NSG5002 SO1
1/28/14
Theory/Dorothea Orem 's Self-Care Theory
The Self-Care Deficit Nursing Theory
According to Orem, Renpenning and Taylor (2003), the self-care deficit theory of nursing developed by Dorothea E. Orem focuses on the factors and requirements that an individual needs to meet in order to enhance his/her health and wellbeing. Fundamentally, nursing is required only when an individual cannot meet his/her health care demands. The self-care deficit theory of nursing, therefore, enables nurses to help patients to meet their self-care needs consequently enhancing the health and wellbeing of the patient. The theory comprises of three theories which are interrelated including: theory of self-care, theory of self-care deficit and theory of nursing systems. Essentially, Orem’s self-care deficit theory of nursing is premised on a model whereby the nurses key role in enhancing the wellbeing and health of the client to achieve and maintain ‘adequate level of self-care’. In this sense, each of the theories developed under Orem’s self-care deficit theory of nursing focus on different dimensions of a person. The theory of self-care is concerned with the self, and I of a person, the theory of self-care deficit is concerned with me and you and, finally the theory of nursing systems is concerned with the we, that is, the individual as part of a community.
The theorist 's background
Born in Baltimore, Maryland in 1914 Dorothea E. Orem had a rich educational background. She first attended the Providence Hospital School of Nursing in Washington, DC where she received a diploma in nursing. Consequently, she enrolled in the Catholic University of America where she graduated in 1939 with a Bachelor of Science in Nursing Education and later in 1945 a Master of Science in Nursing Education. Orem’s educational background played a key role in the development of the self-care deficit theory of nursing
References: Anna, D. J., Christensen, D. G., Hohon, S. A., Ord, L., & Wells, S. R. (1978). Implementing Orem 's conceptual framework. Journal of Nursing Administration, 8(11), pp.8-11. Fitzgerald, S. (1980). Utilizing Orem 's self-care model in designing an education program for the diabetic. Topics in Clinical Nursing, 2(2), pp.57-65. Orem, D. E., Renpenning, K. M. & Taylor, S.G (2003). Self-care theory in nursing: selected papers of Dorothea Orem. New York: Springer Publishers.