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Concept Comparison and Research Jessica Watts NUR 513 July next, 2012 Coleen Lucas Strategy Comparison and Analysis Main concepts will be the basis to get a theory or perhaps model, principles help in the development of theories. Theorists have developed different models or theories but have common key concepts. This kind of paper is going to identify the core concept of ‘the function of nursing jobs, ‘ which two theorists, Dorothea Orem and Virginia Henderson both utilized.

We will compare and analyze the concept explanations among the two theorists, and discuss the practical use of Orem’s home care theory. Core Strategy

The primary concept of ‘The role of nursing’ utilized in equally Dorothea Orem’s self treatment model in addition to Virginia Henderson’s nursing care model. Dorothea Orem’s meaning of nursing is usually “actions purposely selected and performed simply by nurses to assist individuals or perhaps groups under their care to maintain or change circumstances in themselves or their environments” (Current Nursing, 2010, para. 4). Va Henderson’s meaning of nursing is “assisting individuals to gain freedom in relation to the performance of activities contributing to health or its recovery” (Timetoast, 2011).

Their ideas in relation to the idea differ in which Orem’s concept requires the individual to have a do it yourself deficit and in need of nursing treatment or support, while Henderson’s concept declares that nursing is required regardless if the patient is definitely sick or healthy. The concepts can also be similar in the fact that they both support the sufferer is restoring optimal health. Their concepts are applicable in several nursing settings because the desired goals of each are identical. Orem’s Do it yourself Care Theory—Metaparadigms

Within Orem’s self care theory, you will find five metaparadigms: nursing, health, environment, person, and breastfeeding client. Orem views breastfeeding as a form of art, a supporting service, and a technology. Orem’s definition of nursing is definitely “actions deliberately selected and performed by simply nurses to assist individuals or groups in thier chair to maintain or perhaps change circumstances in themselves or perhaps their environments” (Current Breastfeeding, 2010, afin de. 3). Orem encompasses the patient’s, the physician’s, plus the nurse’s perspective of the patient’s health condition.

Her goal of nursing is to make the individual and users of the person’s family capable of getting together with the person’s self proper care needs, keep an maximum state of health, to regain previous state of health following an illness or disease, and to decrease the effects of a serious illness. Orem uses the terms ‘health’ and ‘healthy’ to describe life, “it can be when they are structurally and functionally whole or sound, in conjunction, with physiological and psycho-physiological mechanisms and a materials structure pertaining to and getting together with other human beings” (Current Nursing, 2010, para. ). Orem’s environment is the components, conditions, and components within the environment. Relating to Orem a human being “has the capacity to reflect, stand for and make use of symbols, a unity which could function biologically, symbolically, and socially” (Current Nursing, 2010, para. 5). A nursing client is known as a human being who has health related or derived issues that cause them to become incapable of constant and complete personal care, they are the focus, only if their personal care demands exceed their particular self proper care capabilities. Theory of Home Care

Orem’s definition of home care is the “practice of activities the individual starts and executes on their own behalf to maintain your life, health, and well being” (Current Nursing jobs, 2010, afin de. 12). The human ability to take part in self attention is determined by era, developmental express, life encounter, social and cultural alignment, health, and available resources. Orem details three self care requirements, universal home care requirements, developmental do it yourself care requisites, and overall health deviation of self proper care, all are directed towards the supply of self care.

General self attention requisites would be the maintenance, supply, balance, reduction, and promotion of individual functioning. “Developmental self proper care requisites are associated with developing processes created from a condition or associated with a great event” (Current Nursing, 2010, para. 14), for example adapting to a new task or adapting to bodily changes, such as perimenopause. Health change self care is required in conditions of illness, disease, or harm. Health deviation is searching for, securing, modifying, learning, and effectively performing medically recommended measures. Theory of Home Care Debt

