1. OREMS SELF-CARE DEFICIT NURSING THEORY (SCDNT)

2. Overview ofLearning Objectives Presentation-Background & origins Identify the three theories contained in SCDNT.-Metaparadigms-Theories and concepts Describe how the concepts interrelate.-Relationships-Model of SCDNT Understand the SCDNTs impact on-Critique of SCDNT research, practice and administration.-Applications-Impact on FNP practice Discuss how to integrate SCDNT into family nurse practitioner practice.-Summary 3. Background of Dorothy OremEducation and Experience Paradigmatic Origins Born in Baltimore, MD (1914-2007) Orem does not name a theory as the basis of SCDNT Diploma from Providence Hospitalin D.C. BSN & masters fromCatholic University Uses modern realism to describe nursing as a practical science Worked as staff nurse,administrator, educator and theorist Credits Harnets work on deliberate action for impacting her Published work on nursing theoryfrom 1971 until death in 2007understanding of self-care 4. Metaparadigms of SCDNT Human- A man/woman/child with free will and abilityto love and learn Nursing- An art . A nurse provides care for one whocannot provide that care for his/her self Environment-Where the human exists Health- Structural functionality, a state of well-being,with the ability to communicate and reflect. 5. SCDNT TheoriesSCDNT is comprised of three separate theories: Self-care theory Self-care deficit theory Nursing systems theory 6. Conceptsof Self-Care Self-care Self-care agency Self-care requisites Universal self-care requisites Developmental self-care requisites Health deviation requisite Therapeutic self-care demand 7. Concepts of Self-Care Concepts of NursingDeficitSystems Acting/doing for Wholly compensatoryothers Guiding others Partially compensatory Supporting others Teaching another Supportive/ Providing an Educationalenvironmentpromoting personaldevelopment 8. Relationships Self-care theory describes how a healthy person keepsthemselves healthy. A person does not need nursingcare if providing adequate self-care. Self-care theory and self-care deficit are related when aperson does not provide adequate self care. Nursingthen assists a person with their needs. The nursing systems theory describes how muchnursing care is given in response to the self-caredeficit. 9. People have a responsibility to provide self-Assumptions ofcare and family member care (dependent-SCDNT care)All theories have Humans are individualsbasic beliefs thatmust be accepted for Nursing is an interaction between two ora theory to be valid.more individuals Self-care is necessary for health Potential health care problems must beknown Self-care is taught, and learning isinfluenced by culture 10. SCDNT ModelTheory of Nursing System Wholly Compensatory Patient needs completeTheory of Self-Care Deficit nursing Nursing activities Partially Compensatory Acting for Guiding Patient needs Supporting Self-Care TheorySelf-Care some nursingRequisites care Educating Providing Therapeutic Universal Self-Care Self-Care environment forSelf Care DevelopmentalAgency Practices developmentDemand HealthSupportive/DeviationEducative Patient needsguidance 11. Merriner-Tomey Analysis Simplicity- Concepts are well defined, and readily applicable to practice Generality- Can be generalized across many aspects of nursing, but focuses on ill patients Testable- Components of theory have been tested successfully. Entire theory not yet tested Derivable Consequences- SCDNT has lasting impact on practice, and is the basis for nursing curricula at university level. 12. Applications Research- Used as the Administration- Used source for testable to analyze nursing hypothesis in researchsystems for resource studies allocation. Education- Used as Practice- Self-care basis of curricula in deficits are a source of nursing education nursing diagnosis Impaired mobility 13. Family NursePractitionerImpact Self-care agency Self-care deficit in diagnosis Nursing systems 14. Summary Orem has educational background in DC. Orems SCDNT comprised of three theories: Self-care, self-care deficit, and nursing system. The theory of nursing systems is dependent on the theory ofself-care (what the patient can do), self-care deficit (whatnursing can d0) to describe to what extent nursing is involved. SCDNT impacts daily practice, research, administration, andeducation. A FNP uses SCDNT while deciding a treatment plan . 15. Questions What three theories comprise SCDNT? How do those three theories interrelate? Give an example of how SCDNT is used in FNP practice. Describe how the SCDNT is related to research. Why do you think SCDNT is used as a base for nursing curriculum at many schools? 16. References Banfield, B. (2011). Environment: A perspective of the self-care deficit nursingtheory. Nursing Science Quarterly 24(2), 96-100. Banfield, B. (2008). Philosophic position on the nature of human beingsfoundational to Orems self-care deficit nursing theory. Self-care, Dependent-Care Nursing, 16(1), 33-40. Denyes, M., Orem, D., Bekel, G. (2001). Self-care: A foundational science.Nursing Science Quarterly 14(1), 48-54. doi: 10.1177/089431840101400113Dorothy Orems self-care theory. (2011). Retrieved November 22, 2011, fromhttp://currentnursing.com/nursing_theory/self_care_deficit_theory.html Hohdorf, M. (2010). Self-care deficit nursing theory in Inglostadt- Anapproach to practice development in nursing care. Self-Care, Dependent-CareNursing, 18(1), 19-25. McEwen, M. & Wills, E. (2011). Theoretical Basis for Nursing (3rd ed).Philadelphia: Lippincott Williams & Wilkins. Orem, D., & Taylor, S. (2011). Reflections on nursing practice science: Thenature, the structure, and the foundation of nursing sciences. Nursing ScienceQuarterly 24(1), 35-41. doi: 10.1177/0894318410389061 Ransom, J. (2008). Facilitating emerging nursing agency in undergraduatenursing students. Self-Care, Dependent-Care Nursing, 16(2), 40-45. Taylor, S. (2007). The development of self-care deficit nursing theory: Anhistorical analysis. Self-Care, Dependent-Care Nursing, 15(1), 22-25.