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Journal articles on the topic 'Orem’s self-care deficit nursing theory'

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Published: 4 June 2021

Last updated: 15 February 2022

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1

Susanti, Herni. "Defisit Perawatan Diri Pada Klien Skizofrenia: Aplikasi Teori Keperawatan Orem." Jurnal Keperawatan Indonesia 13, no. 2 (July 24, 2010): 87–97. http://dx.doi.org/10.7454/jki.v13i2.237.

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AbstrakDefisit perawatan diri pada klien skizofrenia tidak boleh dipandang remeh. Perawat yang terlibat dalam upaya rehabilitasi psikososial perlu memberikan pelayanan kepada klien skizofrenia dengan masalah defisit perawatan diri secara profesional. Salah satu caranya dengan memberikan asuhan keperawatan berdasarkan kerangka teori yang dikembangkan oleh ahli-ahli di bidang keperawatan. Teori self-care (perawatan diri) oleh Orem memiliki penjelasan yang lengkap tentang konsep perawatan diri, defisit perawatan diri, serta tindakan keperawatan untuk mengatasi masalah yang muncul. Dalam konteks rehabilitasi, teori Orem sangat sesuai dengan tujuan rehabilitasi yaitu membantu klien untuk memandirikan klien seoptimal mungkin. AbstractMental health nurses should professionally address the self-care deficit problem in schizophrenic patients, especially in the psychosocial rehabilitation phase. The nursing intervention of the self-care deficit patients can be delivered based on the nursing theoretical framework. The Orem’s self-care theory elucidates the concept of self-care, self-care deficit, and its nursing care. In the rehabilitation context, the Orem’s theory is relevant to the aim of rehabilitation – optimalizing the client’s own daily functional capacities.

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2

Cox, Karen R., and Susan G. Taylor. "Orem’s Self-Care Deficit Nursing Theory: Pediatric Asthma as Exemplar." Nursing Science Quarterly 18, no. 3 (June 23, 2005): 249–57. http://dx.doi.org/10.1177/0894318405277528.

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3

Gligor, Laura, and Carmen Daniela Domnariu. "Patient Care Approach Using Nursing Theories - Comparative Analysis of Orem’s Self-Care Deficit Theory and Henderson’s Model." Acta Medica Transilvanica 25, no. 2 (June 1, 2020): 11–14. http://dx.doi.org/10.2478/amtsb-2020-0019.

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AbstractNursing theories have been developed to provide guidance in clinical practice, so their knowledge by nurses is mandatory in order to provide advanced nursing care. This paper presents the relationships between the concepts and major assumptions of Henderson’s model and Orem’s theory and then their comparative analysis. Both, Henderson’s model and Orem’s theory of self-care deficit have a major impact, internationally, in education and research, but also in nursing practice, as a result of which their knowledge can open a new perspective on care, especially in countries where they are not well enough known.

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4

Wilson, Feleta L., Darlene W. Mood, Joanna Risk, and Trace Kershaw. "Evaluation of Education Materials Using Orem’s Self-Care Deficit Theory." Nursing Science Quarterly 16, no. 1 (January 2003): 68–76. http://dx.doi.org/10.1177/0894318402239069.

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5

Pawloski, Lisa R., Jean B. Moore, Patricia Treffinger, Heibatollah Baghi, Kathleen Gaffney, Sonia Jaimovich, Cecilia Campos, and Kevin M. Curtin. "Self-Care Instruments to Measure Nutrition Practices in Children and Parents: Psychometric Analysis." Nutrients 13, no. 7 (June 29, 2021): 2242. http://dx.doi.org/10.3390/nu13072242.

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The purposes of this study were to evaluate the psychometric properties of English and Spanish instruments that measure the nutrition behavior and practices of children and their parents. Orem’s self-care deficit nursing theory was used in this methodological study. A convenience sample of 333 children and 262 mothers participated from two schools in Washington, D.C. and two schools in Santiago, Chile. Principal component analysis indicated three component per instrument corresponding to Orem’s Theory of operations demonstrating construct validity of the instrument. The study findings showed evidence for validity and reliability of the English and Spanish versions and indicated that the instruments appropriately represented Orem’s operations. The results have implications for the development of health behavior measurement instruments that are valid, reliable, designed for children, culturally appropriate, and efficient. Measuring the nutrition behavior of children and parents is critical for determining the effectiveness of nutrition intervention programs. Furthermore, instruments are needed so that researchers can compare corresponding child and parent behaviors or compare behaviors across cultures.

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Didisen, Nurdan Akçay, Seyda Binay, and Figen Yardimci. "Orem’s Self-care Deficit Theory and Nursing Care in Relation to Pneumonia: A Case Report." Studies on Ethno-Medicine 11, no. 4 (October 2, 2017): 311–17. http://dx.doi.org/10.1080/09735070.2017.1357223.

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7

Taylor, Susan G. "Nursing Theory and Nursing Process." Nursing Science Quarterly 1, no. 3 (August 1988): 111–19. http://dx.doi.org/10.1177/089431848800100306.

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Orem's general theory of nursing, referred to as the self-care deficit nursing theory, is described as a theory that can be used for organizing and structuring nursing knowledge and nursing practice. The technolog ical nursing process appropriate to the theory is described. The use of the self-care deficit nursing theory is illustrated through a case study. The relationship between the case situation and the technological proc ess of nursing is explored.

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Lacerda, Flávia Karine Leal, Sílvia Lúcia Ferreira, Enilda Rosendo do Nascimento, Deise Oliveira Costa, and Rosa Cândida Cordeiro. "Self-care deficits in women with leg ulcers and sickle cell disease." Revista Brasileira de Enfermagem 72, suppl 3 (December 2019): 72–78. http://dx.doi.org/10.1590/0034-7167-2018-0005.

