Self Care Deficit Theory Analysis

The theory is applicable to my practice as it established the level of the nursing interventions required to meet the patient needs utilizing the nursing care process which incorporates assessment, identifying nursing diagnosis, setting patient care goals, interventions, implementation and evaluation of the care provided. The utilization of the nursing care process in the planning of patient care ensures that the theory is congruent with other nursing theories. I also find the theory to be important in my practice as it is applicable in a wide range of patients. Describe the theorist's background. The care of patients is a delicate task that aims to improve both the patient’s health outcomes as well as ensuring that they have a positive experience of the care environment.

Other nursing theorists that have written off the basis of self-care deficit theory include Jean Watson who describes nursing as a caring interrelationship between the nurses and the patient and one that impacts on the provision of holistic patient care based on the nursing process similar to the Orem’s theory. Other authors allude to self-care deficit theory include the goal-directed Kingdom’s theory of nursing among others. Identify the phenomenon of concern or problems addressed by the theory. The theory of self-care deficit is founded on the basis that patients should be independent in meeting their care needs. It identifies that due to injury of the impact of the disease process, patient, may be limited in meeting their needs with the level of limitation being individualized (Abotalebidariasari, Memarian, Vanaki, Kazemnejad & Naderi, 2016).

The theory nursing system describes how the self-care deficit needs will be addressed. The nursing system theory describes that the patient self-care deficit can be met either by the nurse alone (wholly compensatory) such as when the nurse cleans, turns and dresses a bedridden patient incapable of moving, nurse and the patient (partial compensatory) such as when the nurse assists the patient to go to the toilet or with feeding or through supportive educative interactions such as when the nurse educates a patient on safe medication adherence (Didisen, Binay & Yardimci, 2017). Theory Description Explain whether the theory uses deductive, inductive or retroductive reasoning. Deductive reasoning is a process that initiates with the formulation of a hypothesis and further assesses the ability to reach a specific conclusion that is logic (Aneta & Jerzy, 2013).

Dorothea Orem’s self-care deficit theory utilizes deductive reasoning. The person interacts with the nurse/nursing in order to achieve the self-efficacy needed to attain self-care. The environment is defined as the surrounding factors that affect the ability of the person to develop independence and can be physical, psychological or social. To attain positive patient outcomes, conducive environment must be incorporated in patient care such as ensuring caring and supportive social systems among others. Health is the ultimate concept that gels together the other concepts in the theory. Health is defined from the perspective of the patient as what the patient considers to be health and hence which determines their deliberate efforts in care and in attaining independence. Each concept is dependent on the other and a dysfunction of any of the concepts impacts negatively on the health outcomes of the patient (Nursing theory, n.

d. The interdependence of the concepts is critical to the holistic attainment of the patient needs and independence. Evaluation Assumptions of the theory The theory assumes that people ought to be in charge of their own care as well as that of their family members requiring care, this assumption builds the theory’s underpinning of self-care where the patient is in control of their own care needs. Another assumption is that people are distinct individuals. Did it have lucidness and consistency? The self-care deficit theory utilizes the three parts of self-care, selfcare deficit and nursing systems to describe the underpinnings of the theory. The theory further incorporates the different assumptions and the nursing care system through which patient needs of care are identified, prioritized and intervened.

The definitions and integration of the three parts of the theory into patient care can be confusing but understandable with practice for providers if not well conversant with the theory or the nursing process and systems. The applicability of the parts, however, may be difficult to differentiate between in guiding the care of patient and more so in applying it to patients with dynamic states such as rapidly shifting patient presentations in care. The theory in its definition of concepts and approaches of patient care is consistent and easy to understand. Through the stages of discharge care planning the theory can be utilized to analyse the strengths of self-direct care in patients and developing self-efficacy in patients to enable them or their families or care givers provide quality care preventing readmission.

Application to my practice Practice within the medical surgical oncology ward involves the caring of patient who suffer from a chronic illness. The care for these patients often involves ensuring that there are effective nurse-patient rapport to be able to identify actual patient concerns for care. The self-care deficit theory is an important theory in my practice as it involves building capacity for the patients to sustain self-care and independence so as to enable them cope effectively with the chronic disease. Involving patients in their own care enables them to participate in their care and improves their care outcomes.  Journal of Critical Care Nursing, 10(1). doi: 10. 5812/ccn. 9150 Aneta, K. , & Jerzy, P. , Rasmussen, P. , Wiechula, R. , Conroy, T. , & Kitson, A. Developing effective and caring nurse-patient relationships.