Theoretical Framework To Support Evidence-Based Practice

Introduction

Nursing’s foundations remain practice research and theory. The three components have cyclical and reciprocal relationships in that clinical practice aids in generating research questions and knowledge relevant to theories. Simultaneously, theories construct a framework that directs nursing practices toward the best available approach to advancing care. Practice research, on the other hand, aids in the verification and improvement of knowledge used to improve the quality of evidence-based practice. As a result, theoretical frameworks are critical in guiding evidence-based practice. Practical nursing is based on the thoughtful, efficient, and practical application of knowledge, skills, and care to the community and patients. Research findings generate a significant portion of the command in making clinical decisions and advancing care. It is frequently recommended that any clinical choices to provide quality care be based on research evidence, as this approach allows nursing practitioners to reduce errors, maximize resource utilization, and promote quality care at all costs. As a result, this presentation will concentrate on how nursing practitioners can use Orem’s nursing theory as a framework for managing type 2 diabetes.

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Theory Identification

Dorothea E. Orem developed the Orem theory, also known as the self-care deficit nursing theory, with the primary goal of improving the overall quality of nursing in healthcare institutions. The theory connects various concepts to aid in developing a unique way of looking at a specific phenomenon. The Orem theory, as the name implies, focuses on the issue of self-care to improve an individual’s condition and thus assists healthcare practitioners in determining ways to encourage patients to bring out the best in them despite being ill for some time (Younas, 2017). The theory is frequently found to be highly beneficial in rehabilitation settings where patients are entitled to become self-sufficient following the care of physicians and nurses. At the same time, the model can benefit patients who are no longer admitted and have been released from the physicians’ care. The self-care deficit theory, developed between 1959 and 2000, is considered a grand theory because it encompasses a broad scope with universal concepts applicable to various nursing areas and levels (Younas, 2017). As a result, the foundation of Orem’s theory is that people are distinct individuals capable of caring for themselves and that nursing should focus on assisting as a service.

The Orem theory’s central premise is that people can and should be in charge of their care and the people in their lives. Self-care stems from this viewpoint, as it encourages nurses and physicians to establish systems that teach patients and their family members to rely on themselves without a healthcare practitioner. It, in turn, recognizes people and the environment as a single unit, and the interaction between the two influences an individual’s health and well-being (Younas, 2017). Beliefs, social and cultural backgrounds, a person’s characteristics, and the relationship between caregivers and clients are some factors that nurses and physicians must consider when applying the Orem theory (Younas, 2017). The self-care deficit theory’s significance relates to humans’ need to maintain and promote health and recovery, the inadequacy of healthcare services, and the increased cost of healthcare illness symptoms and complications such illness symptoms and complications, improve healing and reduce rehospitalization and hospital stay. According to the Orem theory, nurses and doctors should teach patients and their families how to care for themselves, and assistance should be provided only when the patient cannot provide continuous effective self-care.

The Problem in Selected affectingctice Nursing

Diabetes is a serious problem affecting many aspects of a today it is becoming a more pressing issue today. The main risk factors for type 2 diabetes mellitus are manageable. While it is one of the leading causes of hospitalization and rehospitalization, patients can manage self-care as directed by healthcare practitioners. There are two approaches to treating and managing type 2 diabetes: taking diabetes medications and changing a person’s lifestyle, but the latter is more recommended.

Physicians frequently recommend insulin therapy or medication to achieve the desired blood sugar levels, especially when severe (Wu et al., 2014). Lifestyle changes are commonly recommended because they aid in addressing issues such as obesity and reducing risk factors associated with disease aggravation. Eating healthy is another approach, and a person’s diet can be centred on taking fewer calories, eating meals with saturated fats and refined carbohydrates, and eating more vegetables, fruits, and fibre-rich foods. However, many patients disregard these precautions or fail to take their medications as prescribed, resulting in increased hospitalization and a strain on the healthcare system.