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ABSTRACT Objective: to identify self-care deficits in women with leg ulcers and sickle cell disease. Method: a qualitative, descriptive, exploratory approach with 14 women. The collection was performed from December 2015 to January 2016, while the analysis was supported by Orem’s Self-Care Deficit Theory. Results: self-care requirements are not fully met. The following were identified as universal: balance between loneliness and social interaction, rest and proper nutrition; development: inability to perform work, abrupt changes in the environment due to hospitalization, educational deprivation and dropout; health deviations: ulcer recurrences, pain, changes in skin appearance and gait changes. Conclusion: nursing care for women with leg ulcers and sickle cell disease requires planned actions for comprehensive care.

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9

Pickens, Judith M. "Living with Serious Mental Illness: The Desire for Normalcy." Nursing Science Quarterly 12, no. 3 (July 1999): 233–39. http://dx.doi.org/10.1177/08943189922107007.

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This article describes the desire for normalcy as experienced by 6 men and 13 women with serious mental illness based on secondary analysis of data from two previous qualitative studies. Original data were collected by structured and semi-structured interviews, and thematic analysis was done. Major categories of desire for normalcy are having normal things and experiences; doing meaningful activities; and being well, safe, free, and independent. Self-care actions to promote and maintain normalcy are identified, and findings are discussed in relation to Orem’s self-care deficit theory of nursing. Implications for nursing theory, research, and practice are addressed.

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Horan, Paul, Aileen Doran, and Aileen Doran. "Exploring Orem’s self-care deficit nursing theory in learning disability nursing: Philosophical parity paper: part 1." Learning Disability Practice 7, no. 4 (May 2004): 28–33. http://dx.doi.org/10.7748/ldp2004.05.7.4.28.c1570.

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11

Çelik, Ayşegül, and Yasemin Yıldırım. "Nursing Care of A Patient with Vasovagal Syncope According to Orem’s Self-Care Deficit Nursing Theory: Case Report." Journal of Cardiovascular Nursing 7, no. 14 (2016): 182–86. http://dx.doi.org/10.5543/khd.2016.38358.

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12

Wazni, Liquaa, and Wendy Gifford. "Addressing Physical Health Needs of Individuals With Schizophrenia Using Orem’s Theory." Journal of Holistic Nursing 35, no. 3 (July 11, 2016): 271–79. http://dx.doi.org/10.1177/0898010116658366.

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People with schizophrenia have increased morbidity and mortality rates associated with poor physical health that requires a holistic and comprehensive nursing approach. Dorothy Orem’s self-care deficit nursing theory (SCDNT) has made a substantive contribution to nursing by focusing on people as whole entities who engage with their environment to sustain health. We offer an expanded view of the SCDNT by showing how it is a useful framework for nurses to integrate interpretive, empirical, and critical theoretical perspectives for addressing both the physical and mental health needs for people with schizophrenia. Understanding patient needs through different theoretical lenses will help nurses integrate high-quality, evidence-based care with patients’ realities, needs, and values while considering the influence of the broader sociopolitical context. We demonstrate how the SCDNT allows nurses incorporate a critical perspective for critiquing the influence of societal barriers on individual’s health and advocate for initiatives to address the complex sociopolitical, economic, and contextual factors that affect the physical well-being of individuals with schizophrenia.

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13

Vanwesemael, Toke, Koen Boussery, and Tinne Dilles. "Self-Administration of Medication in Hospital: A Literature Review." Nursing Science Quarterly 33, no. 3 (June 30, 2020): 249–57. http://dx.doi.org/10.1177/0894318420921155.

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The idea of patients self-administering their medication in hospital is not new; it was first cited in literature in 1959. Up to date, there is a growing body of literature that recognizes the importance of this approach. In this current state of the literature, self-administration of medication in hospital is positioned in the context of the definition of health as proposed by Huber et al. and Orem’s self-care deficit theory: first identify the concept of medication self-administration, as well as the prevalence, existing procedures, tools, and proven effects of interventions; then the findings should point the way forward for research, practice, and policy.

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14

Hart, Marcella A. "Orem's Self-Care Deficit Theory: Research with Pregnant Women." Nursing Science Quarterly 8, no. 3 (September 1995): 120–26. http://dx.doi.org/10.1177/089431849500800307.

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15

Caetano, Joselany Áfio, and Lorita Marlena Freitag Pagliuca. "Self-care and HIV/aids patients: nursing care systematization." Revista Latino-Americana de Enfermagem 14, no. 3 (June 2006): 336–45. http://dx.doi.org/10.1590/s0104-11692006000300006.

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This research aimed at systematizing nursing care to HIV/aids patients in view of Orem's Self-care Deficit Nursing Theory, using the convergent-care method and the Self-Care Nursing Process. Subjects were thirteen HIV/AIDS patients attended at a non-governmental organization in Fortaleza/CE, Brazil. We used interview techniques, physical examination, observation and information records, with a structured instrument, addressing requisites related to universal self-care, development and health alterations. Self-care deficits corresponded to nineteen nursing diagnoses, named according to NANDA's Taxonomy II, ten of which were based on the requisites for universal self-care, five on the requisites for self-care related to development and four on the requisites for self-care related to health deviations. In care planning, goals were established and the system and health methods were selected, prioritizing support-education actions in order to engage HIV/aids patients in self-care.

