Orem’s Self-Care Deficit Nursing Theory and Its Metaparadigm Application Essay

Self-Care Deficit Theory

Grand nursing theories are comprehensive concepts that provide complete knowledge and fundamentals about what nurses need to know to be effective. These theories are also critical to successful nursing practice, as they offer a comprehensive understanding of the specifics of the job and the various responsibilities. Grand nursing theories open up a wide range of tools that can be adapted to any clinical setting and are easy to interact with. Dorothea Orem’s Self-Care Deficit Nursing Theory is an example of grand nursing theory. It was developed in the 20th century and contains the idea that humans have an innate ability to care for themselves (Hartweg & Metcalfe, 2022).

However, due to limitations or scarcity, in some cases, they require assistance in caring for and meeting their needs. Orem’s theory emphasizes the importance of the nurse’s work in this direction, which is due to the provision of competent and timely care to patients (Hartweg & Metcalfe, 2022). The main goals of this theory are to provide comprehensive understanding, provide guidance for practice, promote holistic care, improve critical thinking, and empower clients.

Metaparadigm of Nursing

The metaparadigm of nursing contains four fundamental components that are key to nursing. Person/Client is the first item that reflects the essence of the paradigm. This aspect reveals the concept of a person that goes beyond the physical component of the patient and also includes the moral, psychological, emotional, and spiritual side (Fawcett, 2023). The next element of nursing is directly related to the healthcare professional responsible for providing nursing care to a person. Nurses play a crucial role in assessing a client’s condition, planning care, and directing efforts toward well-being.

The health component is fundamental in ensuring the patient’s welfare. In nursing, this includes a holistic concern for all components of human well-being (Deliktas et al., 2019). The environment refers to external factors that affect the patient’s comfort. The social and cultural environment is also relevant to this concept, which provides a complete understanding for nurses when assessing a client’s condition.

Metaparadigm Concepts Used by the Theorist

Orem’s use of the Person/Client item to see people as the key beneficiaries of the actions of medical staff. She used this category to focus her theory as closely as possible on restoring people’s ability to self-care (Rosman et al., 2022). The concept of the environment was used by the theorist in order to set up, in theory, the understanding and relationship between how a person feels and what contributes to this state. Orem sees health as a state that people must achieve to reach maximum satisfaction with life. Accordingly, this concept is used by the theorist to develop a system for promoting general well-being, including mental and spiritual factors. Nursing is used by Orem as a field that aims to provide the previous concept.

Advanced Nursing Roles

Advanced practice nurses can use Orem’s Self-Care Deficit Nursing Theory to assess patients and plan care. It is necessary to understand the abilities of clients, and on the basis of this, it is practical to draw up a plan to improve their situation. Nurses can also use the key principles of the theory to identify existing gaps in care practices and correct them (Ali, 2022). Therefore, their goal is to help patients provide improved self-care options. Additionally, nurses can develop a curriculum that incorporates the methods and principles of Orem’s Theory.

Metaparadigm and Nursing Theory

Person

As identified by Dorothea Orem’s theory, the concepts of metaparadigm are used in such a way as to provide comprehensive care in cases where a person cannot take care of himself. The Person/Client aspect is central to the chosen theory, as it places great emphasis on how a person feels. The approach in this direction focuses on the discovery that each person is unique, and their needs are specific and must be met individually (Rosman et al., 2022). Sometimes, people need more funds or physical capabilities for all their needs; in this case, the person may need special permanent care from specialists.

Environment

In the context of the environment, the theory under consideration relies on a contextual factor that can significantly affect a person’s ability to care for themselves. The theorist recognizes that the environment can exert external pressure, thus changing circumstances and creating situations in which it is not always possible to maintain the proper condition of the patient (Hartweg & Metcal