Nursing Theory to Guide my Practice

 

The nursing theory that will be used to guide my practice is Orem’s self-care theory. The rationale for selecting Orem’s self-care theory is because it provides a clinical guideline to plan and implement good self-care principles. Orem hypothesized that people have the capacity to take care of their health; in case the ability to take care of self is distorted, healthcare providers can help such individuals regain the ability by care provision and education (Afrasiabifar et al, 2016). Therefore, during my practice, Orem’s self-care theory will guide me in being the facilitator and change agent for all my clients. This will be achieved through the provision of direct care and educating my clients to improve their self-care ability and positively influence their quality of life (Hasanpour-Dehkordi et al, 2016). In addition, I will always provide information to clients regarding their disease status, treatment regimen and emphasize that their health is their own responsibility; this will promote the clients to make positive lifestyle changes to improve their health (Khatiban et al, 2018).

Goals

I will base my practicum objectives and goals on the seven domains of nursing practice. Accordingly, my goals will be to play a helping role for my clients, educate my clients, perform accurate diagnosis and documentation and ensure effective monitoring and observation of my clients. In addition, I hope to always manage clients in crisis, administer therapy effectively, and effectively coordinate the client’s needs and activities.

Objectives

By the end of the practicum:

I will be in a position to effectively conduct accurate diagnosis for my clients
I will be able to effectively provide different forms of psychotherapies to my clients in accordance with my selected nursing and counseling theories
I will be able to effectively organize and manage all clients’ needs
I will base my practice on the most recent research evidence
 

Timeline of Practicum Activities

During the first week, I will be adequately inducted and familiar with the organization and all my expected roles. Within the first week, I will effectively perform observations in order to learn what is expected of me
During the second and third week, I will have developed a good interpersonal relationship and alliance with my preceptor, mentor, as well as other healthcare practitioners. This means by the third week I will be a good team player and be in a position to collaborate with the multidisciplinary team
For week four and five, I will have learned how to conduct differential diagnosis and come up with an accurate diagnosis for my clients
By week 6, I will have learned how to effectively assess clients and deliver the appropriate psychotherapy
By the end of the practicum, I will be in a position to effectively provide different types of psychotherapies to my clients using the cognitive theory, prioritize client needs, adequately develop care plans, and finally I will be able to educate clients about their mental health and lifestyle changes in accordance with Orem’s self-care theory (Hasanpour-Dehkordi et al, 2016).
 

 

References

Afrasiabifar H, Mehri Z, Sadat S, Reza H & Shirazi G. (2016). The Effect of Orem’s Self-Care Model on Fatigue in Patients with Multiple Sclerosis: A Single-Blind Randomized Clinical Trial Study. Iran Red Crescent Med J. 18(8), e31955.

Biesecker B, Austin  & Colleen C. (2017).Theories for Psychotherapeutic Genetic Counseling: Fuzzy-Trace Theory and Cognitive Behavior Theory. J Genet Couns. 26(2), 322–330.

Hasanpour-Dehkordi A, Mohammadi N &Alireza N. (2016). Re-designing Orem’s Self-care Theory for Patients with Chronic Hepatitis. Indian J Palliat Care. 22(4): 395–401.

Khatiban M, Shirani F & Oshvandi K. (2018). Orem’s Self-Care Model With Trauma Patients: A Quasi-Experimental Study. Nursing Science Quarterly. 31(4).

Tougas E, Hayden A, McGrath J, Huguet A & Rozario S (2015). A Systematic Review Exploring the Social Cognitive Theory of Self-Regulation as a Framework for Chronic Health Condition Interventions. PLoS ONE. 10(8): e0134977.

Wampold B. (2015). How important are the common factors in psychotherapy? An update. World Psychiatry. 14(3), 270–277.