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16

Hellqvist, Carina. "Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions—A Proposed Model to Guide Clinical Care." International Journal of Environmental Research and Public Health 18, no. 5 (February 24, 2021): 2223. http://dx.doi.org/10.3390/ijerph18052223.

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Background: Nursing interventions for persons affected by long-term conditions should focus on providing support to enhance the ability to manage disease in everyday life. Many clinical nurses feel they have inadequate training or experience to provide self-management support in a beneficial and structured way. This study explores the process towards independent self-care and management of disease in persons affected by Parkinson’s disease and the support required from healthcare to achieve this. It presents a nursing model to guide nurses in providing self-management support in the clinical care encounter. Methods: The results from three previously published articles investigating a self-management support program for persons with Parkinson’s disease were combined to form a new data set, and analyzed using qualitative thematic analysis. Results: Three separate, but interrelated, themes were identified, which described the process towards self-management of disease as expressed by the participants of the self-management program. Themes describe the factors important for developing and improving self-management abilities and actions. The results were applied to Orem’s Self-care deficit theory to suggest a model of self-management support in the clinical nursing encounter. Conclusion: This study investigated factors important for self-management and highlighted the unique contribution and focus of nursing support to promote independent self-care.

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17

Yip, Jeffrey Yuk Chiu. "Theory-Based Advanced Nursing Practice: A Practice Update on the Application of Orem's Self-Care Deficit Nursing Theory." SAGE Open Nursing 7 (January 2021): 237796082110119. http://dx.doi.org/10.1177/23779608211011993.

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Introduction Many researchers have commended the self-care deficit nursing theory (SCDNT) developed by Orem as a means of improving patients' health outcomes through nurses' contributions. However, experimental research has investigated specific aspects of SCDNT, such as self-care agency and self-care requisites, rather than how the construct is practiced and understood as a whole. The current research presents a case study in which an advanced practice nurse (APN) used SCDNT-led practice within a primary healthcare setting that illustrates how the theory is applied to case management. Methods A case study was conducted by observing an APN during her work in the asthma clinic of a public hospital in Hong Kong. A comparison was made between the case management of the APN under observation with the nursing processes stipulated by the SCDNT across four key operations: diagnostic, prescriptive, treatment or regulatory, and case management. Conclusion During the observed consultation, the APN applied the four key operations. In SCDNT, the role of the APN is to apply practical nursing knowledge by determining how a patient can best undertake self-care within the circumstances of their living arrangements and support facilities. The case study also demonstrated that SCDNT-based nursing practice has strengths and limitations in a primary healthcare setting. The study concluded that Orem's SCDNT serves as an appropriate theoretical framework for nursing practice within primary healthcare settings. One practical consequence of using SCDNT is that it enables APNs to use nurse-sensitive indicators when evaluating their clinical practice. This study offers a practice update to increase the accountability of nursing practice for nurse-led healthcare services.

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18

Gaffney, Kathleen Flynn, and Jean Burley Moore. "Testing Orem's Theory of Self-Care Deficit: Dependent Care Agent Performance for Children." Nursing Science Quarterly 9, no. 4 (October 1996): 160–64. http://dx.doi.org/10.1177/089431849600900407.

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19

Biggs, Anna. "Orem's Self-Care Deficit Nursing Theory: Update on the State of the Art and Science." Nursing Science Quarterly 21, no. 3 (July 2008): 200–206. http://dx.doi.org/10.1177/0894318408320140.

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20

Seed, Mary S., and Diane J. Torkelson. "Beginning the Recovery Journey in Acute Psychiatric Care: Using Concepts from Orem's Self-Care Deficit Nursing Theory." Issues in Mental Health Nursing 33, no. 6 (May 24, 2012): 394–98. http://dx.doi.org/10.3109/01612840.2012.663064.

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21

Timmins, Fiona, and Paul Horan. "A Critical Analysis of the Potential Contribution of Orem's (2001) Self-Care Deficit Nursing Theory to Contemporary Coronary Care Nursing Practice." European Journal of Cardiovascular Nursing 6, no. 1 (March 2007): 32–39. http://dx.doi.org/10.1016/j.ejcnurse.2006.03.006.

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22

Wong, Cho Lee, Wan Yim Ip, Kai Chow Choi, and Lai Wah Lam. "Examining Self-Care Behaviors and Their Associated Factors Among Adolescent Girls With Dysmenorrhea: An Application of Orem's Self-Care Deficit Nursing Theory." Journal of Nursing Scholarship 47, no. 3 (March 19, 2015): 219–27. http://dx.doi.org/10.1111/jnu.12134.

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23

Tuna, Halil Ibrahim, and Guler Balci Alparslan. "Effects of Orem's Self-Care Model of Nursing on Hand Symptoms and Life Activities in Geriatric Individuals Diagnosed With Rheumatoid Arthritis: A Pilot Study." Research and Theory for Nursing Practice 35, no. 3 (April 7, 2021): 207–21. http://dx.doi.org/10.1891/rtnp-d-20-00093.

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Background and PurposeAccording to Orem's self-care deficit theory, when patients cannot meet their care needs, they need nursing systems for maintaining their health. Nursing care for elderly patients with rheumatoid arthritis (RA) should be based on maintaining self-care. This study aims to determine the effects of Orem's self-care model of nursing care given to geriatric patients with RA on hand symptoms, life activities, and hand pain.MethodsThe study sample comprised a total of 22 patients (intervention group, 11; control group, 11) who met the sample selection criteria at a rheumatology outpatient clinic of a university hospital between June 17, 2019 and September 20, 2019. All interviews with patients in the intervention group were conducted by daily phone calls and a face-to-face interview at the hospital every 4 weeks. Patients continued to receive routine prescription by a physician during the course of application.ResultsNo difference was observed between the groups in terms of descriptive patient characteristics (p > .05). Hand pain, hand symptoms, and life activities of patients in the intervention group were measured at study initiation, week 4, and week 8. Intragroup comparison revealed that hand pain, hand symptoms, and life activity scores were lowest at week 8 in the intervention group (p < .05).Implications for PracticeThis study indicates that nursing care given according to Orem's self-care model is effective in reducing pain, improving hand functions, and performing life activities.

