grp 2 scdntfinal (1)

8/2/2019 Grp 2 SCDNTFINAL (1)

1/11

Orems Self-Care Deficit

Nursing Theory


2/11

Orems Self-Care Deficit Nursing

Theory (SCDNT) Original Source

Impetus was to define content for practical nursingcurricula for Department of Health, Education, and

Welfare References Parsons structure of social action and von

Bertalanfys system theory

Ontology

moderate realism Focus

person as agentSource: McEwen & Wills (2007)


3/11

SCDNT Paradigmatic OriginsNeeds Theory (Henderson, 1966)

Functional Theory (Abdellah, Beland, Martin, & Matheney,

1961)

Uniqueness of Orems theory individual is capable ofengaging in own self-care

Orem credits reflection on own practice & others for theorybeginnings

Source: Meleis (1997)


4/11

SCDNT Overview Relationship between self-care agency and therapeutic

self-care demands, distinguishing self-care deficit fromdependent care (Romeo & Devereaux, 2006)

Composed of 3 nested theories:

Self-care

Self-care deficit

Nursing systems

Relationship between the 3 theories:

The theory nursing systems subsumes the theory of self-caredeficit, which subsumes the theory of self-care (Orem, 1991,p. 66)


5/11

SCDNT Overview

Based on 4 concepts Self-care

Activities an individual performs independently throughout life to

promote & maintain well-being Self-care agency

Individuals ability to perform self-care activities

Self-care requisites Measures or actions to provide self-care

Therapeutic self-care demand Self-care activities required to meet self-care requisites

Source: Berman, Snyder, Kozier & Erb (2008)


6/11

SCDNT Overview Self-care deficit results when the self-care agency can not

meet self-care demands

Explains when nursing care is needed

Explains how people can be assisted through 5 methods ofhelping: Acting or doing for

Guiding

Teaching Supporting

Providing an environment to promote the persons abilities tomeet current & future demands


7/11

Orems 3 Types of Nursing Systems Wholly compensatory

Required when one cannot control/monitor their environment Nurse accomplishes patients therapeutic self-care

Partly compensatory

Required when one is unable to perform some but not all self-careactivities

Nurse and patient work together to meet patients self-care needs Supportive-educative

Required when one needs to learn to perform self-care activities &needs assistance to do so

Patient provides necessary self-care and nurse supports/educates clientin development of self-care agency

Sources: Berman, Snyder, Kozier & Erb (2008)Meleis (1997)


8/11

SCDNT and Research

Jenny, J. (1991). Self-care deficit theory and nursingdiagnosis: A test of conceptual fit.Journal of NursingEducation, 30(5), 227-232.

Kumar, C. P. (2007). Application of Orems self-caredeficit theory and standardized nursing languages in acase study of a woman with diabetes. International

Journal of Nursing Terminologies and Classifications,

18(3), 103- 110.Moore, J. B. (1993). Predictors of childrens self-care

performance: Testing the theory of self-care deficit.Scholarly Inquiry for Nursing Practice, 7(3), 199-212.


9/11

SCDNT Applied to Nursing Practice Burks, K. J. (1999). A nursing practice model for chronic

illness. Rehabilitation Nursing,24(5), 197-200.

Frey, M. A. & Fox, M. A. (1990). Assessing and teachingself-care to youths with diabetes mellitus. Pediatric

Nursing, 16, 597-800.

Geden, E. A., Sang-Arun, I., & Taylor, S. (2001). Self-caredeficit nursing theory and the nurse practitioners practice.

Nursing Science Quarterly, 14(1), 29. Harrison-Raines, K. (1993). Nursing and self-care theory

applied to utilization review: Concepts and cases.AmericanJournal of Medical Quality, 8(4), 197-199.


10/11

Application of SCDNT To My

PracticeAs a nurse educator, I can use SCDNT to help students

identify when patients should receive help to meettheir heath care needs. In addition, this theoryidentifies to what degree the client needs help. Ibelieve in allowing an individual to do what they canfor themselves and to support those efforts the best Ican. Finally, SCDNT identifies the concept ofeducating clients, an important role of theprofessional nurse.


11/11

Application of SCDNT to my

nursing professionAs a Registered Nurse Case Manager is use Orems Self

Care Deficit Nursing Theory while assisting patientsand families in discharge planning. I am able toprovide education and the tools needed to allow thepatient to care for themselves. Families areincorporated in the teaching and are willing to learnhow to assist or allow the patient to care for

themselves. SCDNT describes the professional nurseas an educator but also how to provide the knowledgethat will allow the patient to care for themselves.

grp 2 scdntfinal (1)

Documents