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Orem self care deficit

Younglee Kim, Vivien Dee
OBJECTIVE: To determine factors that affect self-care of rural Hispanic women at risk for postpartum depression (PPD). METHODS: This study was a descriptive cross-sectional design based on the key concepts of Orem's Self-care Deficit Nursing theory. Data were collected from 223 Hispanic postpartum women residing in Mecca, North Shore, and Thermal in California by an interviewer-administered survey. Four instruments were utilized: Edinburgh Postnatal Depression Scale (EPDS) for PPD, Multidimensional Scale of Perceived Social Support for social support, Duke University Religion Index (DUREL) for spirituality, and Self Rated Abilities for Health Practices for self-care...
January 2017: Maternal and Child Health Journal
Liquaa Wazni, Wendy Gifford
People with schizophrenia have increased morbidity and mortality rates associated with poor physical health that requires a holistic and comprehensive nursing approach. Dorothy Orem's self-care deficit nursing theory (SCDNT) has made a substantive contribution to nursing by focusing on people as whole entities who engage with their environment to sustain health. We offer an expanded view of the SCDNT by showing how it is a useful framework for nurses to integrate interpretive, empirical, and critical theoretical perspectives for addressing both the physical and mental health needs for people with schizophrenia...
July 11, 2016: Journal of Holistic Nursing: Official Journal of the American Holistic Nurses' Association
Anna Hauffman, Sven Alfonsson, Susanne Mattsson, Marina Forslund, Anna Bill-Axelson, Peter Nygren, Birgitta Johansson
BACKGROUND: Having access to information about the disease and being encouraged to participate in self-care activities may reduce anxiety and depression symptoms in cancer patients. Internet-based interventions may be one way to support effective self-care strategies to improve emotional well-being and health-related quality of life. OBJECTIVE: The aim of this study was to describe the development and acceptance of an Internet-based program intended to support cancer patients with anxiety and depression symptoms...
September 2017: Cancer Nursing
Fatemeh Mahmoudzadeh Zarandi, Afsaneh Raiesifar, Abbas Ebadi
Many aspects of the lives of migraineurs are commonly affected by the condition, including occupational affairs, social and family life, responsibilities and ultimately the quality of life. This study was designed to determine the effect of orem's self-care nursing model on quality of life in patients with a migraine. This study was carried out in Tehran, Iran. According to the pre-post design of the randomized clinical trial, 88 patients were selected. After obtaining approval from the ethics committee of the Baqiyatallah Medical Sciences University's Research Deputy; Patients who signed the informed consent aged 20-55 years and without any more disease or disability affecting the quality of life were selected and randomly assigned to a group...
March 2016: Acta Medica Iranica
Cho Lee Wong, Wan Yim Ip, Kai Chow Choi, Lai Wah Lam
PURPOSE: To test a hypothesized model that examines the relationship between selected basic conditioning factors, self-care agency, and self-care behaviors among adolescent girls with dysmenorrhea using Orem's self-care deficit nursing theory as a framework. DESIGN: This was a predictive correlational study conducted with a total of 531 secondary school girls. METHODS: Self-care agency, self-care behaviors, and 11 variables that have been theoretically or empirically justified in previous studies as relevant to basic conditioning factors were selected and collected by means of structured questionnaires...
May 2015: Journal of Nursing Scholarship
Stephanie Pickett, Rosalind M Peters, Patricia A Jarosz
The authors of this paper present the middle-range theory of weight management that focuses on cultural, environmental, and psychosocial factors that influence behaviors needed for weight control. The theory of weight management was developed deductively from Orem's theory of self-care, a constituent theory within the broader self-care deficit nursing theory and from research literature. Linkages between the conceptual and middle-range theory concepts are illustrated using a substruction model. The development of the theory of weight management serves to build nursing science by integrating extant nursing theory and empirical knowledge...
