'Concept Comparison and Analysis Across Theory Essay\r'

' treat has evolved into a science. resembling early(a) scientific subjects, the institutionalise of treat is be sop upd by treat theories. correspond to Julia George, â€Å"practice is based on the theories of the discipline that be validated through query” (George, 2011, p. 7). The major shift in scheme-based thinking in breast feeding is state to occur in the 1960s when the snap in treat shifted from simple fuss/need and functional role, to the consanguinity amid obligate and longanimous (George, 2011, p. 10). The aim of this piece of music is twain-fold: First, I allow for comp be and decompose the concept definition of disturbance (caring) crossways Dorothea Orem’s self- business possibleness and Madeleine Leininger’s speculation of finis bang guess.\r\nSecond, I go away present the concept statement, metaparadigms, philosophies, and conceptual manikin of Dorothy Orem’s self- carry off guess and discuss where and how Orem’s self- give shell out possible action grass be utilize to treat. I will explore the major concepts and assumptions of Dorothea Orem’s self- portion out supposition and Madeleine Leininger’s acculturation c ar hypothesis, and compare and analyze the two theories in terms of the similarities and take issueences. The concept of safeguard (caring) is a core concept vernacular to many breast feeding theories. Boykin and Schoenhofer in presenting their theory of nurse as Caring respect that caring is the moral imperative for nursing ( protrude George, 2011, p. 11).\r\nDorothea Orem’s self- attention theory and Madeleine Leininger’s finis make do theory both localize on diligent attending. I john easily identify with both theories. As a practicing nurse, my personal philosophy is that nursing is about caring; this apart, Orem’s and Leininger’s theories are non as solicit as some of the theories. Both theories require thitherfore be still be used by the nurses who are non in academia to guide and purify their practice. Orem’s theory straines on the see concept of self- dish out. According to Orem’s theory, both individual adult has the capacity for self- attending. â€Å"Self- rush implies that when they are able, individuals care for themselves. When the person is ineffectual to care for himself, the nurse hand overs the assistance requisite. For children nursing care is undeniable when the parents or guardians are unable to show the amount and quality of care needed” (George, 2011, p. 114).\r\nI find Orem’s theory to be logical. There are certain situations when virtuoso is ill and does not require a nurse. For example, about good deal do not immediately go to the hospital with the common cold. In this guinea pig they propose care of themselves. When a wellness fuss arises for which â€Å"self-care” is insufficient to matter care of th e situation, whiz has to seek the attention of the â€Å"nurse” who compensates for this deficit. According to Orem, a nurse is needed when someone needs nursing care because of inability to care for oneself. The environment is to parent and harbour nurse curative relationship between nurses and patients, to determine when someone needs athletic supporter or assistance, attention to patient response, giving direct aid to individuals and families and collaboration with other wellness professionals. The â€Å"nurse” check to Orem nates be a parent or another piece, family or community, not necessarily a wellness care nurse.\r\nAs outlined in her theory, thither are three interrelated actions or measures used to provide self-care. The first is the oecumenical self-care requisites; this is self-care that is holistic and includes the need oxygen, water, food, elimination, activity, and rest, to prevent harm and other necessities of life. The second type is the developmental self-care requisites; this is self-care that should be undertaken in accordance with valet growth and development. The third type is the health deviation self-care requisites; this self-care carried out because of health problem or disease prevention and health promotion (George, 2011, p. 116).\r\nOrem’s concept of â€Å"self-care” theory seems to pitch a universal appeal. In a sense one lavatory say that Orem is not just referring to individuals who are sick. For example, new-born babies need nursing care not necessarily because they are sick precisely because they are unable to â€Å"self-care” for themselves and the parents typically cleverness not be able to provide the quality of specialized care needed at birth; nursing care is therefore needed for the first bridge of days and then the parents can take over the care until the child becomes a self-caring individual. Orem defines nursing as â€Å"the provision of self-care which is ther apeutic in sustaining life and health, in get from disease or injury, or head with their effects” http://www.faculty.ucc.edu/nursing-gervase/orem.\r\nMadeleine Leininger, homogeneous Orem, sees the importance of the fixings of caring in the profession of nursing. As Leininger puts it, â€Å"care (caring) is essential to readiness and healing, for there can be no curing without caring” http://www.Madeleine-leininger.com. The term ”trans pagan nursing” is used to refer to humanistic and scientific knowledge and practices that decoct on assisting individuals, families and communities to maintain or regain health and to deal with disability, dying or other human material bodys in a heathenishly venerating and beneficial manner\r\nhttp://www.Madeleine-leininger.com. Leininger’s theory of trans heathenish care theory is derived from the disciplines of ( ethnical) anthropology. name concepts in this theory include ethnic diversity (the differences b etween and among the various conclusions) and cultural universality (the common elements or similarities rig in various assimilations). While she was running(a) as a nurse, in a child guidance home Leininger observe re authentic behavioral differences and eventually cerebrate that the differences had a cultural base (George, 2011, p. 405).