In this column, Biggs updates the state of the science of Orem's self-care model and attendant theories, focusing primarily on research completed between 1999 and 2007. She notes that many of the problems identified in the 2000 state of the science column by Taylor and colleagues persist, such as failure to follow through in using Orem's work to inform the total research study, not just mentioning a theory or concept in passing. However, there is a clear indication of a substantial body of research appropriately framed within Orem's theories that bodes well for ongoing use and development of her work.
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Update on research framed in Orem's model.
Nurs Sci Q
July 2008
Hunter-Bellevue School of Nursing, Hunter College/City University of New York, New York 10010-2590, USA.
In this column, Biggs updates the state of the science of Orem's self-care model and attendant theories, focusing primarily on research completed between 1999 and 2007. She notes that many of the problems identified in the 2000 state of the science column by Taylor and colleagues persist, such as failure to follow through in using Orem's work to inform the total research study, not just mentioning a theory or concept in passing. However, there is a clear indication of a substantial body of research appropriately framed within Orem's theories that bodes well for ongoing use and development of her work.
View Article and Find Full Text PDFThe necessity to care by theoretical thinking and a scientific method is recognized. We have to abandon the task-oriented care model in order to consider a method based on theory to guide our practice. The importance of a Nursing theory depends on its utility in caring and in the disciplinary development.
View Article and Find Full Text PDFDeveloping a supportive-educative program for patients with advanced heart failure within Orem's general theory of nursing.
Nurs Sci Q
February 1999
Maastricht University, The Netherlands.
Recovery from heart failure and coping with the effects of this serious condition has a major impact on the self-care demand of patients with heart failure. To prevent potential self-care deficits, education and support are important issues in nursing care. The purpose of this article is to describe the development of a supportive-educative program that is designed to enhance self-care abilities of patients with heart failure.
View Article and Find Full Text PDFFive hospitalized patients in different stages of Alzheimer-type dementia were monitored by unstructured, direct observations during morning care. Orem's model of nursing as a compensation for the patient's lack of self-care capabilities was used as a frame of reference for an analysis of the behaviours of patients and nurses during morning care. A 12-step classification system was developed to be used as a guide to understand and determine abilities essential for performance of morning care for demented patients.
View Article and Find Full Text PDFThis article focuses on the behavioral problems and care needs of elders with dementia and on the associated burden and suffering that can occur within the family unit. The authors explore these complex issues and suggest take-charge strategies to assist the nurse. Adopting Orem's self-care theory as the frame of reference, they describe the clinical manifestations of dementia and outline environmental, behavioral and medication options.
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