Concept Comparison and Analysis Across Theory Essay

treat has evolved into a science. Like different scientific disciplines, the practise of c be for is guided by throw theories. According to Julia George, practice is found on the theories of the discipline that atomic number 18 validated through investigate (George, 2011, p. 7). The major bring up in theoretical thinking in nurse is said to occur in the 1960s when the contract in treat shifted from simple problem/need and functional role, to the relationship among nurse and patient (George, 2011, p. 10). The aim of this paper is two-fold First, I pass on compare and go the fancy definition of tutorship (caring) across Dorothea Orems self- forethought possible action and Madeleine Leiningers guess of destination fearfulness guess.Second, I will present the design statement, metaparadigms, philosophies, and conceptual model of Dorothy Orems self-care theory and discuss where and how Orems self-care theory go off be applied to nursing. I will explore the majo r concepts and assumptions of Dorothea Orems self-care theory and Madeleine Leiningers culture care theory, and compare and see the two theories in terms of the similarities and differences. The concept of care (caring) is a center field concept common to many nursing theories. Boykin and Schoenhofer in presenting their theory of treat as Caring keep open that caring is the moral imperative for nursing (see George, 2011, p. 11).Dorothea Orems self-care theory and Madeleine Leiningers culture care theory some(prenominal) focus on patient care. I can easily get wind with both theories. As a practicing nurse, my personal philosophy is that nursing is nearly caring this apart, Orems and Leiningers theories are non as precis as some of the theories. Both theories can therefore be good-tempered be apply by the nurses who are not in academia to guide and improve their practice. Orems theory focuses on the key concept of self-care. According to Orems theory, every individual adu lt has the capacity for self-care. Self-care implies that when they are able, individuals care for themselves. When the person is unable to care for himself, the nurse trys the assistance essential. For children nursing care is ask when the parents or guardians are unable to provide the cadence and quality of care needed (George, 2011, p. 114).I find Orems theory to be logical. There are certain situations when sensation is ill and does not require a nurse. For example, most people do not at once go to the hospital with the common cold. In this case they take care of themselves. When a health problem arises for which self-care is insufficient to take care of the situation, wiz has to seek the attention of the 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 foster and maintain nurse therapeutic relationship between nurses and patients, to settle down w hen someone needs help or assistance, attention to patient response, expectant direct aid to individuals and families and collaboration with other health tradingals. The nurse check to Orem can be a parent or another human, family or community, not necessarily a health care nurse.As sketch in her theory, there are three interrelated actions or measures use to provide self-care. The commencement is the Universal self-care requisites this is self-care that is holistic and includes the need oxygen, water, food, elimination, activity, and rest, to pr horizontalt trauma and other necessities of life. The second type is the developmental self-care requisites this is self-care that should be undertaken in amity with human growth and development. The third type is the health deviation self-care requisites this self-care carried reveal because of health problem or disease prevention and health publicity (George, 2011, p. 116).Orems concept of self-care theory seems to spend a penny a universal appeal. In a sense one can say that Orem is not save referring to individuals who are sick. For example, new-born babies need nursing care not necessarily because they are sick but because they are unable to self-care for themselves and the parents typically efficiency not be able to provide the quality of specialized care needed at birth nursing care is therefore needed for the first couple of days and then the parents can take over the care until the child becomes a self-caring individual. Orem defines nursing as the provision of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or manage with their effects http//www.faculty.ucc.edu/nursing-gervase/orem.Madeleine Leininger, like Orem, sees the importance of the element of caring in the profession of nursing. As Leininger puts it, care (caring) is essential to curing and healing, for there can be no curing without caring http//www.Madeleine-leininger.com. The term tra ns heathenish nursing is used to refer to humanitarian and scientific knowledge and practices that focus on assisting individuals, families and communities to maintain or regain health and to deal with disability, dying or other human conditions in a heathenishly respectful and beneficial behaviorhttp//www.Madeleine-leininger.com. Leiningers theory of transcultural care theory is derived from the disciplines of (cultural) anthropology. Key concepts in this theory include cultural diversity (the differences between and among the various cultures) and cultural catholicity (the common elements or similarities found in various cultures). go she was working as a nurse, in a child management home Leininger ob respondd recurrent behavioral differences and eventually concluded that the differences had a cultural base (George, 2011, p. 405).Leiningers cultural care theory aims to provide culturally congruent nursing care through cognitively based assistive, supportive, facilitative, or enabling acts or decisions that are mostly tailor-made to equip with individuals, groups, or institutions cultural values, beliefs, and lifeways (Leininger, M. (1995). transcultural nursing Concepts, theories, research and Practices. New 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 is not limited to nursing. Leiningers Culture Care Theory views nursing as a transcultural, humanistic and scientific care discipline and profession with the central purpose to serve human worlds worldwide.Whereas it is alpha to look at a patient as a whole person from a physiological, psychological, spiritual, and social perspective, it is also important to take a patients culture and cultural telescope 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 influence the persons health status. In essence the theory assumes that nurses who understand, value, and practice culturally capable nursing care are more effective and capable of achieving compulsory outcomes in the healthcare of their patients.The theory assumes that culturally nursing care will occur when the patients beliefs and value systems are carefully coordinated the patients nursing care plan. From the above outline of Madeleine Leiningers culture care theory and Dorothea Orems self-care theory one can see that both theories see (patient) care as the central focus of nursing. Both theories are very practical one can even describe them as 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 body healthy an d functioning. It is evident that both theories have undergone some significant revisions over time.In this section, I will shift the focus of the discussion of where and how Leiningers cultural care theory may be best applied to nursing practice. The Transcultural theory considers the grammatical constituent 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 tail end 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.First, the nursing care should integrated the cultural backgrounds of the family by appropriately doing culture and background interview to the family Second, the family nurse should incorporate the inquiry on health beliefs, heath patterns, and practiced superstitions and beliefs that propose deduction to the health condition of the family. Finally, the nurse needs to incorporate the most desirable interventions that called for by the clients for care modalities and health care interventions (e.g. hospital, clinician, family, herbalist, etc.The use of transcultural theory in family assessment further enhances the nursing care being administered to the patient http//www.Madeleine-leininger.com. In terms of application, one can see for sure where exercising cultural sensitivity as advocated by the culture care theory would lead to better rendering of healthcare and faster recovery.The theory raises a number of serious questions. For example, how does one handle emergency situations? fine-looking the current nurse-patient ratios in hospitals and the vast array of cultures that nurses are likely to encounter, particularly in a county hospital like the one in which I work? This apart, communication and language is a hallmark of any culture does Leininger culture care theory implies that nurses should begin to attempt to render attend to to patients in the patients native language?These are questions that we might not have answers for at this point. Here is where philanthropic organizations like Sigma Theta Tau worldwide (STTI) and the Joanna Briggs Institute can continue to support further research into nursing theory and health education that would help bridge the gap between nursing research and clinical practice.REFERENCESLeininger M. (1991). Culture care diversity and universality A theory of nursing. New 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.Websiteshttp//www.Madeleine-leininger.com.http//www.faculty.ucc.edu/nursing-gervase/orem.http//www.joannabriggs.orghttp//www.nursingsociety.orghttp//www.faculty.ucc.edu/nursing-gervas e/orem