\r\nLeininger’s cultural care theory aims to provide culturally congruent nursing care through â€Å"cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are in general tailor-made to fit with individual’s, theme’s, or institution’s cultural shelters, beliefs, and lifeways” (Leininger, M. (1995). Transcultural nursing: Concepts, theories, research and Practices. spic-and-span York: McGraw Hill, Inc., p. 75). Leininger uses the four nursing metaparadigm differently in her theory. For example, she uses the concept to refer to families and groups or communities; health i s not limited to nursing. Leininger’s husbandry Care Theory views nursing as a transcultural, humanistic and scientific care discipline and profession with the central conclude to serve human beings worldwide.\r\nâ€Å"Whereas it is authoritative to envision at a patient as a whole person from a physiological, psychological, spiritual, and social perspective, it is also classical to take a patient’s culture and cultural play down into consideration when deciding how to care for that patient. For example there should be no when attending to people from other minority cultures such as gay, lesbians, and trans-gender individuals. Nurses, when apply this theory, can recognize and understand cultural similarities and differences to twist the person’s health status. In essence the theory assumes that nurses who understand, value, and practice culturally competent nursing care are more effective and undetermined of achieving positive outcomes in the healthcare of their patients.\r\nThe theory assumes that culturally nursing care will occur when the patient’s beliefs and value systems are carefully incorporated the patient’s nursing care plan. From the in a higher place outline of Madeleine Leininger’s culture care theory and Dorothea Orem’s self-care theory one can see that both theories see (patient) care as the central focus of nursing. Both theories are very hard-nosed; one can even specify them as â€Å"empirical.” The two theories do differ in one very important focus: Leininger focuses on culture to influence health, whereas Orem focuses on the self (self-care) to keep the form healthy and functioning. It is evident that both theories have undergone some significant revisions over time.\r\nIn this section, I will shift the focus of the discussion of where and how Leininger’s cultural care theory may be outperform applied to nursing practice. The Transcultural theory considers the compon ent of culture as an important factor that needs to be include when planning the care of the patient. For family assessment, the theory can serve as basis and guide in evaluating the different factors that need to be assessed in the family. In application of transcultural theory in family assessment there are three points that need to be considered.\r\nFirst, the nursing care should incorporate the cultural backgrounds of the family by appropriately doing culture and background interview to the family Second, the family nurse should incorporate the research on health beliefs, heath patterns, and unspoiled superstitions and beliefs that propose significance to the health condition of the family. Finally, the nurse needs to incorporate the most suited interventions that called for by the clients for care modalities and health care interventions (e.g. hospital, clinician, family, herbalist, etc.\r\nThe use of transcultural theory in family assessment throw out enhances the nursing c are being administered to the patient http://www.Madeleine-leininger.com. In terms of application, one can see certainly where exercising cultural sensitivity as advocated by the culture care theory would lead to best rendering of healthcare and faster recovery.\r\nThe theory raises a number of serious questions. For example, how does one handle emergency situations? Giving the current nurse-patient ratios in hospitals and the vast array of cultures that nurses are likely to encounter, especially in a county hospital like the one in which I work? This apart, communication and phrase is a hallmark of any culture; does Leininger culture care theory implies that nurses should become to attempt to render service to patients in the patient’s native row?\r\nThese are questions that we might not have answers for at this point. Here is where philanthropic organizations like Sigma Theta Tau International (STTI) and the Joanna Briggs Institute can observe to support further resear ch into nursing theory and health education that would help bridge the gap between nursing research and clinical practice.\r\nREFERENCES:\r\nLeininger M. (1991). Culture care diversity and universality: A theory of nursing. raw York: National League for Nursing Press. George, Julia B. (2011). Nursing theories: The base of professional nursing practice 6th edition. Pearson Education, Inc. Leninger M, McFarland M. Transcultural Nursing: Concepts, Theory, Research, and Practice; 3rd ed., McGraw-Hill Professional; New York, 2002.\r\nWebsites:\r\nhttp://www.Madeleine-leininger.com.\r\nhttp://www.faculty.ucc.edu/nursing-gervase/orem.\r\nhttp://www.joannabriggs.org\r\nhttp://www.nursingsociety.org\r\nhttp://www.faculty.ucc.edu/nursing-gervase/orem\r\n'