APPLICATION OF NURSING THEORY TO CLINICAL PRACTICE

The purpose of this paper is to discuss the application of Orem's Self-Care Model of Nursing (see: Orem, Taylor & McLaughlin, 2003) to clinical nurse practice. The central thesis of the paper is that Orem's theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem's theory.

The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem's self-care notions. The next section of the paper presents a historical overview of the evolution of Orem's theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory's usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A.

Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003

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sting research in a wide variety of areas of scientific inquiry (Curd & Cover, 1998). Historical Overview of the Evolution of Orem's Self-Care Model In the latter half of the twentieth century, a movement within nursing began to define itself as a profession rather than an occupation. Nursing became a self-regulated profession throughout North America in the early 1960's through the establishment of Nursing Acts in provincial and state legislatures. Thus, nurses were given the legal authority to define, monitor and enforce education and competence standards, and define a code of ethics with the overall purpose of protecting the public interest. Further, a good deal of attention began to increasingly focus on nursing theory. Thus, it was upon the foundation of conceptualizing the professional nature of nursing as a field of medical practice that Orem's theory was laid. Regarding the theory itself, Alligood and Marriner-Tomey (2001) state that Orem's Self-Care theory, as it was originally conceived in 1959, was a systems model which the authors define as a conceptual model of nursing that focuses on the organization, interaction, and interdependency of the elements and parts of the medical system in general and the nursing prof
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Approximate Word count = 1798
Approximate Pages = 7 (250 words per page)

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