Contributions Of Dorothea Orem's Self Care Deficit Theory

Dorothea Orem was born July 15, 1914 in Maryland. Orem was a decorated nurse. She was awarded her nursing diploma from Providence Hospital in Washington, D.C. In 1939 she graduated with her Bachelor of Science in Nursing Education from Catholic University of America and in 1945 excelled again when she earned her Master of Science in Nursing. During her career she

For centuries the development of nursing knowledge has been influenced by numerous theorists and their respective theories. These theories have influenced, and continue to influence, nursing education, practice and research. (Johnson & Webber, 2005)

Dorothea Orem’s philosophy in nursing is consistent with my own personal philosophy. Knowing your own capability and limits predicts almost always the final result. One must

Nursing theories have been a fundamental tool used to explain, guide and improve the practice of nursing. Theorists have contributed enormously to the growth of nursing as a profession. The four grand theorists I chose are Virginia Henderson, Peplau, Myra Levine and Jean Watson. These theorists have contributed tremendously in the field of nursing through their theories, and research. One thing the theorists have in common is that they are patient centered. They are all concerned on ways we can improve our responsibility to the patients, their families and the environment. They have different ideas but they are all aiming towards achieving the same goal, which is patient satisfaction and safety. Their differences are in their areas of

Nursing is a continually evolving discipline. Nursing theories and conceptual frameworks serve as basis for research, education, and standards of practice. Theory plays a vital role in every nurse’s practice as it aims to define, explain, and predict the phenomenon of nursing. It helps the nursing profession expand its practice, develop research studies, and enhance patient care. This paper will discusses two of the major nursing theorists and their respective works. The paper will focus on Dorothea Orem’s self-care theory and Madeleine Leininger’s theory of culture care diversity and universality. These famous nursing scholars have contributed immensely to the study of nursing and its practice.

Three connecting theories developed by Dorothea Orem are the theory of self- care, the theory of self-care deficit and the theory of the nurse system (George, 2011). Self-care theory is offering an

Dorothea Orem is a notable figure in the nursing community, receiving several Honorary Doctorate degrees (McEwen & Wills, 2014). Orem was a member of the Board of Health in Indiana from 1949 until 1957 (McEwen & Wills, 2014). She received her first form of nursing education at the Providence Hospital School of Nursing in Washington, DC. She continued to educate her self by attaining her master’s degree in nursing from Catholic University in 1945. Orem experienced nursing from both practical and educational perspectives,

The nursing process does not merely treat the patient as a physical body, but rather treats the patient holistically. The central philosophy of Dorothea Orem's self-care deficit nursing theory "is that all patients want to care for themselves, and they are able to recover more quickly and holistically by performing their own self-care as much as they're able" (Dorothea Orem, 2012, Nursing Theory). However, although self-care may be the core of Orem's theory, the decision to engage in self-care must be facilitated by the patient's social and physical environment, of which the family can play a critical role in shaping.

Orem and Roy have the different attitude toward the concept of nursing. Orem sees nursing as an intervention to meet the daily needs for self-care and medical-care patients need ("Dorothea Orem 's Self," 2011.)

In 1947, shortly after graduating with her Master’s in nursing, Dorothea Orem accepted a position with the Indiana State Board of Health, where she first thought of her theory of nursing. She left that position to work at the U.S. Department of Health, Education, and Welfare (HEW), the predecessor for the U.S. Department of Health and Human Services, from 1957-1959. While at HEW, she took on the role of curriculum consultant and was tasked with the improvement of nurse training through curriculum development (Johnson & Webber, 2010). It was Orem’s role in this project that provided the impetus for her nursing theories as she began to explore the connections between nursing, education, and self-care. Taylor (2011) notes that Orem’s first published article,

Dorothea Orem was born in1914 in Baltimore, Maryland. She earned her nursing diploma from the Providence Hospital School of Nursing in Washington, D.C., in 1930, before she went on to complete her Bachelor of Science in Nursing and Master of Science in Nursing at Catholic University of America in Washington, D.C., in 1939 and 1945 respectively. Orem occupied numerous high profile nursing positions during her lifetime. She was director of nursing in various institutions and was a member of group of nursing theorists who formulated the framework for North American Nursing Diagnosis Association. She proposed Self-Care Deficit Theory of Nursing, which is made up of

Dorthea E. Orem is a well recognized and a very well educated nursing theorist. She had a lot of experience as a nurse, and this greatly helped her provide insight into her views of nursing practice, education, and science. “The question that directed Orem’s thinking was, “What condition exists in a person when judgments are made that a nurse(s) should be brought into the situation?”” (Berbiglia & Banfield, 2014) Her biggest focus was the Self- Care Deficit Nursing Theory.

Throughout the history of nursing, there have been many nursing theorists who have each made significant contributions towards the shaping of nursing knowledge. Each of these theorists have differing perspectives and interpretations of how each domain of the nursing metaparadigm fit into their respective theories. The four domains of the nursing metaparadigm are: person, environment, health and illness, and nursing. The purpose of this reflection is to provide an overview of the domains related to the metaparadigm of nursing as well as to introduce this author’s perspective on their developing personal philosophy of nursing. In this paper, the author will take a closer look at each of these areas, how they are individually defined, and how they each fit into the nursing metaparadigm as a whole. At the conclusion of this overview, readers will be introduced to how these theorists and their perspectives have enabled this author to begin to create their own philosophy of nursing.

Orem focuses on nursing as a deliberate human action and notes that all individuals can benefit from nursing when they have health-derived or health-related limitations for engaging in self-care or the care of dependent others (Gunther, 2016). The nurse chooses deliberate actions from nursing systems to bring about desirable conditions in persons. The goal of nursing is to move a patient toward responsible self care or to meet existing healthcare needs of those who have health care deficits (Gunther, 2016). Orem expects people to be responsible for themselves and to seek help when they cannot maintain therapeutic self-care or dependent-care (Fawcett, 2003).

Dorothea Orem's self-care deficit theory was born while Dorothea Orem (1917-2007) was working in the Department of Health Education and Welfare (HEW) as a curriculum consultant. At this time in the history of the profession, nursing was just emerging as a unique academic discipline. Orem's theory was designed to answer the fundamental question: What is nursing? Orem defined nursing as a way of realizing every patient's desire to engage in self-care in a manner to "sustain life and health, recover from disease or injury and cope" with the consequences of major health events and daily life (El-Kader n.d.). Major assumptions of the theory include that "people should be self-reliant and responsible for their own care and others in their family needing care" (Dorothea Orem's self-care deficit theory, 2012, Current Nursing). Fundamentally, nursing and the nursing process is designed to enhance self-care and to address deficits in self-care.