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This is an assignment for NURS 502 at Bowie State University. The file is too large to post on Angel, and so I put it online.

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  • 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.
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    2. 2. 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
    3. 3. 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
    4. 4. 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.
    5. 5. SCDNT TheoriesSCDNT is comprised of three separate theories: Self-care theory Self-care deficit theory Nursing systems theory
    6. 6. Conceptsof Self-Care  Self-care  Self-care agency  Self-care requisites  Universal self-care requisites  Developmental self-care requisites  Health deviation requisite  Therapeutic self-care demand
    7. 7. 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
    8. 8. 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.
    9. 9.  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
    10. 10. 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
    11. 11. 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.
    12. 12. 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
    13. 13. Family NursePractitioner Impact  Self-care agency  Self-care deficit in diagnosis  Nursing systems
    14. 14. 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 .
    15. 15. 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?
    16. 16. 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.