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APPLICATION OF NURSING THEORY TO CLINICAL PRACTICE: THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a…show more content…
Support for the Orem Self-Care Model lies not only in the fact that it fits well with the larger category of Developmental Theory but also in the fact that Developmental Theories in general tend to be frameworks or conceptual structures that are well supported by existing research in a wide variety of areas of scientific inquiry (Curd & Cover, 1998). Historical Overview of the Evolution of Orem’s Self-Care Model In the latter half of the twentieth century, a movement within nursing began to define itself as a profession rather than an occupation. Nursing became a self-regulated profession throughout North America in the early 1960's through the establishment of Nursing Acts in provincial and state legislatures. Thus, nurses were given the legal authority to define, monitor and enforce education and competence standards, and define a code of ethics with the overall purpose of protecting the public interest. Further, a good deal of attention began to increasingly focus on nursing theory. Thus, it was upon the foundation of conceptualizing the professional nature of nursing as a field of medical practice that Orem’s theory was laid. Regarding the theory itself, Alligood and Marriner-Tomey (2001) state that Orem’s Self-Care theory, as it was originally conceived in 1959, was a systems model which the authors define as a conceptual model of nursing that focuses on the organization,
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