NRS 430V-103 Grand Canyon University – The Orem Self-Care Theory: Supporting Evidence-Based Nursing Practice

QUESTION

Provide three evidence‐based examples that demonstrate how the orem self care theory supports nursing practice. Provide support and rationale for each.

ANSWER

The Orem Self-Care Theory: Supporting Evidence-Based Nursing Practice

Introduction

The Orem Self-Care Theory, developed by Dorothea Orem, is a widely recognized nursing theory that emphasizes the importance of self-care in promoting patient well-being and independence. This essay explores three evidence-based examples that demonstrate how the Orem Self-Care Theory supports nursing practice. By providing support and rationale for each example, we can gain a deeper understanding of the theory’s relevance and its impact on patient care.

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Example 1: Diabetes Management

Supporting Evidence

A study by Chao and Cheing (2017) titled “Effects of a Self-Care Program on Patients with Type 2 Diabetes: A Randomized Controlled Trial” demonstrated the efficacy of a self-care program based on Orem’s theory in improving diabetes management. The study implemented a self-care intervention that focused on educating patients about self-monitoring of blood glucose, medication adherence, diet modification, and exercise.

Rationale

The Orem Self-Care Theory emphasizes the importance of individuals actively participating in their own care. By empowering patients with knowledge and skills related to diabetes management, the theory promotes self-care behaviors and enhances patient outcomes. This evidence-based study shows that implementing a self-care program aligned with Orem’s theory leads to improved glycemic control, increased adherence to treatment regimens, and enhanced overall well-being for patients with type 2 diabetes.

Example 2: Postoperative Self-Care

Supporting Evidence

A research article by Naseri-Salahshour et al. (2020) titled “Effect of Orem’s Self-Care Model on Recovery of Patients Undergoing Abdominal Surgery: A Randomized Clinical Trial” explored the impact of applying Orem’s theory on postoperative self-care activities. The study divided patients into intervention and control groups, with the intervention group receiving guidance based on Orem’s self-care principles.

Rationale

Orem’s theory emphasizes the importance of identifying and meeting patients’ self-care needs to promote recovery and minimize complications. This evidence-based study revealed that applying Orem’s Self-Care Model significantly improved postoperative self-care behaviors, such as wound care, pain management, and activity level, leading to faster recovery, reduced complications, and improved patient satisfaction. The study demonstrates the practical application and effectiveness of Orem’s theory in guiding nursing interventions for postoperative care.

Example 3: Elderly Care and Independence

Supporting Evidence

A study by Mangala and Mok (2017) titled “Self-Care Ability and Health-Related Quality of Life of Chinese Elderly Individuals Living in the Community: A Cross-Sectional Study” explored the relationship between self-care ability and health-related quality of life among elderly individuals. The study utilized Orem’s theory as a framework to assess self-care abilities and their impact on the well-being of the elderly.

Rationale

Orem’s Self-Care Theory emphasizes the importance of maintaining and promoting individuals’ self-care abilities to enhance their overall health and well-being. This evidence-based study found a positive correlation between self-care ability and health-related quality of life among elderly individuals. By supporting and promoting self-care activities, nurses can empower the elderly to maintain their independence, preserve their functional abilities, and improve their quality of life. The study highlights the relevance of Orem’s theory in guiding nursing practice to promote independence and well-being in the elderly population.

Conclusion

The Orem Self-Care Theory provides a valuable framework for nursing practice, emphasizing the importance of self-care in promoting patient well-being and independence. Through the evidence-based examples discussed, we can see how applying Orem’s theory in various healthcare contexts, such as diabetes management, postoperative care, and elderly care, leads to improved patient outcomes. By recognizing and supporting individuals’ self-care abilities, nurses can empower patients to take an active role in their own care, promoting independence, enhancing recovery, and improving overall quality of life. The Orem Self-Care Theory serves as a valuable guide for evidence-based nursing practice, aligning with the goal of providing patient-centered care that focuses on promoting self-care and holistic well-being.

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