Predictors of Self-Care in Adolescents With Cystic Fibrosis: A Test of Orem's Theories of Self-Care and Self-Care Deficit Lois K. Baker, PhD, RN, CPNP Mary J. Denyes, PhD, RN, FAAN
Pediatric nurses often struggle to find ways to encourage adolescents with cystic fibrosis (CF) to engage in self-care that is essential to their health and life. A study of predictors of self-care was conducted to provide a stronger evidence base for nursing practice with these youth. Orem's theories of self-care and self-care deficit were tested to explain and predict the universal and health deviation self-care of 123 adolescents with CF. Four dimensions of self-care agency emerged as predictors of universal self-care, two of which were also predictive of Frey et al. (2004) reported that adolescents with insulin-dependent diabetes mellitus who were in poor metabolic control did not engage in self-care consistent with that recommended to maintain control. Moore and Beckwitt (2003) found that although children with cancer performed considerable universal self-care, they engaged in less illness-related or health deviation self-care. Dashiff et al. (2006) reported that although adolescents with Type 1 diabetes engaged in universal and health deviation self-care, there was room for improvement. Specifically, health deviation self-care decreased with age, suggesting the necessity to build foundational self-care practices during the early stage of adolescent development.
Self-Care Agency Self-care agency is composed of three related but conceptually distinct human properties or traits arranged in hierarchical order: (a) foundational capabilities and dispositions; (b) power components; and (c) capabilities to perform self-care operations (Gast et al., 1989; Orem, 2001). The interrelatedness of the various dimensions of self-care agency was also addressed by Orem (2001, pp. 254–277). Selected foundational capabilities and power components of self-care agency were included in this study. Foundational Capabilities and Dispositions Foundational to all deliberate actions, including self-care, are general human capabilities such as
Running head: DOROTHEA OREM’S SELF CARE THEORY Dorothea Orem’s Self Care Theory Carmen Sigley West Virginia University Abstract When a patient needs to decrease the potential problem that prevents him from reaching his optimal health, nurses can use Orem’s Self-care Model as a tool to identify when and how much they can influence the patient care. This theory is the key of nursing care if it is used optimal and in a period of time when patient’s development can be discover and manipulated…
Dorothea Orem’s Theory: Self Care Deficit Critic Kouadio K. Koko BSN, RN University of Virginia School of Nursing Dorothea Orem’s Theory: Self Care Deficit Critic Abstract Dorothea Orem’s self-care theory of nursing is one of the major nursing theories. It pays particular attention to the role of the patient in their own rehabilitation, as it expounds the benefits of self-care. Orem’s theory is well documented and has been used by several researchers as a basis for their research. This particular…
Orem’s Self-Care Theory Adventist University of Health Sciences Orem’s Self-Care Theory Biography Dorothea Orem was the founder of the Self-Care theory of nursing also known as The Orem Model of Nursing. She was born in 1914 in Baltimore, Maryland and lived until 2007. She earned her diploma at Providence Hospital in Washington DC, her BSN in 1939, and MSN in 1945 both from the Catholic University of America. She also later received…
later completed her Bachelor of Science in Nursing at the Catholic University of America in 1939, and in 1946 she received her Master of Science degree in Nursing Education from the same university. Dorothea Orem is well known in America for nursing theory. But at the beginning of her nursing career she worked as an operating room nurse, private duty nurse as well as doing hospital staff nursing on pediatric and adult medical surgical units, evening supervisor in the emergency room, and biological…
jumped out at me. Dorothea Orem’s Self-Care Model and the American Association of Critical-Care Nurses Synergy Model for Patient Care. Dorothea Orem’s Self-Care Deficit Theory of Nursing. Self-care is “the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and wellbeing” (as cited in Cardinal Stritech University Library, 2011). She has 3 theories that she bases this on: 1. Theory of Self-Care. Orem’s general theory of self care basically states…
Family Values NUR/542 Family Values There are many resources that are in short supply to health care workers and agencies that are needed when caring for patients and their families (Angood, Dingman, Foley, Ford, Martins, O'Regan, Salamendra, Sheridan, & Denham, 2010). With resources lacking, nurses need to be proactive in utilizing resources that are readily available to them. One of the most underutilized resources in health care are patients and his or her families. Patients and their families…
imperative for nurses to avoid jargons and use simple language to get the message across. While Henderson’s theory supports nursing as a profession in assisting patients who are well or sick and ensuring 14 basic needs, Orem’s theory is more contemporary where a nurse engages patient in plan of care and guides the patient to be self-dependent in the acquisition of knowledge and skills. Orem’s theory supports that client has the primary…
developed her ideas to extend beyond the individual, withincreasing emphasis on multiperson situations, family and community groups in our society.Orem describes her theory as a general nursing theory, and indeed it has influenced nursingresearch and practice not only in the United States, but internationally (Taylor et al, 1998).In her theory, Orem defines the four concepts that constitute nursing’s metaparadigm, as proposed by Fawcett: human beings, environment, health, and nursing (Fawcett, 2005). In1971…
models and theories that are applied in practice (Cody, 2013). Nursing theories offers the stage that allows healthcare professionals to identify patients and their different health problems; this helps in the planning and intervention for better care (Zaccagnini & White, 2011). Theories may help in managing all levels of nursing practice, including organization, implementing, and clarifying ideal responses to nursing care outcomes (Chism, 2013). Nurses may adopt a particular nursing theory to support…
adaptation is essential in fostering care for one’s health and wellness. Roy also stressed the importance of psychological aspects in terms of being healthy. In this theory, principles of psychology are prominent in the execution of care and nursing intervention. Patricia Benner and Judith Rubbel formulated one of the most recent nursing theories in 1989. They considered the primacy of caring in nursing science. This principle comes from the perspective of a nurse whose duty is to care. Thus, it is important…