Orem’s theory of self care debt specifies once nursing is necessary. “Nursing is needed when an adult (or in the matter of a dependent, the parent) is is not capable or limited in the provision of continuous effective home care” (Current Nursing, 2010, para. 16). Orem’s produced five strategies of helping, which can be acting pertaining to and carrying out for others, leading others, promoting one another, providing an environment that promotes personal development, and instructing one another. Theory of Medical Systems Orem describes the way the patients do it yourself care requirements will be meet by the registered nurse, patient, or perhaps both in her theory of nursing devices. The design and elements of a nursing system defines the scope of nursing responsibility in medical care situations, specifies general and specific functions of nursing staff and sufferers, and identifies reasons for nurses’ relationship with patients” (Current Nursing, 2010, para. 17). Orem identified that people of the health profession generally develop specialised technologies. “A technology is systematized information about a process or a method for impacting some preferred result through deliberate practical endeavors, with or with no use of supplies or instruments” (Current Nursing, 2010, para. 17).

Idea of Orem’s Theory Orem interrelates concepts in a way, that it makes a different perspective of a particular phenomenon. Orem’s theory is definitely logical, basic, and generalizable, and is a basis to try hypotheses. “It contributes to and assists in increasing the typical body expertise within the self-discipline through the analysis implemented to validate them” (Current Medical, 2010, pra. 21). In respect to Orem, her theory in Current Nursing, 2010, can be used by simply practitioners to guide and improve their practice and it must be according to other authenticated theories, principles, and laws and regulations. Major

Assumptions, Strengths, and Limitations In respect to Current Nursing, 2010, some significant assumptions of Orem’s theory are: people should be self-reliant and in charge of their own treatment and their family members, people are distinctive individuals, nursing jobs is a form of action and interaction among two or more persons, successfully getting together with universal and developmental self care requirements is an important element of primary treatment prevention, familiarity with potential medical problems is necessary to get promoting do it yourself care behaviors, and home care and dependent attention are actions learned in a socio- ethnical context.

A lot of strengths to Orem’s theory, according to Current Nursing jobs, 2010, are: it provides a thorough base to nursing practice, it has utility for professional nursing in the areas of nursing jobs practice, education, administration, and research, specifies when breastfeeding is needed, and Orem’s do it yourself care approach is modern-day with the ideas of wellness promotion and health repair today. As with any theory there are always constraints to it is use, Orem’s theory’s main limitation is the fact her theory is disease oriented and later calls for breastfeeding care when ever there is a disease present. Global health care requirements, as recognized by physicians or patients/consumers, are addressed through the era of exploration evidence that is effective, nevertheless also possible, appropriate and meaningful to specific foule, cultures and settings” (The Joanna Briggs Institute, 2011). Concepts are the bases for a theory or model and aide the development of theories. The most popular concept mentioned in this paper was the part of breastfeeding, which is common and essential to Orem and Henderson’s theory.

Orem believed that a sufferer needed to have a do it yourself deficit to get nursing attention while Henderson believed in breastfeeding care whether or not the patient was healthy or perhaps ill. While each theorist had diverse definitions with the role of nursing, the two had the same concept of breastfeeding care. “Nursing encompasses autonomous and collaborative care of individuals of all ages, people, groups and communities, ill or well and in all settings.

Nursing jobs includes the promotion of health, elimination of health issues, and the care of ill, incapable and declining people. Advocacy, promotion of any safe environment, research, involvement in shaping health insurance plan and in sufferer and health systems administration, and education are also key nursing roles” (Definition of Nursing, 2010). Orem’s home care version demonstrated the role of nursing in caring for a person with a home care shortage and/or health issues. Nursing concours help persons regain optimum health and wellbeing.

References Current Nursing. (2010). Dorothea Orem’s Theory. Gathered from http://currentnursing. com/nursing_theory/self_care_deficit_theory. html Definition of Medical. (2010). Retrieved from http://www. icn. ch/about-icn/icn-definition-of-nursing/ Timetoast. (2011). Breif history of Nursing. Recovered from http://www. timetoast. com/timelines/22792 The Joanna Briggs Commence. (2011). Gathered from http://www. joannabriggs. edu. au/JBI%20Approach

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