July 2014: Nursing Science Quarterly
Pratsani Srikan, Kenneth D Phillips
Valid, reliable, and culturally-specific scales to measure salt reduction self-care behavior in older adults are needed. The purpose of this study was to develop the Dietary Salt Reduction Self-Care Behavior Scale (DSR-SCB) for use in hypertensive older adults with Orem's self-care deficit theory as a base. Exploratory factor analysis, Rasch modeling, and reliability were performed on data from 242 older Thai adults. Nine items loaded on one factor (factor loadings = 0.63 to 0.79) and accounted for 52.28% of the variance (Eigenvalue = 4...
July 2014: Nursing Science Quarterly
Mark Risjord
Debates over how to conceptualize the nursing role were prominent in the nursing literature during the latter part of the twentieth century. There were, broadly, two schools of thought. Writers like Henderson and Orem used the idea of a self-care deficit to understand the nurse as doing for the patient what he or she could not do alone. Later writers found this paternalistic and emphasized the importance of the patient's free will. This essay uses the ideas of positive and negative freedom to explore the differing conceptions of autonomy which are implicit in this debate...
January 2014: Nursing Philosophy: An International Journal for Healthcare Professionals
Hatice Yildirim Sari, Medine Yilmaz, Süheyla Ozsoy, Mehmet Kantar, Nazan Cetingul
BACKGROUND: Between cancer treatment courses, children who have not developed any complications or neutropenia are sent home until the start of the next treatment protocol. OBJECTIVE: The aim of this study was to describe the experiences of parents in the home care of children who had been recently diagnosed with cancer and were undergoing cancer treatment but had been discharged from the hospital between treatment protocols. METHODS: The study was carried out at Ege University, Turkey...
September 2013: Cancer Nursing
Hong Tao, Carol Hall Ellenbecker, Jie Chen, Lin Zhan, Joanne Dalton
Guided by Orem's theory, this study examined the influence of social environmental factors on rehospitalization among home health care patients. Living arrangement, frequency of caregiving, and type of primary informal care were found to be related to functional ability. Measurable differences in clinical status and functional ability were related to the duration that patients received home health care services until rehospitalization, with the likelihood of rehospitalization increasing proportionately to the magnitude of the differences...
October 2012: ANS. Advances in Nursing Science
Jane M Armer, Robin P Shook, Melanie K Schneider, Constance W Brooks, Julie Peterson, Bob R Stewart
This study describes the use of data regarding self-care agency to enhance a supportive-educative nursing system for breast cancer survivors to reduce the risk of developing lymphedema post surgery. Impetus for this study came from the analysis of participant feedback from a parent study (Lance Armstrong Foundation pilot study) that sought to plan an educational program for nurses that will improve their supportive-educative nursing system when working with breast cancer survivors. The goal is to enable these women to reduce the risk of lymphedema post surgery...
October 2009: Self-care, Dependent-care & Nursing: the Official Journal of the International Orem Society
Mary S Seed, Diane J Torkelson
A national agenda has been established for mental health systems to move toward a recovery model of care. Recovery principles are embedded in the foundations of nursing science and practice. Orem's Self-Care Deficit Nursing Theory (SCDNT) is in alignment with the ideals of recovery and can provide a structure for changing cultures on inpatient psychiatric units. SCDNT can guide research activities that link a patient's self-care abilities to improved recovery model outcomes. This paradigm shift is an opportunity for psychiatric nursing to return to its roots and deliver care that is patient-centered and conducive to recovering from mental illness...
June 2012: Issues in Mental Health Nursing
Jean-François Desbiens, Johanne Gagnon, Lise Fillion
AIM: This discussion article focuses on the theoretical development of a shared theory in the field of palliative care nursing through a process of comparison between Bandura's social cognitive theory and Orem's conceptual model. BACKGROUND: In many countries, nurses are little prepared to provide care to patients with life-limiting illness. Bandura's theory provides an appropriate framework for evaluating the impact of training programmes aimed at improving nursing competence in palliative care...
