Concept Comparison and Analysis Across Theories
Concept Comparison and Analysis Across Theories Nursing has evolved into a science. Like other scientific disciplines, the practice of nursing is guided by nursing theories. According to Julia George, “practice is based on the theories of the discipline that are validated through research” (George, 2011, p. 7). The major shift in theoretical thinking in nursing is said to occur in the 1960s when the focus in nursing shifted from simple problem/need and functional role, to the relationship between nurse and patient (George, 2011, p. 10). The aim of this paper is two-fold: First, I will compare and analyze the concept …show more content…
I will explore the major concepts and assumptions of Dorothea Orem 's self-care theory and Madeleine Leininger’s culture care theory, and compare and analyze the two theories in terms of the similarities and differences. The concept of care (caring) is a core concept common to many nursing theories. Boykin and Schoenhofer in presenting their theory of Nursing as Caring maintain that caring is the moral imperative for nursing (see George, 2011, p. 11). Dorothea Orem 's self-care theory and Madeleine Leininger’s culture care theory both focus on patient care. I can easily identify with both theories. As a practicing nurse, my personal philosophy is that nursing is about caring; this apart, Orem’s and …show more content…
According to Orem’s theory, every individual adult has the capacity for self-care. “Self-care implies that when they are able, individuals care for themselves. When the person is unable to care for himself, the nurse provides the assistance needed. For children nursing care is needed when the parents or guardians are unable to provide the amount and quality of care needed” (George, 2011, p. 114). I find Orem’s theory to be logical. There are certain situations when one is ill and does not require a nurse. For example, most people do not immediately go to the hospital with the common cold. In this case they take care of themselves. When a health problem arises for which “self-care” is insufficient to take care of the situation, one has to seek the attention of the “nurse” who compensates for this deficit. According to Orem, a nurse is needed when someone needs nursing care because of inability to care for oneself. The environment is to foster and maintain nurse therapeutic relationship between nurses and patients, to determine when someone needs help or assistance, attention to patient response, giving direct aid to individuals and families and collaboration with other health professionals. The “nurse” according to Orem can be a parent or another human, family or community, not necessarily a health care nurse. As outlined in her theory, there are three interrelated actions or measures used to provide self-care.