows healthcare providers to properly choose which to use to guide patient care (Gligor et al., 2020).

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Theory Analysis of Dorothea Orem's Self-Care Deficit Nursing Theory

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Theory Analysis of Dorothea Orem's Self-Care Deficit Nursing Theory

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Nurse-Patient Action Equals a Supportive-Educative System

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Nurse-Patient Action Equals a Supportive-Educative System

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(Hartweg, 1991)

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Application of Nurse Theory to Nurse Practitioners

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Application of Nurse Theory to Nurse Practitioners

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Recent studies show that Orem's Self-Care Deficit Nursing Theory is a current practical theory to apply within a primary care setting.  APN's were able to care for patients as an embedded component of a family and society when the Self-Care Deficit Nursing Theory was incorporated into nursing practice.  Orem's theory can guide APN's to treat their patients as people who can develop, grow, and adopt a self-care regimen (Yip, 2021).

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Application of Nurse Theory to Nurse Leaders

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Application of Nurse Theory to Nurse Leaders

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Studies guided by Dorothea Orem's Self-Care Deficit Nursing Theory have been successful in creating online resources available that promote personal wellbeing and educate nurses on healthy habits that prevent and alleviate caregiver burnout.  It was recommended that leadership should recognize the need for nurses to practice behaviors that promote self-care and self-nurturing to maintain physical and mental health that is required of them to accomplish their work (Weaver, 2021).

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Application of Theory to Nurse Educators

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Application of Theory to Nurse Educators

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Studies by Kin and colleagues (2021), that were guided by Orem's theory, evaluated the effectiveness of a nurse-led education program that was made available to caregivers.  Nurse educators held workshops which ultimately improved the mental well-being or caregivers, decreased caregiver burden, and provided support to them.  This was true immediately and one month after the program (Kin et al., 2021).

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Purpose: Orem's theory helps nurses choose what to focus on in care of their patient, and promotes the independence of the patient.  Self-care deficit occurs when a person is unable to perform the functions required to maintain health and well-being.  The purpose of the Self-Care Deficit Theory is to guide treatment that maintains patient autonomy over self-care (McEwen & Wills, 2018).
Scope: Grand Nursing Theory Based on Human Needs (McEwen & Wills, 2018)
Origin:  Orem was a lifelong researcher and nurse advocate.  She was an extremely influential thinker, and her work molded the the holistic approach that nurses currently practice.  She dedicated her work to being a private duty nurse, hospital staff nurse, educator, faculty and eventually the Dean for Catholic University.  The seed for Orem's theory was planted when she and her colleagues began creating a curriculum for practical nursing.  After writing a book, she worked more on her theory about nursing and the concept of self-care.  Orem's theory was nested with three theories: theories of self-care, self-care deficit, and nursing systems.  In the figure below, it is shown visually how nursing systems encompass self-care deficit and self-care theory (McEwen & Wills, 2018).

Major Concepts:   Self-Care, Self-care requisites, Universal self-care requisites, Developmental self-care requisites, Health Deviation Self-Care Requisites, Therapeutic Self-Care Demand, Deliberate Action, Nursing System, and Product of Nursing (McEwen & Wills, 2018).

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Introduction: Maximizing Life and Independence in Current Nursing Practice Utilizing Orem's Theory

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Introduction: Maximizing Life and Independence in Current Nursing Practice Utilizing Orem's Theory

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(MrDerxX, 2017)

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NURS207 Self-Care Deficit Thoery - How to use it in nursing Practice

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Orem's Theory and Theory Origination Explained by Dorothea Orem

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Orem's Theory and Theory Origination Explained by Dorothea Orem

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(Youssef Troudi)

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Gligor, L., & Domnariu, C. D. (2020). Patient care approach using nursing theories - comparative analysis of orem’s self-care deficit theory and henderson’s model. Acta Medica Transilvanica, 25(2), 11–14. https://doi.org/10.2478/amtsb-2020-0019

Hartweg, D. L. (1991). Assumptions, theories, concepts, and propositions. In Dorothea Orem: Self-care deficit theory (pp. 9-34). SAGE Publications, Inc., https://www.doi.org/10.4135/9781483325842.n3

Kin, C., Tsang, C. Y. J., Zhang, L. W., & Chan, S. K. Y. (2021). A nurse-led education program for pneumoconiosis caregivers at the community level. International Journal of Environmental Research and Public Health, 18(3). https://doi.org/10.3390/ijerph18031092

McEwen, M., & Wills, E. (2018). Theoretical basis for nursing (5th ed.). Philadelphia, PA:   Lippincott Williams & Wilkins.  ISBN-13: 978-1496351203 ISBN-10: 1496351207

MrDerxX (2017).  NURS207 Self-Care Deficit Thoery - How to use it in nursing Practice.  YouTube.

https://youtu.be/j0awhBPCprA

Nasresabetghadam, S., Jahanshahi, M., Fotokian, Z., Nasiri, M., & Hajiahmadi, M. (2021). The effects of orem's self-care theory on self-care behaviors among older women with hypertension: a randomized controlled trial. Nursing and Midwifery Studies, 10(2), 99–108. https://doi.org/10.4103/nms.nms_9_20

Weaver, Nancy (2021).  Unifying Vision: Strategies that Influence Nurse Self-Care Practices.  Doctor of Nursing Practice Projects, 19.
https://digitalcommons.jsu.edu/etds_nursing/19

Yip, J. Y. C. (2021). Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem’s Self-Care Deficit Nursing Theory. SAGE Open Nursing. https://doi.org/10.1177/23779608211011993

Youssef Troudi.  D.Orem theory.  YouTube.   https://youtu.be/FB8Pq2TGzm8