Nursing Assignment Acers

NUR 513 Topic 5 Discussion 1 Assignment

NUR 513 Topic 5 Discussion 1 Assignment

NUR 513 Topic 5 Discussion 1 Assignment

NUR 513 Topic 5

During this program, you will complete an evidence-based practice project addressing a problem, issue , or concern in your specialty area of professional practice. Consider an area in your specialty that you believe needs improvement. Which nursing theories could you appl y to this problem? Why is this the best theor y?

Self-care Theory Sample Approach to DQ 1 NUR 513

Nursing in the intensive care unit has evolved to take a medical approach, and as a result, the primary focus is solely on the patient’s physical demands and the preservation of physiological functions. Working in the ICU, I begin to question the standard patient care I am providing as a result of the application of nursing theories and a greater understanding of the patient as an individual (Chipu & Downing, 2020). Dorothea Orem pioneered self-care theory in 1959. (Chipu & Downing, 2020). According to Khatiban et al. (2018), the nursing field in intensive care shifts away from the traditional image of the nurse caring for the patient and toward the described medical shared care in ICU patients. Orem defines self-care as “the practice of actions that people start and undertake on their own in preserving life, wellness, and an adult’s ongoing effort to his or her continuing existence and health.”


The ICU environment is unknown to the patient and under Orem’s concept of environment, the notion of intensive care typically causes distress, thus the patient and his family may lose faith in their skills to do self-care. According to Chipu and Downing (2020) the theory’s application to the concept of environment, the nurse may aid the family in acting as dependent care providers for the patient by teaching, supporting, and leading them so that the family feels more in control of events that occur in the ICU.

In the self-care deficit concept of person, Orem focus on the importance of the patient’s ability to make choices about oneself and to care for oneself. Disabilities, impairments in human design and functionality, and the diagnosing and management of medical disorders all result in health deviation requirements. Chipu and Downing (2020), conform that a patient necessitating intensive care is frequently very sick and often entirely incapable of self-care and therefore a dependent care agent, the nurse, can meet the fundamental self-care requirements. The nurse can assist them to achieve overall development and health deviational self-care requirements by creating a developmental environment and encouraging the patient to participate in his care as much as feasible.


  • Chipu, M., & Downing, C. (2020). Professional nurses’ facilitation of self-care in intensive care units: A concept analysis. International Journal of Nursing Sciences, 7(4), 446–452.
  • Khatiban, M., Shirani, F., Oshvandi, K., Soltanian, A. R., & Ebrahimian, R. (2018). Orem’s self-care model with trauma patients: A quasi-experimental study. Nursing Science Quarterly, 31(3), 272–278.

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