Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Human Needs Dorothea E. Orem: The Self-Care Deficit Nursing Theory159

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 3

Human Needs

Dorothea E. Orem: The Self-Care Deficit Nursing Theory159


Philosophical Underpinnings of the Theory

 its focus is on the person as agent.


 Orem’s SCDNT is the school of moderate realism.
 Currently, the theory is referred to as self-care science and nursing theory.
 Orem’s theory changed to fit the times most notably in the concept of the individual and of the
nursing system. The original theory, however, remains largely intact.

Major Assumptions, Concepts, and Relationships

 Orem delineates three nested theories:


 theories of self-care
 self-care deficit
 and nursing systems
 The theory of nursing systems is the outer or encompassing theory, which contains the theory of self-
care deficit.
 The theory of self-care is a component of the theory of self-care deficit.

Concepts

Nursing: seen as an art which the nurses give specialized assistance to persons with disabilities to meet
needs for self-care.

The nurse also intelligently participates in the medical care.

Humans: “men, women, and children cared for either singly or as social units,” and are the “material object”
of nurses.

Environment: physical, chemical, and biological features. It includes the family culture and community.

Health: being structurally and functionally whole or sound.

health is the ability to reflect on one’s self, to symbolize experience, and to communicate with others.

Relationships

humans engage in continuous communication and interchange among themselves and their environments to
remain alive and to function.

the power to act deliberately is exercised to identify needs and to make needed judgments.

mature human beings experience privations in care of self and others involving making life-sustaining and
function-regulating actions.
Human exercised in discovering, developing, and transmitting to other ways and means to identify needs
and make inputs to self and others.
Usefulness

 Numerous colleges and schools of nursing base their curricula on the SCDNT.
 Hospitals in several areas of the country have based nursing care on Orem’s theory, and it has been
applied to an ambulatory care setting.
 numerous publications define methods for using Orem’s SCDNT in practice, research, and education.

Testability

 Many nursing researches studies have used Orem’s theory as a conceptual framework or as a source
of testable hypotheses.
 Most research into the SCDNT is descriptive.

Parsimony

Orem’s SCDNT is complex.

Value in Extending Nursing Science

 The SCDNT has been the basis for many college and university nursing curriculum.
 It has been used in practice situations and extensively in research projects.
 It is perceived as a realistic reflection of nursing practice.

You might also like