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24

Williams, Sharon, and Mary Carol Ramos. "Mitral valve prolapse and its effects: a programme of inquiry within Orem's Self-Care Deficit Theory of Nursing." Journal of Advanced Nursing 18, no. 5 (May 1993): 742–51. http://dx.doi.org/10.1046/j.1365-2648.1993.18050742.x.

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25

Ramnauth, Terrica, Mary Benitez, Brandy Logan, Samuel P. Abraham, and Deborah Gillum. "Nurses’ Awareness Regarding Human Trafficking." International Journal of Studies in Nursing 3, no. 2 (January 3, 2018): 76. http://dx.doi.org/10.20849/ijsn.v3i2.389.

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Problem: A review of the literature indicated that human trafficking is a worldwide problem and not all nurses in the healthcare setting were adequately trained to identify and care for human trafficking victims.Purpose: The purpose of this study was to further explore nurses’ awareness regarding human trafficking.Method: This quantitative, cross-sectional, non-experimental study with a descriptive design, studied the issue by administering a survey to nurses actively working in the field. The theoretical framework of forced labor and Orem’s self-care deficit nursing theory were used to guide the study. The data were collected using SurveyMonkey®, an Internet-based confidential data-collection tool. The survey contained eight demographic questions and sixteen Likert-type statements. The researchers obtained personal email addresses and used Facebook contacts to send out the survey initially. In this study, a Snowball sampling was used to obtain nurse participants.Results: A total of 166 responses were received from nurses across the United States. The results confirmed that there is a lack of awareness among nurses about human trafficking. An increase in both training and education amongst nurses could increase the number of victims, which go unnoticed, being saved or provided with assistance. Nurses also must be more self-aware about the patients they are encountering and be more observant of signs that look suspicious. The most agreed upon statement by participants was that counseling should be available to people who are affected by human trafficking (M = 3.75, SD = 0.48).

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26

Bakker, Roel H., Marijke C. Kastermans, and Theo W. N. Dassen. "An Analysis of the Nursing Diagnosis Ineffective Management of Therapeutic Regimen Compared to Noncompliance and Orem's Self-Care Deficit Theory of Nursing." International Journal of Nursing Terminologies and Classifications 6, no. 4 (October 1995): 161–66. http://dx.doi.org/10.1111/j.1744-618x.1995.tb00287.x.

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27

Kumar, Coleen P. "Application of Orem's Self-Care Deficit Theory and Standardized Nursing Languages in a Case Study of a Woman with Diabetes." International Journal of Nursing Terminologies and Classifications 18, no. 3 (July 2007): 103–10. http://dx.doi.org/10.1111/j.1744-618x.2007.00058.x.

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28

Wilson, Feleta L., Lynda M. Baker, Cheryl K. Nordstrom, and Carol Legwand. "Using the Teach-Back and Orem's Self-Care Deficit Nursing Theory to Increase Childhood Immunization Communication Among Low-Income Mothers." Issues in Comprehensive Pediatric Nursing 31, no. 1 (January 2008): 7–22. http://dx.doi.org/10.1080/01460860701877142.

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29

Franklin, Ada-Reva. "The Life Experiences of People with Multiple Sclerosis Who Practice Yoga: A Qualitative Case Study." International Journal of Yoga Therapy 12, no. 1 (January 1, 2002): 63–69. http://dx.doi.org/10.17761/ijyt.12.1.9861260w0q242573.

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Purpose: To examine the lives and experiences of people with Multiple Sclerosis (MS) who practice Yoga. If Yoga practitioners who have MS share their experiences,a deeper understanding of their lives and how Yoga affects those lives may be gained. Study Design: Using case-study research methods,two women were interviewed to gain an understanding of their experiences of practicing Yoga and having MS. The theoretical framework for this study is based on Dorothea Orem's Self-Care Deficit Nursing Theory. Findings: The findings showed that participants had affirming life philosophies, strong motivators, an ongoing development of body awareness, and the ability to think and act outside the norm. Conclusions: This information could impact the development of meaningful client-driven information. Future research should include larger and more diverse populations, quantitative study, and in-depth qualitative evaluation.

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Vasconcellos, Fátima Marques, and Zilma Denize Mascarenhas Xavier. "O enfermeiro na assistência do cliente colostomizado baseado na teoria de Orem." Revista Recien - Revista Científica de Enfermagem, no. 14 (August 20, 2015): 25. http://dx.doi.org/10.24276/2358-3088.2015.5.14.25-37.

