Orem’s Theory and Family Nursing_____________________________________________Lisa HunteDiana LancasterElizabeth HeimJennie ScottSusan BurnellUniversity of PhoenixNUR542Christina MartinOctober 17, 2008 :Orem’s Theory and Family Nursing_____________________________________________Lisa HunteDiana LancasterElizabeth HeimJennie ScottSusan BurnellUniversity of PhoenixNUR542Christina MartinOctober 17, 2008 1914 - 2007


Introduction :Introduction History of Orem’s theory Rationale & major concepts Assumptions about family & nursing Use in family nursing Process of family assessment


Introduction cont’d :Introduction cont’d Critique of theory Strengths & Weaknesses Past use in research Future research needs


Dorthea Orem’s Education :Dorthea Orem’s Education BSN 1935 MSN 1945 Doctorate of Science 1976


Orem’s Nursing Experience :Orem’s Nursing Experience Staff nurse Private duty nurse Nurse Educator Nurse Administrator Nurse Consultant


Orem’s Development of Nursing Theory :Orem’s Development of Nursing Theory


Orem’s rationale for theory :Orem’s rationale for theory ….to “define nursing’s domain and boundaries and to articulate a field of knowledge for nursing” (Fitzpatrick & Whall, 2005, p. )


Major Concepts:Orem’s Theory of Self-Care Deficit :Major Concepts:Orem’s Theory of Self-Care Deficit Nursing Human being Health Environment


Orem’s Model of Self-Care :Orem’s Model of Self-Care


Orem’s Self-Care Theory & Family Nursing :Orem’s Self-Care Theory & Family Nursing “The family is a basic conditioning factor that influences individual self-care systems” (Taylor, 2001, p. ).


Orem’s Theory & Family Nursing: Assumptions :Orem’s Theory & Family Nursing: Assumptions An individual develops self-care ability through the experience of family Nurse’s job is to assess these self-care abilities


Why use Orem’s theory for Family Nursing? :Why use Orem’s theory for Family Nursing? Family members teach each other self-care measures Family support important in determining level of self-care Adequate support systems, income, and family living conditions increase self-care abilities.


How can Orem’s theory guide the family nursing process? :How can Orem’s theory guide the family nursing process? Provides structure for assessment Bases plan of care on capabilities of individual and family


Process of Family Assessment :Process of Family Assessment


Applicability to Advanced Practice Nursing :Applicability to Advanced Practice Nursing Focuses on self-care requisites Identifies therapeutic self-care demands Improves self-care agency Assists patients and families to develop self-care systems


Applicability to Different Cultures :Applicability to Different Cultures Shifts responsibility to families, away from professionals Provides unique opportunities for holistic care Assures individual and family needs are fully assessed


Research Potential :Research Potential Use as research instrument: questionnaires Use in education as conceptual framework


Past Use in Research :Past Use in Research


Future Research Needs :Future Research Needs Current use in research: family as “context” or “conditioning factor” for individual Needed use in research : family and individual studied as one unit (Taylor, 2001)


References :References