Orem’s Self-Care Theory in the Nursing Practice Timothy Carlson Martin Isenhart Alyssa Pechta Mackenzie Tunney Ryan Walters Ferris State University

Orem’s Self-Care Theory in the Nursing Practice Dorothea Orem constructed her Self-Care Theory concept in the late 1950’s Developed the Self-Care Theory to help encourage individuals to play an active role in their own care (Black, 2014) Purpose Statement: Self-Care Theory contributes to positive patient outcomes by: Utilizing evidence-based practice to improve the quality of care Understanding the four metaparadigm concepts Improving health care practices on multiple levels

Evidence-Based Practice Theory in Evidence Based Practice (EBP) Theory and science are necessary and linked parts (Taylor & Renpenning, 2011) Foundation for evidence-based practice Theory offers a framework to guide practice and education (Murphy, Williams, & Pridmore, 2010) Theory in nursing includes concepts, methods, and principles Nursing research validates nursing theory and leads to EBP (Taylor & Renpenning, 2011) Provides knowledge for improved practice, guides research and curriculum, and identifies the goals of nursing practice (Stevens, 2013) Theory-guided, EBP is the hallmark of the nursing profession (Stevens, 2013)

Metaparadigm Concepts Self-Care Theory Metaparadigm: Nurses should only do for the patients what they cannot do for themselves (Simmons, 2009) Patients actually want to care for themselves (Simmons, 2009) Self-Care Theory’s relationship among four concepts: Person, environment, health, and nursing Person Has capacity for self knowledge, learning, and development (Simmons,2009) Can learn to meet self care needs (Masters, 2013) Environment Person and environment are reciprocal (Masters, 2013) Person is never separate from the environment Physical, biological, chemical, and social (Masters, 2013)

Metaparadigm Concepts Health Functions of daily living Progressive development to a higher level of functioning (Masters, 2013) Nursing Assisting patients in the development, delivery, and management of self-care (Simmons, 2009) Preserve some level of effective functioning (Masters, 2013) Wholly Compensatory Partly Compensatory Supportive Education System The goal is to let the patient achieve an optimal level of self-care

Contemporary Health Care Environment Self-Care Theory and Improving Health Care On a local, regional, and global level Orem’s theory provides common language in self-care (Green, 2013) Local: Increases self-care abilities of the individual (Bhanji, 2012) Health prevention, promotion, and maintenance (Bhanji, 2012) Take responsibility Political agendas: Local, regional, and global Educating on health promotion, prevention, and maintenance can decrease spending costs to everyone Flexible framework (Green, 2013) Community and public health nursing: Local and regional (Green, 2013)

References Bhanji, S.M. (2012). Comparison and contrast of Orem’s self care theory and Roy’s adaption model. Journal of Nursing, 1(1), 48-53. Retrieved from http:// www.zu.edu.pk /images/pdf/journal_nursing/Journal%20of%20Nursing %202012,%20Vol%20%201%20(01)%204853.pdf Black, B. P. (2014). Professional nursing: Concepts and challenges (7th ed.). Maryland Heights, MO: Saunders. Green, R. (2013). Application of the self care deficit nursing theory: The community context. Self-Care, Dependent-Care & Nursing, 20(1), 5-15. Retrieved from http://www.orem-society.com /images/ publication/ journal/Vol20 No01 Spring13.pdf Masters, K. (2013). Role Development in Professional Nursing Practice (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers, Inc. .

References Murphy, F., Williams, A., & Pridmore, J.A. (2010). Nursing models and contemporary nursing 1: Their development, uses, and limitations. Nursing Times, 106(23), 18-20. Retrieved from http://www. nursingtimes.net/Journals/ 2013/01/18/c/m/m/ 100615Practice-in-depth-Nursing-models-and- contemporary-nursing--1--their-development-uses-and-limitations.pdf Simmons, L. (2009). Dorothea Orem’s self care theory as related to nursing practice in hemodialysis. Nephrology Nursing Journal 36(4), 419-420. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE%7CA206850790&v=2.1&u=lom _ferrissu&it=r&p=ITOF&sw=w&asid=5c580606076c420ca90ba70900d3c2ef .

References Stevens, K.R. (2013). The impact of evidence-based practice in nursing and the next big ideas. The online Journal of Issues in Nursing, 18(2). Retrieved from http://www.nursingworld .org/MainMenu Categories/ANAMarketplace/ ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of- Evidence-Based-Practice.html Taylor, S.G., & Renpenning, K. (2011). Self-care science, nursing theory, and evidence- based practice. New York, NY: Springer Publishing Company .