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O objetivo deste estudo foi implementar o Processo de Enfermagem de Orem e os Métodos de Ajuda para se evitar o déficit de autocuidado aos clientes portadores de colostomia. Trata-se de uma pesquisa bibliográfica, exploratória e descritiva em que foi realizada uma revisão da literatura sobre o tema proposto no período de 2000 a 2012. Pela análise de conteúdo, verificou-se que os clientes colostomizados necessitam de apoio psicossocial, promoção, educação em saúde, reabilitação e orientações para o autocuidado. O Processo de Enfermagem de Orem determina claramente os papéis do enfermeiro e do cliente para a obtenção das exigências do autocuidado terapêutico, e os Métodos de Ajuda propostos por Orem ajudam ao enfermeiro a fundamentar “o porquê ele se faz necessário”. Entende-se que o enfermeiro não deve só priorizar a prática curativa e assistencial, mas também procurar exercer atividades educativas e de pesquisa para melhor identificar os problemas advindos da colostomia, valorizando os colostomizados como seres humanos.Descritores: Teoria de Orem, Enfermagem, Paciente Colostomizado. The nurse in the customer assistance colostomy based Orem of theoryAbstract: The aim of this study was to implement the Orem Nursing Process and Help Methods to prevent the deficit from self-care to patients with colostomy customers. It is a bibliographical, exploratory and descriptive research that was carried out a literature review on the topic proposed for the period 2000 to 2012. For the content analysis, it was found that the colostomy customers need psychosocial support, promotion, education health, rehabilitation and guidelines for self-care. The Orem's nursing process clearly states the roles of the nurse and the client to achieve the requirements of therapeutic self-care, and help methods proposed by Orem help the nurse to give reasons "why it is necessary." It is understood that the nurse should not only prioritize the curative and care practice, but also seek to exercise educational and research activities to better identify the problems arising from colostomy, valuing the colostomy as human beings. Descriptors: Orem's Theory, Nursing, Colostomy Patient. Lo enfermero en la asistencia al cliente con colostomía basada en teoría de OremResumen: El objetivo de este estudio fue implementar el Proceso de Enfermería de Orem y Ayuda Métodos para evitar que el déficit de autocuidado de los pacientes con los clientes de colostomía. Es una investigación bibliográfica, exploratoria y descriptiva que se llevó a cabo una revisión de la literatura sobre el tema propuesto para el período de 2000 a 2012. Para el análisis de contenido, se encontró que los clientes de colostomía necesitan apoyo psicosocial, la promoción, la educación la salud, la rehabilitación y las directrices para el cuidado personal. El proceso de enfermería de Orem establece claramente las funciones de la enfermera y el cliente para alcanzar los requisitos de autocuidado terapéutico, y los métodos de ayuda propuestas por Orem ayudar a la enfermera para dar razones "por qué es necesario." Se entiende que la enfermera no sólo debería dar prioridad a la práctica curativa y la atención, sino también tratar de ejercer actividades educativas y de investigación para identificar mejor los problemas derivados de la colostomía, valorando la colostomía como seres humanos. Descriptores: Teoría de Orem, Enfermería, Colostomía Paciente.

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Vasconcellos, Fátima Marques, and Zilma Denize Mascarenhas Xavier. "O enfermeiro na assistência do cliente colostomizado baseado na teoria de Orem." Revista Recien - Revista Científica de Enfermagem 5, no. 14 (August 5, 2015): 25. http://dx.doi.org/10.24276/rrecien2358-3088.2015.5.14.25-37.

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O objetivo deste estudo foi implementar o Processo de Enfermagem de Orem e os Métodos de Ajuda para se evitar o déficit de autocuidado aos clientes portadores de colostomia. Trata-se de uma pesquisa bibliográfica, exploratória e descritiva em que foi realizada uma revisão da literatura sobre o tema proposto no período de 2000 a 2012. Pela análise de conteúdo, verificou-se que os clientes colostomizados necessitam de apoio psicossocial, promoção, educação em saúde, reabilitação e orientações para o autocuidado. O Processo de Enfermagem de Orem determina claramente os papéis do enfermeiro e do cliente para a obtenção das exigências do autocuidado terapêutico, e os Métodos de Ajuda propostos por Orem ajudam ao enfermeiro a fundamentar “o porquê ele se faz necessário”. Entende-se que o enfermeiro não deve só priorizar a prática curativa e assistencial, mas também procurar exercer atividades educativas e de pesquisa para melhor identificar os problemas advindos da colostomia, valorizando os colostomizados como seres humanos.Descritores: Teoria de Orem, Enfermagem, Paciente Colostomizado. The nurse in the customer assistance colostomy based Orem of theoryAbstract: The aim of this study was to implement the Orem Nursing Process and Help Methods to prevent the deficit from self-care to patients with colostomy customers. It is a bibliographical, exploratory and descriptive research that was carried out a literature review on the topic proposed for the period 2000 to 2012. For the content analysis, it was found that the colostomy customers need psychosocial support, promotion, education health, rehabilitation and guidelines for self-care. The Orem's nursing process clearly states the roles of the nurse and the client to achieve the requirements of therapeutic self-care, and help methods proposed by Orem help the nurse to give reasons "why it is necessary." It is understood that the nurse should not only prioritize the curative and care practice, but also seek to exercise educational and research activities to better identify the problems arising from colostomy, valuing the colostomy as human beings. Descriptors: Orem's Theory, Nursing, Colostomy Patient. Lo enfermero en la asistencia al cliente con colostomía basada en teoría de OremResumen: El objetivo de este estudio fue implementar el Proceso de Enfermería de Orem y Ayuda Métodos para evitar que el déficit de autocuidado de los pacientes con los clientes de colostomía. Es una investigación bibliográfica, exploratoria y descriptiva que se llevó a cabo una revisión de la literatura sobre el tema propuesto para el período de 2000 a 2012. Para el análisis de contenido, se encontró que los clientes de colostomía necesitan apoyo psicosocial, la promoción, la educación la salud, la rehabilitación y las directrices para el cuidado personal. El proceso de enfermería de Orem establece claramente las funciones de la enfermera y el cliente para alcanzar los requisitos de autocuidado terapéutico, y los métodos de ayuda propuestas por Orem ayudar a la enfermera para dar razones "por qué es necesario." Se entiende que la enfermera no sólo debería dar prioridad a la práctica curativa y la atención, sino también tratar de ejercer actividades educativas y de investigación para identificar mejor los problemas derivados de la colostomía, valorando la colostomía como seres humanos. Descriptores: Teoría de Orem, Enfermería, Colostomía Paciente.

