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Hartweg DL, Metcalfe SA. Orem's Self-Care Deficit Nursing Theory: Relevance and Need for Refinement. Nurs Sci Q 2021; 35:70-76. [PMID: 34939484 DOI: 10.1177/08943184211051369] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The purpose of this article is to highlight the relevance of Orem's Self-Care Deficit Nursing Theory (SCDNT) in contemporary and future practice, explicitly within the global self-care movement and interprofessional healthcare. The authors discuss the relevance and important strengths within Orem's nursing theory and recommend theoretical refinement within the context of significant societal and healthcare transformation. The constructs of global people-centered care and population health, with related social determinants of health, are identified as critical areas for development if SCDNT is to have continued relevance for nursing practice. Implications for theoretical thinking and nursing education are recommended.
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Affiliation(s)
- Donna L Hartweg
- Retired Professors, School of Nursing, Illinois Wesleyan University, Bloomington, IL USA
| | - Sharie A Metcalfe
- Retired Professors, School of Nursing, Illinois Wesleyan University, Bloomington, IL USA
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Kuehnert P, Fawcett J, DePriest K, Chinn P, Cousin L, Ervin N, Flanagan J, Fry-Bowers E, Killion C, Maliski S, Maughan ED, Meade C, Murray T, Schenk B, Waite R. Defining the social determinants of health for nursing action to achieve health equity: A consensus paper from the American academy of nursing. Nurs Outlook 2021; 70:10-27. [PMID: 34629190 DOI: 10.1016/j.outlook.2021.08.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 08/03/2021] [Accepted: 08/25/2021] [Indexed: 01/08/2023]
Abstract
BACKGROUND The 2019-2020 American Academy of Nursing (Academy, 2019) policy priorities document states that "they have a clear and distinct focus on social determinants of health and uses this lens to advance policies and solutions within each of the three overarching priorities" PURPOSE: This consensus paper seeks to establish conceptual clarity and consensus for what social determinants of health mean for nursing, with emphasis on examples of health policies that advance planetary health equity and improve planetary health-related quality of life. METHODS Volunteers from five Expert Panels of the Academy met via videoconference to determine roles and refine the focus of the paper. After the initial discussion, the first draft of the conceptual framework was written by the first three authors of the paper and, after discussion via videoconference with all the co-authors, successive drafts were developed and circulated for feedback. Consensus was reached when all authors indicated acceptance of what became the final version of the conceptual framework. DISCUSSION A conceptual framework was developed that describes how the social determinants of health can be addressed through nursing roles and actions at the individual, family, and population levels with a particular focus on the role of health policy. The paper provides a specific health policy example for each of the six key areas of the social determinants of health to illustrate how nurses can act to improve population health. CONCLUSION Nursing actions can support timely health policy changes that focus on upstream factors in the six key areas of the social determinants of health and thus improve population health. The urgent need to eliminate systematic and structural racism must be central to such policy change if equity in planetary health-related quality of life is to be attained.
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Affiliation(s)
- Paul Kuehnert
- Environmental & Public Health, American Academy of Nursing, Washington, D. C., USA.
| | - Jacqueline Fawcett
- Nursing Theory-Guided Practice, American Academy of Nursing, Washington, D. C., USA
| | - Kelli DePriest
- Environmental & Public Health, American Academy of Nursing, Washington, D. C., USA
| | - Peggy Chinn
- Nursing Theory-Guided Practice, American Academy of Nursing, Washington, D. C., USA
| | - Lakeshia Cousin
- Cultural Competence & Health Equity, American Academy of Nursing, Washington, D. C., USA
| | - Naomi Ervin
- Environmental & Public Health, American Academy of Nursing, Washington, D. C., USA
| | - Jane Flanagan
- Nursing Theory-Guided Practice, American Academy of Nursing, Washington, D. C., USA
| | - Eileen Fry-Bowers
- Child, Adolescent & Family, American Academy of Nursing, Washington, D. C., USA
| | - Cheryl Killion
- Cultural Competence & Health Equity, American Academy of Nursing, Washington, D. C., USA
| | - Sally Maliski
- Cultural Competence & Health Equity, American Academy of Nursing, Washington, D. C., USA
| | - Erin D Maughan
- Child, Adolescent & Family, American Academy of Nursing, Washington, D. C., USA
| | - Cathy Meade
- Cultural Competence & Health Equity, American Academy of Nursing, Washington, D. C., USA
| | - Teri Murray
- Cultural Competence & Health Equity, American Academy of Nursing, Washington, D. C., USA
| | - Beth Schenk
- Environmental & Public Health, American Academy of Nursing, Washington, D. C., USA
| | - Roberta Waite
- Psychiatric Mental Health and Substance, American Academy of Nursing, Washington, D. C., USA
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Lee H, Kim D, Lee S, Fawcett J. The concepts of health inequality, disparities and equity in the era of population health. Appl Nurs Res 2020; 56:151367. [PMID: 33280788 PMCID: PMC7521436 DOI: 10.1016/j.apnr.2020.151367] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Accepted: 09/18/2020] [Indexed: 11/15/2022]
Affiliation(s)
- Haeok Lee
- Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, MA, USA; College of Nursing, Daeyang University, Lilongwe, Malawi.
| | - Deogwoon Kim
- Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, MA, USA
| | - SangA Lee
- Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, MA, USA
| | - Jacqueline Fawcett
- Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, MA, USA
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Abstract
This is the second of two essays addressing equity and social justice, which are interrelated concepts of considerable interest to members of our discipline. The purpose of this essay is to define social justice within the context of the conceptual model of nursing and health policy and to link social justice with equity in population health and with practice. An essay about equity appeared in a previous issue of Nursing Science Quarterly.
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Affiliation(s)
- Jacqueline Fawcett
- 1 Professor, Department of Nursing, University of Massachusetts Boston, Boston, MA, USA
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