Timothy Carlson Martin Isenhart Alyssa Pechta Mackenzie Tunney Ryan Walters Ferris State University.

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Orems Self-Care Theory in the Nursing PracticeTimothy CarlsonMartin IsenhartAlyssa PechtaMackenzie TunneyRyan WaltersFerris State UniversityDorothea Orem constructed her Self-Care Theory concept in the late 1950sDeveloped 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 careUnderstanding the four metaparadigm conceptsImproving health care practices on multiple levelsOrems Self-Care Theory in the Nursing Practice

Theory in Evidence Based Practice (EBP)Theory and science are necessary and linked parts (Taylor & Renpenning, 2011)Foundation for evidence-based practiceTheory offers a framework to guide practice and education (Murphy, Williams, & Pridmore, 2010) Theory in nursing includes concepts, methods, and principlesNursing 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)Evidence-Based Practice

3Self-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 Theorys relationship among four concepts: Person, environment, health, and nursingPersonHas capacity for self knowledge, learning, and development (Simmons,2009)Can learn to meet self care needs (Masters, 2013)EnvironmentPerson and environment are reciprocal (Masters, 2013)Person is never separate from the environmentPhysical, biological, chemical, and social (Masters, 2013)

Metaparadigm Concepts

HealthFunctions of daily livingProgressive development to a higher level of functioning (Masters, 2013)NursingAssisting patients in the development, delivery, and management of self-care (Simmons, 2009)Preserve some level of effective functioning (Masters, 2013)Wholly CompensatoryPartly CompensatorySupportive Education System

Metaparadigm Concepts

The goal is to let the patient achieve an optimal level of self-careSelf-Care Theory and Improving Health CareOn a local, regional, and global level Orems 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 responsibilityPolitical agendas: Local, regional, and globalEducating on health promotion, prevention, and maintenance can decrease spending costs to everyoneFlexible framework (Green, 2013)Community and public health nursing: Local and regional (Green, 2013)

Contemporary Health Care Environment

Bhanji, S.M. (2012). Comparison and contrast of Orems self care theory and Roys 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.pdfMasters, K. (2013). Role Development in Professional Nursing Practice (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers, Inc.

.ReferencesMurphy, 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.pdfSimmons, L. (2009). Dorothea Orems self care theory as related to nursing practice in hemodialysis. Nephrology Nursing Journal 36(4), 419-420. Retrieved fromhttp://go.galegroup.com/ps/i.do?id=GALE%7CA206850790&v=2.1&u=lom_ferrissu&it=r&p=ITOF&sw=w&asid=5c580606076c420ca90ba70900d3c2ef

.ReferencesStevens, 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.htmlTaylor, S.G., & Renpenning, K. (2011). Self-care science, nursing theory, and evidence- based practice. New York, NY: Springer Publishing Company

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