Peer Response:
Length: A minimum of 180 words per post, not including references
Citations: At least two high-level scholarly reference in APA per post from within the last 5 years
In this project, I’ve opted to employ Orem’s self-care deficit theory within the realm of nursing practice to elucidate the interconnection between various concepts. Central to Orem’s theory is the notion that patients must possess accurate information and understanding regarding their chronic illness. It is imperative for patients to comprehend the factors contributing to their current health status (Khademian et al., 2020). Orem’s self-care theory holds a prominent place in nursing practice due to its ability to elucidate how deficiencies in self-care can contribute to both present and future health issues for patients. Moreover, this theory facilitates the evaluation of a patient’s current self-care capabilities, enabling healthcare providers to develop personalized care plans aimed at assisting patients in addressing these challenges effectively (Fotokian et al., 2021).
The nursing aspect within Orem’s self-care theory is crucial. Nurses serve as the facilitators of self-care agencies, imparting essential knowledge and skills to patients regarding their conditions and the significance of self-care in managing their health effectively. By educating patients and guiding them to enhance their self-care capabilities, nurses empower individuals to take an active role in their own care, ultimately promoting better outcomes and improved well-being. Dorothea Orem developed her self-care theory in the 1950s and published her first book on the subject, “Nursing: Concepts of Practice,” in 1971. The Orem Self-Care Model indeed emphasizes promoting patient independence to the highest extent feasible. It involves providing compensatory care for individuals with varying degrees of self-care deficits, while also encouraging active patient participation in their own self-care routines. By enhancing patients’ self-care skills, the Orem model aims to improve their overall quality of life (Li et al., 2023)
This theory will serve as the guiding framework for evaluating hypertension among Hispanics and its potential resolution through lifestyle changes. Orem’s theory underscores the ongoing communication between humans and their environment for survival. Individuals are capable of intentional action, as demonstrated by their ability to identify needs and make decisions independently. Human intervention is pivotal in recognizing, developing, and disseminating methods for addressing needs, both for oneself and others. Additionally, organized groups with structured relationships allocate roles and responsibilities to provide care for those who may lack the capacity for independent decision-making (Gligor & Domnariu, 2020).
According to this theory, the first step in nursing practice is to establish a trusting and therapeutic relationship between the nurse and patient. This relationship is essential for the nurse to assess the lifestyle factors contributing to the patient’s high blood pressure. Patients must feel that their provider genuinely cares about them to fully trust them, which can be achieved through a therapeutic relationship.
Furthermore, Orem’s theory suggests that hypertension among Hispanics may stem from various sources, including unhealthy lifestyle choices and other factors hindering blood pressure control, such as physical, psychological, environmental, and social influences. By understanding these multifaceted contributors, nurses can develop tailored interventions aimed at reducing hypertension rates among Hispanics.
This approach adopts Orem’s theory as a framework for critical thinking, which involves four stages: identifying the problem, creating an appropriate plan to address it, implementing the plan, and evaluating the outcome.
References
Burnier, M., & Egan, B. M. (2019). Adherence in hypertension. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/circresaha.118.313220
Fotokian, Z., Nasresabetghadam, S., Jahanshahi, M., Nasiri, M., & Hajiahmadi, M. (2021). The effects of orem’s self-care theory on self-care behaviors among older women with hypertension: A randomized controlled trial. Nursing and Midwifery Studies, 10(2), 100. https://doi.org/10.4103/nms.nms_9_20
Gligor, L., & Domnariu, C. (2020). Patient care approach using nursing theories – comparative analysis of orem’s self-care deficit theory and henderson’s model. Acta Medica Transilvanica, 25(2), 11–14. https://doi.org/10.2478/amtsb-2020-0019
Khademian, Z., Ara, F. K., & Gholamzadeh, S. (2020). The effect of self care education based on orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: A quasi-experimental study. IJCBNM, 8(2).https://doi.org/10.30476/ijcbnm.2020.81690.0
Li, X., Zhang, K., Xu, D., & Xu, Y. (2023). The effect of orem’s nursing theory on the pain levels, self-care abilities, psychological statuses, and quality of life of bone cancer patients. American journal of translational research, 15(2), 1438–1445. https://pubmed.ncbi.nlm.nih.gov/36915789/