Personal Theoretical Framework for Advanced Practice Nursing

Topic: Nursing
Words: 1442 Pages: 5


Today marks six months after my nursing graduation, and I believe that this career assists those in need. Most people cannot help themselves on their account because they have a long- or short-term impaired physical infirmity. Fawcett’s metaparadigm centralizes nursing concepts around a person, environment, and health. Other than physiologic needs, humans have other requisites to subsist their survival, some of which demand nursing intervention to decipher the proper uptake. For instance, human feeding and clothing in different weather conditions are associated with health consequences. Therefore, a nursing career offers the public sense of security from preventable harm while helping them recover from unpredictable outcomes.

Judging from the provisions of Fawcett’s metaparadigm, people who accomplish much and reach their full survival potential can help and teach others to fulfill the base human needs. Nursing is associated with regular interactions with the public, where professionals educate all victims exposed to pediatrics (Chipu & Downing, 2020). In my nursing career, belongingness and affection were tested in an adoption agency. In the agency, I fed babies and kept them warm, and hydrated while observing their nasal passages and changing their diapers. These practices were grounded on fundamental nursing training theories that present nursing as a doctor-dependent career with no actual application. Nursing is medically oriented, making most people in this occupation work behind doctors, which serves an unwritten hierarchy in the medical field.

Patient ratios to the nursing career population are hazardous for a medically oriented career. Nurses are forced to give services commensurate with their salaries and avoid offering extra benefits because they feel overworked. Mechanized nursing limits the nurses’ freedom and defies human needs’ full potential accomplishment to help others fulfill their potential. In this light, my nursing philosophy entails helping patients attain basic physiologic needs during the period of recovery from a given illness (Dodd et al., 2021). Precisely, the philosophy responds to impaired functional abilities and recovery efforts aimed at achieving equilibrium within self-care deficits (Martínez et al., 2021). A nursing career helps people identify the positions from which they can regain their functionality compassionately while maintaining empathy and positive regard for the individual.

My nursing philosophy successfully fits Dorothea Orem’s self-care theory. Nursing has a special appreciation of Maslow’s hierarchy of human needs because it treats different illnesses that result from stress and individual inability to respond to basic needs. Similarly, Dorothea’s theory explains the theories of self-care, self-care deficit, and the nursing process. Younas (2017) suggests that these three aspects are interrelated by describing humans’ care for themselves through nursing systems. The theory of self-care deficits simplifies that all humans experiencing issues can be helped through nursing. In this light, nursing systems represent the association between nurses and patients, describing this association’s importance to quality healthcare.

From a nursing viewpoint, self-care entails all the activities used to sustain human health and well-being. Nurses’ activities are associated with daily feeding, bathing, grooming, sleeping, and relaxation. These bodily functions can sometimes be impaired due to illnesses and failure to provide accurate self-care requisites. Due to the mechanization of the nursing profession, the residents of skilled nursing facilities lose their capacity to perform some activities required for their daily living (Parks, 2021). The extremities of age explain the occurrence of self-care deficiency in young infants and older adults from different environments. Nurses should spend their time teaching patients the hacks they can use to take care of themselves and maintain healthy lifestyles.

In a different approach, Orem proposes three assumptions that can be used to design self-care requisites universally. The assumptions include everyday needs like consuming materials to sustain life, promoting growth and development, and deviation from normal functionality. The Orem assumptions claim that humans have daily needs across different stages of life, which require actions to control the effects of deprivation. Gomez et al. (2017) argue that Orem’s theory insists that people need nursing care when they cannot engage in self-care activities adeptly. Therefore, self-care deficits can be regulated by providing the patients with all the skills and requisite knowledge to manage themselves.

In a simpler context, self-care entails all the careful measures carried out by an individual to meet survival requirements. Any average person can undertake these activities, but infants, the sick, and older adults cannot care for themselves. Therefore, they require nursing practice to meet their self-care requirements and become conscious of their body functions (Özen et al., 2021). It is worth noting that nursing assistance benefits the elderly and hospitalized people, especially after dementia has attacked them. Nurses bring hospitalized patients back to health because its fundamentals are acts of care.

Compare and Contrast your Philosophy and the Chosen Framework

Unlike Fawcett’s metaparadigm, Orem’s theory suggests that human self-care is a deliberate action that needs to be undertaken by patients and nurses. The intended actions and patients’ phase create awareness of the condition and situations according to their difficulties. On the other hand, deliberate actions and nurses phase indicate all the activities other social group members perform to support the elderly or ill people. According to Younas (2017), nursing activities are directed toward self-care shortages which are easily determined using the nursing processes. The evaluation of patients by the nurses explains the significance of the interaction between them and patients in real time.