September 2012: Journal of Advanced Nursing
Lucia Costantini, Heather Beanlands, Martha Elizabeth Horsburgh
The objective of this study was to develop a norm-referenced tool that would measure the self-care abilities and behaviours for adults requiring dialysis therapy. Guided by the Self-Care Deficit Nursing Theory (Orem, 2001) and an extensive review of the research literature, the Lay Care Giving for Adults on Dialysis tool (LC-GAD) (Horsburgh, Laing, Beanlands, Meng, & Harwood, 2008) was modified to develop the Self-Care for Adults on Dialysis (SCAD) measure. Content validity testing of the SCAD was conducted by a panel of 13 nephrology nursing experts...
April 2011: CANNT Journal, Journal ACITN
Steven L Baumann, Carmelle M Bellefleur
In this column Orem's self-care deficit model and Holzkamp's critical learning theory are used to discuss the story of an older adult Haitian woman with an interview with a Haitian nurse leader, Mme. Suze N'Lemba. Older adults in Haiti today are seen as a group at very high risk due in part to the conditions in the country, and they are in need of considerable guidance in nursing. However the current number of nurses and nurse educators in Haiti, and the extremely limited resources there, make it unlikely that the vast majority of these individuals will receive what they need...
April 2011: Nursing Science Quarterly
Violeta A Berbiglia
Although Dorothea Orem's Self-Care Deficit Nursing Theory has been used for curricula framework for years, it was not until 2001 that Orem identified the nursing practice sciences and the foundational nursing sciences and specified the appropriate content for the two sciences. The broad purpose of this paper is to reinforce the importance of utilizing nursing theories as curricular conceptual frameworks. The specific purpose is to delineate the appropriate content for baccalaureate programs that adopt a Self-Care Deficit Nursing Theory conceptual framework for their curriculum...
April 2011: Nursing Science Quarterly
Katherine McLaughlin Renpenning, Gerd Bekel SozWiss, Mary J Denyes, Dorothea E Orem, Susan G Taylor
The purpose of this article is to stimulate discussion and further investigation about the nature and meaning of nursing diagnosis. Premises that place nursing diagnosis within the framework of self-care deficit nursing theory are presented. Also presented are propositions about nurses as diagnosticians, the process features of nursing diagnosis, and propositions about nursing diagnostic questions. The intellectual/cognitive processes essential to nursing diagnosis are discussed and investigative questions for nursing diagnostic stages proposed...
April 2011: Nursing Science Quarterly
Barbara E Banfield
In this column the author presents an examination of Orem's conceptualization of environment as a metaparadigm concept, the role of environment in the theoretical structure of the self-care deficit nursing theory, and the creation of a developmental environment as one of the ways of helping another. Suggestions for further work related to the conceptualization of environment and the organization of existent knowledge are provided. Application of the concept of nursing agency and the environmental factor of healthcare system illustrate the utility of self-care deficit nursing theory in relation to the recommendations for changes in nursing education and for redesign of the healthcare system...
April 2011: Nursing Science Quarterly
Mary L White, Rosalind Peters, Stephanie Myers Schim
The authors propose an integration of the concepts of spirituality and spiritual self-care within Orem's self-care deficit nursing theory as a critical step in theory development. Theoretical clarity is needed to understand the contributions of spirituality to health and well-being. Spirituality is the beliefs persons hold related to their subjective sense of existential connectedness including beliefs that reflect relationships with others, acknowledge a higher power, recognize an individual's place in the world, and lead to spiritual practices...
January 2011: Nursing Science Quarterly
Barbara E Banfield
The relationship of nursing science and nursing practice has been the topic of numerous discussions over the past decades. According to Orem, nursing science is a practical science, meaning that knowledge is developed for the sake of nursing practice. Within Orem's self-care deficit nursing theory, the concept of nursing agency links nursing science and nursing practice. Nursing agency refers to the power or ability of the nurse to design and produce systems of care. The relationship of practical nursing science, nursing practice, and nursing agency is examined in this article...
January 2011: Nursing Science Quarterly
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