1. Theoretical Framework of Dorothea Orem’s Nursing Theory, BSN
Theoretical Framework of Dorothea Orem’s Nursing Theory
The purpose of this paper is to provide an overview of Orem’s theoretical framework and analyze the critical components of the conceptual nursing model. Orem’s Self Care Deficit Theory is widely used in models of nursing. Orem chaired the Nursing Development Conference Group which examined nursing problems and research. Orem’s interest in curriculum development arise ++her interest in formulating a conceptualization of nursing.
Theoretical Framework Orem presented her conceptual framework consisting of four concepts about persons and two about nursing and theories derived from this model – the
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Orem sees environment as encompassed by dimensions – physical, chemical, biologic, and socioeconomic features. Environment can be described and evaluated for their impact on the health and well-being of the person and the family; some of these features can also be regulated to effect better outcomes for the person (Fitzpatrick & Whall, 2005). Orem has both a grand theory with a global orientation referred as conceptual model and also a theory. Her general theory of nursing includes theories of self care deficit, self care and nursing systems (Fawcett, 2005). Self care refers to actions of individuals directed to self or environment to regulate factors or conditions in the interest of that individual’s life, health, and well-being. Self care is a “human regulatory function” that is based on the individual’s capabilities of performing their own care. When a client is unable to perform his own self care a self care deficit exists and the nurse performs the tasks the patient is unable to do for him or herself (Wang & Lafferty, 2001). Self care deficit occurs if a person’s capabilities are inadequate to meet the therapeutic demand and nursing is needed. Orem identifies five methods of helping – acting for and doing for others, guiding others, supporting another, providing an environment