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CU 7 Rogers Orem King Final
CU 7 Rogers Orem King Final
CU 7 Rogers Orem King Final
MODULE 7
MARTHA ROGERS
DOROTEA OREM
IMOGENE KING
Martha Rogers: Science of
Unitary Human Beings
Background
• Martha E. Rogers was born in 1914 in Dallas, Texas.
• She received her nursing diploma from the Knoxville General
Hospital School of Nursing in 1936, then earned her Public
Health Nursing degree from George Peabody College in
Tennessee in 1937.
• Her Master’s degree was from Teachers College at Columbia
University in 1945, and her Doctorate in Nursing was earned at
from Johns Hopkins University in Baltimore in 1954. Rogers
died on March 13, 1994.
• Rogers worked as a professor at New York University’s School
of Nursing.
• She was also a Fellow for the American Academy of Nursing.
• Her publications include: Theoretical Basis of
Nursing (1970), Nursing Science and Art: A
Prospective (1988),Nursing: Science of Unitary, Irreducible,
Human Beings Update (1990), and Vision of Space Based
Nursing (1990).
Homodynamic
principles
Resonance is an arrangement for human and
environment that undergo transformation
• She published her theory in 1959 for the first time and
revised in 1971, 1983, 1987, and 2001. Her
contributions enabled her to achieve Excellency from
prominent societies like Sigma Theta Tau
International Society, the National League for
Nursing, and the American Academy of Nursing.
Orem
Philosophy
“Nursing is the ability to care for another human
being, most importantly when they are unable to
care for themselves. The ultimate goal is
achieving an optimal level of health and
wellness for our patients”. Orem (1971)
Concepts of Orem’s
Model
1. The Self-Care Deficit Theory developed as a result of working
toward her goal of improving the quality of nursing in general
hospitals in her state.
2. The model interrelates concepts in such a way as to create a
different way of looking at a particular phenomenon.
3. The theory is relatively simple, but generalizable to apply to a
wide variety of patients.
4. It can be used by nurses to guide and improve practice, but it
must be consistent with other validated theories, laws and
principles
Concepts and Definition
The self-care deficit nursing theory is a general theory composed of the
following four related theories
• The theory of self-care, which describes why and how people care for
themselves
• The theory of dependent-care, which explains how family members
and/or friends provide dependent-care for a person who is socially
dependent
• The theory of self-care deficit, which describes and explains why
people can be helped through nursing
• The theory of nursing systems, which describes and explains
relationships that must be brought about and maintained for nursing
to be produced
Theory of Self
Care
“Self –care comprises the practice of activities
that maturing and mature persons initiate and
perform, within time frames, on their own
behalf in the interest of maintaining life,
healthful functioning, continuing personal
development and well-being through meeting
known requisites for functional and
developmental regulations.
The Theory of Self-Care has three components:
universal self-care needs, developmental self-
care needs and health deviation.
3 Components of Self
Care
• Universal Self Care Needs
Air, food, water, elimination/excretion, activity & rest,
solitude /social interaction, functioning/well being, normalcy
• Developmental Self Care Requisites: more specific to the process
of growth and development and are influenced by what is
happening during the life cycle, It can be positive or negative.
• Health Deviation Self Care Requisites: When a condition
permanently or temporarily alters structural, physiological or
psychological function
Self Care
Research
has achieved a significant level of The SCDNT was introduced as the using the SCDNT or components,
acceptance by the international basic structure for nursing Biggs (2008) found more than 800
nursing community, as evidenced management in German hospital references. Berbiglia identified
by the magnitude of published DRG (diagnosis-related group) selected practice settings and
material and presentations at the implementation. The movement SCDNT conceptual foci from a
International Orem Society World toward SCDNT-based nursing review of more than 3 decades of
Congresses management. use of the SCDNT in practice and
research and publicized selected
The influence of Orem’s SCDNT has international SCDNT practice
continued at the international level models for the twenty-first century
through the translation of Nursing
Concepts of Practice into several
languages.
Analysis of the Theory
• It is used in curriculum
• Individualized the plans of It is design and
design in nursing
care while encouraging conducted to
programs
active participation from implement this
• It provides a systematic
clients system in hospital,
means of viewing
• The profession of nursing ambulatory,
nursing as profession,
function through community and
an organize body of
individuals and groups home care nursing
knowledge and
within the environment clarifying nursing as
discipline
Analysis of the
theory
1. Clarity- Theory of Goal Attainment is the ease with which it can be
understood by nurses. Concepts are concretely defined and illustrated.
2. Simplicity- King’s definitions are clear and are conceptually derived from
research literature.
3. Generality – It has been criticized for having limited application in areas of
nursing in which patients are unable to interact competently with the nurse.
4. Accessibility - A descriptive study was conducted to identify the
characteristics of transaction and whether nurses made transactions with
patients
5. Importance- middle-range Theory of Goal Attainment focused on all aspects
of the nursing process: assessment, planning, implementation, and
evaluation. The body of literature clearly establishes King’s work as
important for knowledge building in the discipline of nursing.
Application to
Nursing
1. Communication between nurse and patient is the cornerstone of the interpersonal
system and the most important prerequisite for transaction to occur. It can be
established both verbally and nonverbally.
2. A middle-aged female patient referred to the emergency room with weakness and
feebleness. The attending physician gave the diagnosis of acute pulmonary edema.
Emergency staffs needed to start invasive interventions to manage her acute condition.
However, they failed to understand her conditions and did not provide her with
adequate treatment-related information. She did not give consent for treatments and
treatments were not administered. This example shows that nurses and physicians
need to give high priority to the establishment of effective communication with patients
to help them make wiser decisions to retain their own health as their main goal.
Moreover, they need to allow patients articulate their perceptions of their illnesses,
personal illness-related experiences, and the level of their stress. It is only in this way
that nurse and patient can help each other and create a favorable environment for
decision-making.. Consequently, the goal of health is attained when both sides of
relationship properly interact with each other and collaboratively work together to attain
their goals.
HAVE A NICE DAY TO ALL