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Taylor, Susan G., Kathie E. Renpenning, Elizabeth A. Geden, Bonnie M. Neuman, and Marcella A. Hart. "A Theory of Dependent-Care: A Corollary Theory to Orem’s Theory of Self-Care." Nursing Science Quarterly 14, no. 1 (January 2001): 39–47. http://dx.doi.org/10.1177/08943180122108030.

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Felix, Lidiany Galdino, Maria Miriam Lima da Nóbrega, and Maria Júlia Guimarães de Oliveira Soares. "Processo de enfermagem fundamentado na teoria do autocuidado de Orem a um paciente submetido à cirurgia bariátrica." Revista de Enfermagem UFPE on line 3, no. 4 (September 14, 2009): 814. http://dx.doi.org/10.5205/reuol.581-3802-1-rv.0304200904.

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Objective: to apply the nursing process fundament on the Theory of Orem’ Self-care, through the conduct of a report of clinical case, with a patient submitted to bariatric surgery. Methods: this is about a descriptive study, from qualitative approach, report of clinical case type, performed in a patient with morbid obesity, included in Bariatric Surgery Group of a teaching hospital in João Pessoa-PB city. For data collection was used a script adapted to Theory of Orem’ Self-care, which led to the identification of deficits of self-care and therefore to nursing diagnoses. It was then developed the plan of nursing care, with the determination of goals, objectives, method of assistance, type of system and nursing interventions. This study has been approved by the Research Ethics Committee of the Hospital of the Federal University of Paraiba (054/07). Results: from the identification of nursing diagnoses was established and implemented the plan of nursing care with the aim of restoring the patient to prevent postoperative complications, promote recovery and prepare you for the self-care. Conclusion: it is considered that the application of the nursing process, based on Theory of Orem’ Self-care, enabled the provision of assistance and qualified individual, encouraging the patient to participate actively in their treatment, but also to increase their responsibility in the outcome of care. Descriptors: nursing; nursing process; self care; bariatric surgery.

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Ünal, İlkay, Hafize Öztürk Can, and Nazan Tuna Oran. "OREM’S SELF-CARE DEFICIT THEORY-BASED ASSESSMENT ON THE MIDWIFERY REQUIREMENT AT LABOUR." E-journal of New World Sciences Academy 14, no. 2 (April 29, 2019): 41–47. http://dx.doi.org/10.12739/nwsa.2019.14.2.4b0024.

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Attaallah, Sumayya A., Rosalind M. Peters, Ramona Benkert, Hossein Yarandi, Sandra Oliver-McNeil, and Faith Hopp. "Developing a Middle-Range Theory of Heart Failure Self-Care." Nursing Science Quarterly 34, no. 2 (March 22, 2021): 168–77. http://dx.doi.org/10.1177/0894318420987164.

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Middle-range nursing theories provide a bridge between the more abstract grand nursing theories, research, and clinical practice. As such, middle-range nursing theories derived from extant nursing theories are critical for developing and advancing both nursing science and practice. This paper describes the strategy used in developing a middle-range theory of heart failure self-care. After integrating theoretical and empirical literature, a hypothetico-deductive approach was used to develop the middle-range theory of heart failure self-care from Orem’s theory of self-care. Theoretical substruction was used to provide a graphic representation of the conceptual-theoretical-empirical structure demonstrating the congruence between the theoretical and operational systems.

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Younas, Ahtisham. "A Foundational Analysis of Dorothea Orem’s Self-Care Theory and Evaluation of Its Significance for Nursing Practice and Research." Creative Nursing 23, no. 1 (2017): 13–23. http://dx.doi.org/10.1891/1078-4535.23.1.13.

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In-depth understanding of the ontological and epistemological assumptions of nursing theories can be achieved through theory analysis. Several theory analysis criteria have been proposed for examining ontological and epistemological assumptions, but there are limited examples of actual analysis of these assumptions. This article presents an analysis of the ontological and epistemological assumptions of Dorothea Orem’s self-care theory and evaluates its significance for nursing practice and research.

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Drevenhorn, Eva. "A Proposed Middle-Range Theory of Nursing in Hypertension Care." International Journal of Hypertension 2018 (2018): 1–11. http://dx.doi.org/10.1155/2018/2858253.

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Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related to the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with Orem’s theory of nursing. Clinical and research implications of the theory are discussed.

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Parobek, Virginia. "Self-Care Deficit Theory of Nursing: Concepts and Applications." Journal of Neuroscience Nursing 30, no. 4 (August 1998): 265–66. http://dx.doi.org/10.1097/01376517-199808000-00010.

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Nokes, Kathleen M., and Darcel M. Reyes. "Internet Use for Health-Related Information: Self-Care Agency of Lower Income Persons Living With HIV/AIDS." Nursing Science Quarterly 33, no. 3 (June 30, 2020): 234–39. http://dx.doi.org/10.1177/0894318420920605.

