This is an assignment for NURS 502 at Bowie State University. The file is too large to post on Angel, and so I put it online.

1. OREM’S SELF-CARE DEFICIT
NURSING THEORY
(SCDNT)

2. Overview of
Learning Objectives
Presentation
-Background & origins
 Identify the three theories contained in
SCDNT.
-Metaparadigms
-Theories and concepts
 Describe how the concepts interrelate.
-Relationships
-Model of SCDNT
 Understand the SCDNT’s impact on
-Critique of SCDNT research, practice and administration.
-Applications
-Impact on FNP practice  Discuss how to integrate SCDNT into
family nurse practitioner practice.
-Summary

3. Background of Dorothy Orem
Education and Experience Paradigmatic Origins
 Born in Baltimore, MD (1914-2007)
 Orem does not name a theory as the
basis of SCDNT
 Diploma from Providence Hospital
in D.C. BSN & masters from
Catholic University  Uses modern realism to describe
nursing as a practical science
 Worked as staff nurse,
administrator, educator and theorist
 Credits Harnet’s work on deliberate
action for impacting her
 Published work on nursing theory
from 1971 until death in 2007 understanding of self-care

4. Metaparadigms of SCDNT
 Human- A man/woman/child with free will and ability
to love and learn
 Nursing- An art . A nurse provides care for one who
cannot provide that care for his/her self
 Environment-Where the human exists
 Health- Structural functionality, a state of well-being,
with the ability to communicate and reflect.

5. SCDNT Theories
SCDNT is comprised of three separate theories:
 Self-care theory
 Self-care deficit theory
 Nursing systems theory

6. Concepts
of Self-Care  Self-care
 Self-care agency
 Self-care requisites
 Universal self-care requisites
 Developmental self-care requisites
 Health deviation requisite
 Therapeutic self-care demand

7. Concepts of Self-Care Concepts of Nursing
Deficit Systems
 Acting/doing for  Wholly compensatory
others
 Guiding others  Partially compensatory
 Supporting others
 Teaching another  Supportive/
 Providing an Educational
environment
promoting personal
development

8. Relationships
 Self-care theory describes how a healthy person keeps
themselves healthy. A person does not need nursing
care if providing adequate self-care.
 Self-care theory and self-care deficit are related when a
person does not provide adequate self care. Nursing
then assists a person with their needs.
 The nursing systems theory describes how much
nursing care is given in response to the self-care
deficit.

9.  People have a responsibility to provide self-
Assumptions of care and family member care (dependent-
SCDNT care)
All theories have  Humans are individuals
basic beliefs that
must be accepted for
 Nursing is an interaction between two or
a theory to be valid.
more individuals
 Self-care is necessary for health
 Potential health care problems must be
known
 Self-care is taught, and learning is
influenced by culture

10. SCDNT Model
Theory of Nursing System
Wholly
Compensatory
• Patient needs
complete Theory of Self-Care Deficit
nursing
Nursing activities
Partially
Compensatory • Acting for
• Guiding
• Patient needs
• Supporting
Self-Care Theory Self-Care
some nursing Requisites
care • Educating
• Providing Therapeutic • Universal
Self-Care Self-Care
environment for Self Care • Developmental
Agency Practices
development Demand • Health
Supportive/ Deviation
Educative
• Patient needs
guidance

11. Merriner-Tomey Analysis
 Simplicity- Concepts are well defined, and readily
applicable to practice
 Generality- Can be generalized across many aspects of
nursing, but focuses on ill patients
 Testable- Components of theory have been tested
successfully. Entire theory not yet tested
 Derivable Consequences- SCDNT has lasting impact
on practice, and is the basis for nursing curricula at
university level.

12. Applications
 Research- Used as the  Administration- Used
source for testable to analyze nursing
hypothesis in research systems for resource
studies allocation.
 Education- Used as  Practice- Self-care
basis of curricula in deficits are a source of
nursing education nursing diagnosis
 Impaired mobility

13. Family Nurse
Practitioner
Impact
 Self-care agency
 Self-care deficit in diagnosis
 Nursing systems

14. Summary
 Orem has educational background in DC.
 Orem’s SCDNT comprised of three theories:
 Self-care, self-care deficit, and nursing system.
 The theory of nursing systems is dependent on the theory of
self-care (what the patient can do), self-care deficit (what
nursing can d0) to describe to what extent nursing is involved.
 SCDNT impacts daily practice, research, administration, and
education.
 A FNP uses SCDNT while deciding a treatment plan .

15. Questions
 What three theories comprise SCDNT?
 How do those three theories interrelate?
 Give an example of how SCDNT is used in FNP
practice.
 Describe how the SCDNT is related to research.
 Why do you think SCDNT is used as a base for nursing
curriculum at many schools?

16. References
 Banfield, B. (2011). Environment: A perspective of the self-care deficit nursing
theory. Nursing Science Quarterly 24(2), 96-100.
 Banfield, B. (2008). Philosophic position on the nature of human beings
foundational to Orem’s self-care deficit nursing theory. Self-care, Dependent-
Care Nursing, 16(1), 33-40.
 Denyes, M., Orem, D., Bekel, G. (2001). Self-care: A foundational science.
Nursing Science Quarterly 14(1), 48-54. doi: 10.1177/089431840101400113
 Dorothy Orem’s self-care theory. (2011). Retrieved November 22, 2011, from
http://currentnursing.com/nursing_theory/self_care_deficit_theory.html
 Hohdorf, M. (2010). Self-care deficit nursing theory in Inglostadt- An
approach to practice development in nursing care. Self-Care, Dependent-Care
Nursing, 18(1), 19-25.
 McEwen, M. & Wills, E. (2011). Theoretical Basis for Nursing (3rd ed).
Philadelphia: Lippincott Williams & Wilkins.
 Orem, D., & Taylor, S. (2011). Reflections on nursing practice science: The
nature, the structure, and the foundation of nursing sciences. Nursing Science
Quarterly 24(1), 35-41. doi: 10.1177/0894318410389061
 Ransom, J. (2008). Facilitating emerging nursing agency in undergraduate
nursing students. Self-Care, Dependent-Care Nursing, 16(2), 40-45.
 Taylor, S. (2007). The development of self-care deficit nursing theory: An
historical analysis. Self-Care, Dependent-Care Nursing, 15(1), 22-25.