Orem’s Self-Care Deficit Nursing Theory and Concepts
Theory Statement
Orem model of nursing, also known as self-care deficit nursing theory (SCDNT), is a grand nursing theory, which was developed by Dorothea Orem between 1971 and 2001, and it emphasizes the role of self-care for patients after interacting with healthcare providers.
Concepts
The major concepts of SCDNT include nursing, humans, environment, health, self-care, self-care agency, basic conditioning factors, therapeutic self-care demand, self-care deficit, nursing agency, and nursing system (Petiprin, 2016). The following section discusses these concepts.
Nursing
In Orem’s theory, nursing is the art through which healthcare practitioners in the nursing profession offer specialized assistance to people suffering from different disabilities to facilitate self-care in the end. Moreover, nurses are involved in the medical care that the patient gets from a physician.
Humans
Humans are defined as “men, women, and children cared for either singly or as social units” (Petiprin, 2016, para. 4). Humans are also termed as the material objects of nurses and all other healthcare providers who offer direct care.
Environment
The environment is a complex set-up with biological, chemical, and physical features together with community, culture, and family components that surround a patient.
Health
Health is defined as the state of being functionally and structurally whole, and it covers both individuals and groups of people. Other components of human health include the ability to communicate with fellow people, symbolize experience, and reflect on one’s self.
Self-care
Self-care covers all the activities or practices that persons initiate and carry out independently as a way of ensuring health, well-being, and life.
Self-care Agency
Self-care agency is an individual’s capability to get involved in self-care. This ability is subject to different conditioning factors.
Basic Conditioning Factors
Basic conditioning factors include gender, age, patterns of living, the availability and adequacy of resources, environmental factors, family and healthcare systems, socio-cultural preferences, developmental state, and health state.
Therapeutic Self-care Demand
Therapeutic self-care demand is “the totality of self-care actions to be performed for some duration to meet known self-care requisites by using valid methods and related sets of actions and operations” (Petiprin, 2016, para. 6).
Self-care Deficit
Self-care deficit describes the scenario where nursing care intervention is required. In such cases, patients are not in a position to get sufficient and continuous self-care from themselves (if adults are involved) or parents/guardians (if dependents are involved).
Nursing Agency
The nursing agency is the complex of different people trained and educated as nursing professionals that allows them to help patients attain their therapeutic needs by exercising or developing personal self-care agency.
Nursing System
The nursing system is the resulting product that arises when nurses engage and relate with clients or patients. This system becomes active only after a patient’s care demands surpass the available self-care agency, hence the need for nursing intervention.
Relationship between Concepts
The concepts of the Orem model of nursing relate through three constructs, which include theories of self-care, nursing system, and self-care deficit. The theory of self-care covers different concepts, such as self-care, self-care agency, and therapeutic self-care demand. These concepts interact with one another based on the care needs of a patient. For instance, in cases where the concept of self-care deficit emerges, other concepts like the nursing agency and nursing system are initiated to address that problem.
As noted earlier, the self-care deficit is experienced when a patient is unable to provide enough and continuous self-care, thus necessitating the need for nursing intervention (Malekzadeh, Amouzeshi, & Mazlom, 2018). In such a scenario, the nursing intervention is described under the concept of nursing agency. Therefore, these two concepts are related as they are required for proper care provision to a patient.
Ultimately, all the concepts are related as they seek to create an enabling environment where self-care deficits are identified and the roles of patients and nurses
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