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Chronically ill persons with a condition requiring self-care activities can benefit from learning from reliable internet sources. Orem’s theory of self-care was used to answer the question: Does increasing technical knowledge about reliable internet sites for health information increase self-care agency of low-income persons living with HIV/AIDS ( N = 100)? Self-care agency, as measured by the Self-As-Carer Inventory, increased but not significantly, after two educational interventions. We hoped to gain insight into the measurement of self-care agency in our African American and Hispanic population. The only significantly different basic conditioning factor was ethnicity in that non-Hispanic/Latinos scored higher on self-care agency than Hispanic/Latinos; the only significantly different subscale was the Judgment and Decisions Affecting Production of Self-care subscale. Self-care agency remained stable over the 1-week period, pointing to two possible conclusions: Scores accurately reflect self-care agency, and a more intensive, longer intervention may be needed to change self-care agency.

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Geden, Elizabeth A., Sang-arun Isaramalai, and Susan G. Taylor. "Self-Care Deficit Nursing Theory and the Nurse Practitioner’s Practice in Primary Care Settings." Nursing Science Quarterly 14, no. 1 (January 2001): 29–33. http://dx.doi.org/10.1177/089431840101400110.

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Jenny, Jean. "Self-Care Deficit Theory and Nursing Diagnosis: A Test of Conceptual Fit." Journal of Nursing Education 30, no. 5 (May 1991): 227–32. http://dx.doi.org/10.3928/0148-4834-19910501-10.

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Attaallah, Sumayya A., Rosalind M. Peters, Ramona Benkert, Hossein Yarandi, Sandra Oliver-McNeil, and Faith Hopp. "Testing a Middle -Range Theory of Heart Failure Self-Care." Nursing Science Quarterly 34, no. 4 (September 18, 2021): 378–91. http://dx.doi.org/10.1177/08943184211031590.

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A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.

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Berbiglia, Violeta A. "A case study: perspectives on a self-care deficit nursing theory-based curriculum." Journal of Advanced Nursing 16, no. 10 (October 1991): 1158–63. http://dx.doi.org/10.1111/j.1365-2648.1991.tb01523.x.

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Carrillo Ochoa, Norabel, Darkys Dayana Meza Solano, Yorley Dayana Marin Contreras, Dianne Sofia Gonzalez Escobar, and Olga Marina Vega Angarita. "Effect of a Preparation Plan for Hospital Discharge in Patients with Diabetes Mellitus." Aquichan 21, no. 1 (April 19, 2021): 1–15. http://dx.doi.org/10.5294/aqui.2021.21.1.3.

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Objective: to assess the effect of the preparation plan for hospital discharge on the self-care agency capacity and adherence to treatment in the patients with Diabetes Mellitus treated in the Erasmo Meoz University Hospital (Hospital Universitario Erasmo Meoz, HUEM) during 2019. Materials and methods: a quasi-experimental study, with pre-/post-test assessment in the study group, guided by Dorothea Orem’s theory, with a non-probabilistic sampling of 88 individuals, by convenience. It was conducted by implementing the following instruments: therapeutic conduct, disease or lesion, and scale to assess the self-care agency capacity (ASA); data analysis was performed in Microsoft Excel 2016 and SPSS, version 22.0. Parametric (Student’s t-test for paired samples) and non-parametric (Wilcoxon) statistical tests were also used, considering p-values < 0.05 as statistically significant. Results: the initial self-care agency capacity was 61.48 (low) and the final was 80.43 (fair); therapeutic adherence compliance in the initial assessment was occasionally shown (2.82) and frequently shown at the end (4.38), with both variables showing a statistically significant difference with p-values < 0.05. Conclusions: it was determined that the intervention performed had a positive effect on therapeutic adherence and the self-care agency capacity of the diabetic patients subjected to the intervention.

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Berbiglia, Violeta A. "The Self-Care Deficit Nursing Theory as a Curriculum Conceptual Framework in Baccalaureate Education." Nursing Science Quarterly 24, no. 2 (April 2011): 137–45. http://dx.doi.org/10.1177/0894318411399452.

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Feijão, Alexsandra Rodrigues, Gilmara Holanda Cunha, Joselany Áfio Caetano, Elucir Gir, and Marli Teresinha Gimeniz Galvão. "Nursing consultation tool for people with human immunodeficiency virus/tuberculosis co-infection." Revista da Rede de Enfermagem do Nordeste 16, no. 5 (November 10, 2015): 754. http://dx.doi.org/10.15253/2175-6783.2015000500018.

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Objective: to verify the opinion of judges about a nursing consultation tool for people with co-infection by the human immunodeficiency virus and tuberculosis. Methods: methodological study, involving the construction of a tool based on Orem’s self-care theory and its submission for evaluation by judges experts in the area, which gave opinions about organization, clarity and relevance. Results: the instrument gained a positive evaluation for all assessment criteria, with agreement greater than 75% and Content Validity Index greater than 0.80 in most items. Following judges opinion, three items were excluded and two modified. Conclusion: the adequacy of the nursing consultation tool for people with HIV/tuberculosis co-infection was confirmed regarding organization into subdivisions and items. Minimal disagreement among judges in the analysis of the issues was noted. Although most items were evaluated positively, further validation studies will be needed.

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Casida, Jesus M., Rosalind M. Peters, and Morris A. Magnan. "Self-Care Demands of Persons Living With an Implantable Left-Ventricular Assist Device." Research and Theory for Nursing Practice 23, no. 4 (November 2009): 279–93. http://dx.doi.org/10.1891/1541-6577.23.4.279.

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Heart failure (HF) is a growing public health problem affecting approximately 23 million people worldwide. Treatment options for advanced HF patients have moved beyond pharmacologic therapy to include left-ventricular assist devices (LVADs). Patients with an LVAD must manage a complex regimen of care. This article proposes the use of self-care deficit nursing theory (SCDNT) as a framework to identify and organize the care needs of patients with an LVAD from a nursing perspective. Within SCDNT, self-care refers to actions designed to meet self-care requisites to achieve regulatory goals. When formalized, self-care requisites have two components: the general action to be taken and a “factor” to be controlled. The reformulation of health-deviation self-care requisites common to LVAD patients are presented and may serve as an exemplar for other technology-assisted living situations. The strengths and limitations of using the SCDNT for patients with such complex needs, as well as implications for clinical practice, research, and advancement of nursing science, are examined.