A Possible Situation in Which the Framework may Conflict

A conflict arises because the broadest base of human needs includes physiological aspects, making health vital to human survival. Indeed, this does not fit in the environment, person, nursing, and health provisions because it defies most world views. The fundamental role of nurses’ assessment of patients is to acquire details related to their bio-psycho-social and psychological information. Nurses are concerned about the welfare of the patients and the degree of effects that an illness has on them. The judgment given by nurses after diagnosis explains possible interventions that can be directed to the patient’s condition for maximum benefit. Indeed, nurses determine the teachings to give after reviewing and understanding the patient’s condition. At the intervention stage, nurses employ all actions needed to reform the patient and overcome presented illnesses. Masinaienejad et al. (2019) claim that this is the best spot for healthcare education and lifestyle teachings that can benefit the patient through nursing philosophy.

Honestly, the effectiveness of nursing intervention in supplementing Maslow’s basic requirements has to go through an evaluation. During the evaluation phase, nurses plan and assess the difficulties experienced by the patient with whom physiologic needs are compromised (Krajnc et al., 2021). Based on my nursing philosophy, hospitalized patients have problems breathing, which translates into other challenges. Indeed, such patients experience ineffective metabolism and are less likely to source enough energy to run all processes in their bodies. While running the diagnosis, nurses often discover self-care deficits and causative factors.

Independent nursing intervention is necessary because it helps patients deal with physical infirmity. For instance, a nurse responding to shortness of breath and incomplete metabolism can encourage the patient to keep their head raised. While this activity looks simple, evaluation and judgment have been done by the nurse to ensure effectiveness in expanding the lungs and improving the overall air intake. Health Research Funding (2017) shows that encouraging patients to raise their heads on the bed or setting it up for them has a 98% effectiveness in expanding the lungs and relieving them from dyspnea. In occasions where incomplete metabolism is one, nurses conclude that the patient has inadequate oxygenation and introduce necessary measures.

Orem’s theory of nursing philosophy is oriented towards dealing with illnesses and neglects the dynamic nature of healthcare. However, this theory appeals to the most common causes that affect hospitalized patients and older adults. Under this consideration, the theory is justifiable when determining the self-care deficits that need to be addressed, especially when older adults are at home. In addition, the approach addresses a comprehensive list of factors that distort normal living and prevent people from providing basic needs to themselves. For instance, Orem’s theory accounts for individualized variables making the nursing system effective in addressing single-entity problems.


In conclusion, my nursing philosophy is grounded on Fawcett’s meta paradigm, which targets self-care deficits based on physical, mental, and emotional challenges. The theory explains how people fail to receive the primary care they need. My nursing philosophy expresses health as a dynamic entity that regularly changes, meaning assumptions used to conclude that situations are never constant. The guise of Orem’s theory is oriented towards illnesses and traumas that could cause healthcare challenges at some point but go undetected and unattended. The theory assumes that all people in good health take effective self-care and use all the appropriate measures.


Chipu, M., & Downing, C. (2020). Professional nurses’ facilitation of self-care in intensive care units: A concept analysis. International Journal of Nursing Sciences, 7(4), 446-452.

Dodd, R., Fisher, P. L., Makin, S., Moore, P., & Cherry, M. G. (2021). The association between maladaptive metacognitive beliefs and emotional distress in people living with amyotrophic lateral sclerosis. Frontiers in Psychology, 12, 482.

Health Research Funding (n.d.) Dorothea Orem’s self-care deficit nursing theory explained. Web.

Gomez, N. J., Castner, D., & Hain, D. (2017). Nephrology nursing scope and standards of practice: Integration into clinical practice. Nephrology Nursing Journal, 44(1), 19-27. Web.

Krajnc, N., Berger, T., & Bsteh, G. (2021). Measuring treatment response in progressive multiple sclerosis—considerations for adapting to an era of multiple treatment options. Biomolecules, 11(9), 1342.

Martínez, N., Connelly, C. D., Pérez, A., & Calero, P. (2021). Self-care: A concept analysis. International Journal of Nursing Sciences, 8(4), 418-425.

Masinaienejad, N., Abdollahi Mohammad, A., Jahantigh, F., Zamani Afshar, M., & Allahyari, J. (2019). The impact of self-care education based on Orem’s model on self-care behaviors of patients with β-Thalassemia major: A clinical trial. Medical-Surgical Nursing Journal, 8(3).

Özen, Ş., Karataş, T., & Polat, Ü. (2021). Perceived social support, mental health, and marital satisfaction in multiple sclerosis patients. Perspectives in Psychiatric Care. 57(4), 1862–1875. Web.

Parks, L. (2021). Unifying vision: Strategies that influence nurse self-care practices in intensive care unit nurses. Doctor of Nursing Practice Projects. 44(1), 1-41. Web.

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. Web.

Psychiatric-Mental Health Nurse Practitioners
Dorothea’s Orem Theory of Self-Care Deficit