Orem's Nursing Theory

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Dorothea E. Orem committed her life to making and building up a theoretical structure to enhance nursing practice (Smith & Parker, 2015). Orem’s theory is built on the premise that an individual has the capacity, right, and duty to look after oneself. She was able to see care from the patient’s point of view where patients give self-care with different levels of help from health professionals. The crucial premise of her theory is that each individual has the ability to take care of their wellbeing and the wellbeing of others. She discussed four aspects of self-care, which includes theory of self-care, theory of dependent care, theory of self-care deficit and theory of nursing systems. These theories emphasized self-care as being an essential …show more content…
The area where I work is very culturally diverse which can be a great challenge to provide care to each individual. For instance, a Middle Eastern patient insisted to be admitted after a minor cut in his finger, sutures were done and he was hemodynamically stable. During his stay he completely depended on nursing care. Nurses did the vast majority of his activities of daily living. He would ask for a glass of water that was within his reach or he would ask to be spoon-fed (an activity that could have been done on his own). In this example it was very hard to apply Orem’s theory of self-dependence because he simply refused to perform basic activities on his own. Therefore I believe that promoting self-dependence can be one of the most challenging processes in nursing care. Many times individuals tend to rely on health professionals, especially nurses, when illness or injury happens, making it difficult for nurses to teach independence. Although the main purpose of Orem’s theory is to promote self-care, we need to take into consideration that sometimes that cannot be accomplished due to culture, age, gender, beliefs and other various factors. Finally promoting self-care is the ultimate goal as well as patient …show more content…
The humanbecoming theory sees nursing as a fundamental science with an extraordinary learning base (Smith & Parker, 2015). Particularly Parse believed in the true presence concept that is defined as “ an intentional reflective love, an interpersonal art grounded in a strong knowledge base” (Parse, 1998a, p.71). Her theory was based on being present with the patient and being mindful. In my understanding, Parse’s concept is teaching nurses how to grasp every minute given to him/her and have an honest discussion with the patient. It is important to listen not simply hear the patient, without interfering. The nurse should be able to know that personal interactions are a chance to start a discussion and take part of the conversation. I can definitely apply this concept to my nursing career. Being an OR nurse, depending on my role (circulator or scrub), the face-to-face dialogue with my patients can be very minimal. After understanding Parse’s true concept, I’ve to come to the realization that even though I may not interact as much with my patients, it is important to take advantage of every minute that I get with them to initiate conversation, listen and establish trust. In my future career as a Family Nurse Practitioner applying this concept will be essential to develop strong and effective relationships

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