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Wardani, Tinok Ayu Putri, Nursalam Nursalam, and Eka Mishbahatul M. Has. "KEMANDIRIAN PERAWATAN IBU POST SECTIO CAESAREA DENGAN MENGGUNAKAN PENDEKATAN DISCHARGE PLANNING BERDASARKAN TEORI SELF CARE OREM." Fundamental and Management Nursing Journal 1, no. 1 (February 25, 2019): 1. http://dx.doi.org/10.20473/fmnj.v1i1.12126.

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Introduction: Discharge planning is one of nursing intervention that aim to promote the independence of patient’s self care-activities after discharge from hospital. This study was aimed to examine the effect of discharge planning on wound care independence of post sectio caesarea patient at Melati Room, Dr. Soegiri Hospital, Lamongan. Methodes: Design of this study was Quasy Experiment. The population were post sectio caesarea patient at Melati Room Dr. Soegiri Hospital Lamongan, since May – June 2012. The samples were taken by purposive sampling technique. Fourteen respondents matched with the inclusion criteria and divided into treatment and control groups. The datas were collected by using questionnaire and observation sheet. Then datas were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α ≤ 0.05. Result and Analysis: The result of this study showed that post sectio caesarea patient’s knowledge had significance level of p=0.027 in treatment group, and in control group was p=0.034, for post sectio caesarea patient’s skill p=0,015 in treatment group and in control group was p=0,017. The result of Mann Whitney U test was p=0,001, it means there was different in knowledge, and skill of wound care on post sectio caesarea patient between treatment and control groups. Discussion and Conclusion: It can be concluded that there are significant effect of wound care independence of post sectio caesarea patient with discharge planning approach based on orem’s self care theory to improve patient’s independence. Hospital need to develop discharge planning procedure to meet the needs of patient with post sectio caesarea wound and decrease the number of surgical wound infection.

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Heltty, Heltty, Ratna Sitorus, Evi Martha, and Nury Nusdwinuringtyas. "Experience of the patient's success in facing post-stroke urinary incontinence: the patient's perspective." Frontiers of Nursing 8, no. 3 (September 1, 2021): 291–301. http://dx.doi.org/10.2478/fon-2021-0030.

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Abstract Objective Post-stroke urinary incontinence (UI) is one of the sequelae of stroke. This situation affects all aspects of the patient's life – physically, psychologically, socially, and spiritually. This study aimed to investigate the experience of patients’ success in facing a post-stroke UI. Methods A qualitative study using the Rapid Assessment Procedure (RAP) approach was used in this study. Informants were selected using purposive sampling. In-depth interviews with as many as 8 patients who had recovered from post-stroke UI and living in the greater area of Southeast Sulawesi (Indonesia) were conducted. In-depth interviews were also conducted with 8 caregivers and 2 nurses. Data were analyzed using a thematic analysis approach and interpretation of data was based on Humanbecoming theory and Self-care deficit theory of nursing. Results Five successful things the patients experienced during post-stroke UI were identified. The five successes were as follows: they provided information to get to know and understand post-stroke UI, followed the procedures to overcome post-stroke UI, conducted self-control exercises and stayed motivated, performed daily activities independently according to ability, and made use of family support and peers’ attention. Conclusions These findings indicated that persistence, belief, independence, and social support (family and peer) made patients to successfully face their post-stroke UI and improved their quality of life. These findings also became the basis for developing a post-stroke UI management model based on Humanbecoming theory and Self-care deficit theory of nursing.

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Hjorth, Maria, Daniel Sjöberg, Anncarin Svanberg, Elenor Kaminsky, Sophie Langenskiöld, and Fredrik Rorsman. "Nurse-led clinic for patients with liver cirrhosis—effects on health-related quality of life: study protocol of a pragmatic multicentre randomised controlled trial." BMJ Open 8, no. 10 (October 2018): e023064. http://dx.doi.org/10.1136/bmjopen-2018-023064.

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IntroductionLiver cirrhosis affects health-related quality of life (HRQoL) even in its early stages. Morbidity is especially high when the disease decompensates and self-care actions become essential. Nurse involvement in secondary prevention in other chronic diseases has contributed to better symptom control, less need of inpatient care and improved HRQoL. In order to evaluate the impact of nurse involvement in the follow-up of patients with liver cirrhosis, we decided to compare structured nurse-led clinics, inspired by Dorothea Orem’s nursing theory and motivational strategies, with a group of patients receiving standard care. The primary outcome is HRQoL and the secondary outcomes are quality of care, visits to outpatient clinics or hospitals, disease progress and health literacy.Methods and analysisThis is a pragmatic, multicentre randomised controlled study conducted at six Swedish hepatology departments. Eligible patients are adults with diagnosed cirrhosis of the liver (n=500). Participants are randomised into either an intervention with nurse-led follow-up group or into a standard of care group. Recruitment started in November 2016 and is expected to proceed until 2020. Primary outcomes are physical and mental HRQoL measured by RAND-36 at enrolment, after 1 and 2 years.Ethics and disseminationThe study is ethically approved by the Regional Ethical Review Board in Uppsala. The results shall be disseminated in international conferences and peer-reviewed articles.Trial registration numberNCT02957253; Pre-results.

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