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Nursing Theories

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The systematic accumulation of knowledge is essential for the progress in any career. However, theory and practice should be continuously interactive (May& Anne, 2011). In nursing, various theories explain different aspects concerning the responsibilities of a nurse and that of a patient. Among the theories which explain these responsibilities is that of Dorothea Orem known as the self-care deficit theory. This approach comprises of three sub-theories which are: self-care, self-care deficit and the theory of nursing systems.

From the self-care sub-theory, Dorothea talked about various practices that patients initiate and perform on their behalf to maintain life, health, and well-being. According to this theory, self-care can be conditioned by different aspects like; available resources, life experience, socio-cultural orientation, developmental state and so forth.

In the self-care deficit, Orem pointed out that when a self-care demand outweighs the self-care abilities, nursing is required (May& Anne, 2011). In the theory of nursing system, Dorothea says that a nurse provides care because the patients are not able to care for themselves. She also explained three different types of nursing systems that can meet the patient’s self-care requisite.

 The first system is known as the wholly nursing system. From this system, patient depends ultimately on the nurse for care. An example is a major stroke patient. The second system is known as Partly Compensatory Nursing System (May& Anne, 2011). This is a system whereby the patient can slightly care for some of their needs but still requires the nurse to care for them. An example is a pneumonia patient who can feed himself. The third is the support-educative nursing system. In this situation, patients can care for themselves but still needs education and support. Example is when a nurse goes to the patient’s residential area to teach him or her how to care for a wound so that they do not depend on nursing

There is a strong connection between Dorothea’s theory and my profession. The theory is fundamental to me because it covers some aspects which I expect to learn in my nursing course. As I undertake this course, I shall be relying on the concept of this theory because I believe it can assist in becoming a nurse who provides patients with therapeutic interventions through providing proper assistance and guidance in meeting the essential needs of the patients until they recover.

 The theory comprises some of my personal principles which I always believe are fundamental in my profession. For example, Dorothea says that a nurse provides care because the patient is not able to care for himself.  In my life, I always presume that it is the responsibility of a nurse to save lives by ensuring patients gets the best care. The three requisites mentioned by Dorothea also relates to how I believe the caring system should be.

Dorothea’s theory of self-care is imperative in my future nursing career because it gives me an overview of how nursing should be practiced. From the theory, I was able to learn that provision and assistance of the patient’s satisfaction of self-care requisites is crucial. I also learned that it is the responsibility of the nurse to ensure the patient is given full care and support in situations where he or she cannot care for himself.

The concept of this theory has enabled me to know the better ways of practicing my nursing career in future. For example, I realized that it is important always to identify the self-care deficits and self-care abilities once a nurse meets a new patient. With the help of this theory and other validated theories, principles, and laws, I shall be able to carry my duties as expected and achieve my dreams of saving as many lives as possible through providing better caregiving practice.

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