Identifying Framework

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Identifying Framework

Frameworks for Advanced Nursing Practice and Research




Orem’s theory on Self-deficit

“Knowledge as a component of the socio-cultural orientation basic conditioning factor enhances prevention of hazards” came from Dorothea Orem’s Self-Care Deficit framework. The theory explains that when people are unable to have self-care and there is a deficit in this, the nurse has to come in and try and fill this deficit while at the same time educating the patient on how they can self-care. Nurses only provide care when a person is unable to take care of themselves and end up providing knowledge towards helping patients to gain survival, well-being, and quality care (Milad Borji et al., 2017).

In the theory Orem provides ways in which people return back to independence after the self-care deficit through nurses providing and environment suitable for care, supporting the patients, educating them, and acting and performing for them. All this attributes lead to the effective transition of self-deficit to the outcome of independence.

The theory uses communication that is tied to having a nurse-patient rapport, using of available assessment skills to determine what kind of care and self-care deficit the patient has, the application of interventions, and the evaluation to which a person has achieved self-care before they can be independent again (Milad Borji et al., 2017). In this case of the Orem’s theory, a good example is a person suffering from Ostomy. The patients that suffer this kind of condition are faced with many problems including self-esteem issues, being unable to accept the changes in the body, and having body image concerns.

In such as case, nurses are charged with the responsibility to empathize and understand the concerns which the patient has and also understand the impact in which the changes have to the patient. In this case, nurses need to help in building the confidence levels of the patient so as to help them gain control again so as to become independent again. The use of role-play in such a situation would help in creatively building the confidence through positive influence and also quicker adaptation to the permanent changes in their body. The provision of support and education in such as case would help build confidence levels and alleviate the stress levels the ostomy patient is facing.

After a patient can demonstrate self-care and confidence, then they are once more independent and the nursing care has bridged the deficit. The Orem’s theory has helped to assist patients in being more prepared towards self-care and hence improving the patient outcomes and improving the quality of life.


J, M., Z, A., & Sr, M. (2018, April 23). A Quasi-Experimental Study of the Effect of Teaching Orem’s Self-Care Model on Nursing Students’ Clinical Performance and Patient Satisfaction. Nursing Open.

Milad Borji, Masoumeh Otaghi, & Shiva Kazembeigi. (2017). The Impact of Orem’s Self-Care Model on the Quality of Life In Patients With Type II Diabetes. Biomedical and Pharmacology Journal, 10(1), 213–220.