Theory as a Foundation for Evidence-Based Practice

Orem’s self-care theory allows nurses to address self-care deficits in meeting therapeutic self-care demands until the patients, in collaboration with the nursing team, can obtain the self-requisites. The Orem theory nursing procedure begins with assessing the patients, which is critical in promoting normalcy (Carroll, 2019). The goal is to allow for early and accurate identification of the condition and its progression so that nurses can be guided on what to do. Once the nurses have identified the deficiencies, they can create a care plan tailored to the patient’s needs, as type 2 diabetes mellitus can be caused by various factors (Carroll, 2019). The healthcare team will work together to complete the process. The professional team will then communicate with the patients about the status of their disease, as well as the care plans required to achieve the desired outcome. The tailored plan ensures that the nursing team follows evidence-based practice rather than relying on a general approach that may not be feasible for all clients. Healthcare practitioners must encourage patients to take responsibility for their health while advising patients or caregivers to communicate with the hospital if complications arise.

It is critical to recognize that the model’s goals revolve around providing the patient with a care protocol similar to that provided by nursing practitioners. As a result, nurses must demonstrate effective into the patient through quality communication. Are model and information nmodellingtailor the model-care models will be critical to creating a patient profile that covers the individual’s demography and entailing information, as well as their social life and environmental factors that may worsen their condition. At the same time, the nursing team must ensure that they determine the patient’s relationship with the healthcare institution regarding access to available care. Applying the model to the diabetic patient will begin with deciding fundamental conditioning factors, the requirements for general self-care, efficient care, and issues that may affect type 2 diabetes management. It demonstrates that the pre-preparation stage will address getting to know the patient, how they interact with others in their lives, how their environment affects their diabetic level, and how this will impede the self-care regimen. This will help healthcare providers determine how to provide the right resources to the diabetic patient to keep the blood sugar level at the desired level.

Conclusion

Nursing theories are the foundation of nursing practice because they provide a framework for healthcare practitioners to use in promoting quality care. However, It is still necessary to ensure that the chosen theoretical framework is applied appropriately to the selected evidence-based practice. Orem’s theory of self-care is critical not only in preventing illnesses but also in managing them. The model’s key feature is that it allows the nursing team to encourage patients to take responsibility for their health outcomes and well-being. The theory views patients as individuals who must make choices to improve their health, relieving both parties of the costs associated with care. Type 2 diabetes mellitus is a severe problem that affects a large proportion of the population, and the number of people living with the condition is steadily increasing. As a result, the best approach to addressing the problem is to develop a system that allows patients to practice self-care to alleviate disease burdens. Orem’s theory is the best way to approach the problem. Nurses can use Orem’s self-care theory to teach patients how to take their medications and live healthier lifestyles without the assistance of nurses and physicians.

References

Carroll, K. (2019). Bringing Nursing Care to Patients Living With Diabetes Mellitus. Nursing Science Quarterly, 32(3), 187–188. doi: 10.1177/0894318419845402

Wu, Y., Ding, Y., Tanaka, Y., & Zhang, W. (2014). Risk Factors Contributing to Type 2 Diabetes and Recent Advances in the Treatment and Prevention. International Journal Of Medical Sciences, 11(11), 1185-1200. doi: 10.7150/ijms.10001

Younas, A. (2017). A Foundational Analysis of Dorothea Orem’s Self-Care Theory and Evaluation of Its Significance for Nursing Practice and Research. Creative Nursing, 23(1), 13–23. doi: 10.1891/1078-4535.23.1.13

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Question

Review literature regarding issues or concerns within your selected area of advanced practice nursing.

Select a theory or model relevant to your selected area of advanced practice nursing.

Theoretical Framework To Support Evidence-Based Practice

Offer a meaningful context for evidence-based practice surrounding your identified issue or concern.

Identify and describe a theory or model and explain its relevance to the issues or concerns within your selected area of advanced practice.

Explain how the theory or model can be used as a framework to guide evidence-based practice in addressing the issue or concern. Discuss the unique insight or perspective offered by applying this theory or model.

Submission Instructions:

The PowerPoint presentation is original work and logically organized. It should contain 10-15 slides, excluding the title and reference.

Theoretical Framework To Support Evidence-Based Practice