Nurs Forum. 2022 Jan 17; doi: 10.1111/nuf.12696. Epub 2022 Jan 17.

Orem's nursing self-care deficit theory: A theoretical analysis focusing on its philosophical and sociological foundation.

Nursing forum

Maki Tanaka

PMID: 35037258 DOI: 10.1111/nuf.12696

Abstract

BACKGROUND: The self-care deficit nursing theory (SCDNT) advocated by Dorothea E. Orem is widely known and used in nursing practice worldwide. However, its broader philosophical and sociological context is often ignored.

DESIGN: The theoretical analysis of Orem's SCDNT reported in this article focuses on four aspects of the theory: its essential structure/core values, affirmation of nursing as a practical science, philosophical foundations, and the sociological context surrounding its development.

RESULTS: By interpreting the SCDNT from a philosophical and sociological viewpoint, it can be concluded that Orem established human-to-human nursing as a science premised on the existence of human beings as the central value of the theory. Moreover, Orem emphasized that the human-to-human relationship necessarily precedes the nurse-patient interface.

CONCLUSION: The new interpretation and evaluation perspectives presented in this report may further the understanding of Orem's SCDNT. Moreover, they highlight the multifaceted aspects of nursing practice and role of person-to-person relationships as the basis of the SCDNT.

© 2022 Wiley Periodicals LLC.

Keywords: health literacy; social determinants of health; theory

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