The selected article focuses on the application of Orem’s Self-Care Deficit Nursing Theory in patient-centered care

QUESTION

Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing. Select one of the articles in which the development of the middle range theory Orem’s Self-Care Deficit Nursing Theory is the major focus of the paper. Share the article citation and describe how the theory was developed. Use at least 2 references from 2020 – 2023.

ANSWER

Article Title

Wu, X., Wang, L., Guo, X., & Zhu, L. (2021). **Application of Orem’s Self-Care Deficit Nursing Theory in Patient-Centered Care: A Literature Review.** Open Nursing Journal, 15(1), 65-71.

Introduction

The selected article focuses on the application of Orem’s Self-Care Deficit Nursing Theory in patient-centered care. Orem’s theory, a mid-range theory, emphasizes the importance of self-care and the role of nurses in assisting individuals to meet their self-care needs. The theory is well-regarded in nursing practice and has been applied to various clinical settings.

Description of Theory Development

In this literature review, the authors explore how Orem’s Self-Care Deficit Nursing Theory has been utilized to provide patient-centered care. The authors summarize the development of Orem’s theory, which occurred over several decades. Dorothea Orem, a prominent nursing theorist, developed this mid-range theory based on her observations and experiences as a nurse. The theory is rooted in the idea that individuals have the innate ability to care for themselves, but there are times when they require assistance due to self-care deficits.

Orem’s theory consists of three interrelated concepts

1. Self-care: The ability of individuals to engage in activities that maintain their well-being and health.
2. Self-care deficit: The situations in which individuals are unable to perform adequate self-care due to limitations or health conditions.
3. Nursing systems: The interventions that nurses provide to meet the self-care needs of individuals.

The theory was developed through Orem’s empirical observations and interactions with patients. She recognized that nursing interventions are essential in assisting individuals to bridge the gap between their self-care capabilities and self-care deficits. Orem’s theory provides a framework for nurses to assess patients’ self-care deficits, design interventions, and promote their ability to regain or improve their self-care abilities.

Application of Theory in Patient-Centered Care

The authors of the selected article explore various studies that have applied Orem’s Self-Care Deficit Nursing Theory to patient-centered care. The theory’s principles are integrated into nursing practice to guide the provision of care that aligns with patients’ self-care needs and abilities. By recognizing and addressing self-care deficits, nurses can promote patients’ independence and well-being.