RelationshipsA person provides self-care through their ability or self-care agency. A person uses self-care requisitesor actions to provide the self-care. Actions are universal, developmental, or health-deviant. Therapeutic health care demandis the amount of work it takes for a patient to provide self care.
OREM’S SELF-CARE DEFICIT NURSING THEORY (SCDNT)
Overview of Learning Objectives Presentation-Background & origins Identify the three theories contained in SCDNT.-Metaparadigms-Theories and concepts Describe how the concepts interrelate.-Relationships-Model of SCDNT Understand the SCDNT’s impact on-Critique of SCDNT research, practice and administration.-Applications-Impact on FNP practice Discuss how to integrate SCDNT into family nurse practitioner practice.-Summary
Background of Dorothy OremEducation and Experience Paradigmatic Origins Born in Baltimore, MD (1914-2007) Orem does not name a theory as the basis of SCDNT Diploma from Providence Hospital in D.C. BSN & masters from Catholic University Uses modern realism to describe nursing as a practical science Worked as staff nurse, administrator, educator and theorist Credits Harnet’s work on deliberate action for impacting her Published work on nursing theory from 1971 until death in 2007 understanding of self-care
Metaparadigms of SCDNT Human- A man/woman/child with free will and ability to love and learn Nursing- An art . A nurse provides care for one who cannot provide that care for his/her self Environment-Where the human exists Health- Structural functionality, a state of well-being, with the ability to communicate and reflect.
SCDNT TheoriesSCDNT is comprised of three separate theories: Self-care theory Self-care deficit theory Nursing systems theory
Concepts of Self-Care Concepts of Nursing Deficit Systems Acting/doing for Wholly compensatory others Guiding others Partially compensatory Supporting others Teaching another Supportive/ Providing an Educational environment promoting personal development
Relationships Self-care theory describes how a healthy person keeps themselves healthy. A person does not need nursing care if providing adequate self-care. Self-care theory and self-care deficit are related when a person does not provide adequate self care. Nursing then assists a person with their needs. The nursing systems theory describes how much nursing care is given in response to the self-care deficit.
People have a responsibility to provide self-Assumptions of care and family member care (dependent- SCDNT care)All theories have Humans are individualsbasic beliefs thatmust be accepted for Nursing is an interaction between two ora theory to be valid. more individuals Self-care is necessary for health Potential health care problems must be known Self-care is taught, and learning is influenced by culture
SCDNT ModelTheory of Nursing System Wholly Compensatory • Patient needs complete Theory of Self-Care Deficit nursing Nursing activities Partially Compensatory • Acting for • Guiding • Patient needs • Supporting Self-Care Theory Self-Care some nursing Requisites care • Educating • Providing Therapeutic • Universal Self-Care Self-Care environment for Self Care • Developmental Agency Practices development Demand • HealthSupportive/ DeviationEducative• Patient needs guidance
Merriner-Tomey Analysis Simplicity- Concepts are well defined, and readily applicable to practice Generality- Can be generalized across many aspects of nursing, but focuses on ill patients Testable- Components of theory have been tested successfully. Entire theory not yet tested Derivable Consequences- SCDNT has lasting impact on practice, and is the basis for nursing curricula at university level.
Applications Research- Used as the Administration- Used source for testable to analyze nursing hypothesis in research systems for resource studies allocation. Education- Used as Practice- Self-care basis of curricula in deficits are a source of nursing education nursing diagnosis Impaired mobility
Family NursePractitioner Impact Self-care agency Self-care deficit in diagnosis Nursing systems
Summary Orem has educational background in DC. Orem’s SCDNT comprised of three theories: Self-care, self-care deficit, and nursing system. The theory of nursing systems is dependent on the theory of self-care (what the patient can do), self-care deficit (what nursing can d0) to describe to what extent nursing is involved. SCDNT impacts daily practice, research, administration, and education. A FNP uses SCDNT while deciding a treatment plan .
Questions What three theories comprise SCDNT? How do those three theories interrelate? Give an example of how SCDNT is used in FNP practice. Describe how the SCDNT is related to research. Why do you think SCDNT is used as a base for nursing curriculum at many schools?
References Banfield, B. (2011). Environment: A perspective of the self-care deficit nursing theory. Nursing Science Quarterly 24(2), 96-100. Banfield, B. (2008). Philosophic position on the nature of human beings foundational to Orem’s self-care deficit nursing theory. Self-care, Dependent- Care Nursing, 16(1), 33-40. Denyes, M., Orem, D., Bekel, G. (2001). Self-care: A foundational science. Nursing Science Quarterly 14(1), 48-54. doi: 10.1177/089431840101400113 Dorothy Orem’s self-care theory. (2011). Retrieved November 22, 2011, from http://currentnursing.com/nursing_theory/self_care_deficit_theory.html Hohdorf, M. (2010). Self-care deficit nursing theory in Inglostadt- An approach to practice development in nursing care. Self-Care, Dependent-Care Nursing, 18(1), 19-25. McEwen, M. & Wills, E. (2011). Theoretical Basis for Nursing (3rd ed). Philadelphia: Lippincott Williams & Wilkins. Orem, D., & Taylor, S. (2011). Reflections on nursing practice science: The nature, the structure, and the foundation of nursing sciences. Nursing Science Quarterly 24(1), 35-41. doi: 10.1177/0894318410389061 Ransom, J. (2008). Facilitating emerging nursing agency in undergraduate nursing students. Self-Care, Dependent-Care Nursing, 16(2), 40-45. Taylor, S. (2007). The development of self-care deficit nursing theory: An historical analysis. Self-Care, Dependent-Care Nursing, 15(1), 22-25.