Research Paper on "Orem's Nursing Model Patients Perception on Discharge"

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THEORETICAL FRAMEWORK

Provision of proper instruction and knowledge to the patient by the nurse has been shows to be effective in assisting the patient in achieving self-care and independent living. However, it is the theory of this researcher that the failure to conduct a post-discharge interview by the nurse results in a higher readmission and reoccurrence rate than if the post-discharge interview had been conducted.

HYPOTHESIS

The hypothesis of this work is that conduction of post-discharge interviews with the patient in order to assess their understanding and comprehension of the information and knowledge conveyed by the nurse will result in lower readmission and reoccurrence rates including but not limited to secondary infections and the patient's failure to take their medication as prescribed.

LITERATURE REVIEW

According to the work entitled: "Orem's Self-Care Model: A Professional Nursing Practice Model" there are three systems that exist within the Orem's Model which are those as follows: (1) Compensatory system - nurse provides total care; (2) Partially compensatory system: nurse and patient share responsibility for care; and (3) Educative development system - patient has primary responsibility for personal health, with nurse acting as a consultant. (Mayo, nd)

The Orem Model of Nursing is one based upon the philosophy that "all patients wish to care for themselves." (Orem Model of Nursing, 2006) This model of nursing is known as the 'Self-Care' Model of Nursing and is specifically used in rehabilitation and primary care settings for the purpose of providing encouragement to the patient for them to be as independent as they possibly can. In the work of Dorothea Orem three groups of requirements are identified by Orem which are those of: (1) Universal self-care requisites; (2) Developmental self-care requisites; and Health deviation requisites. (Orem Model of Nursing, 2006) The patient is not able to provision their own self-care requirements the nurse is responsible to first determine those deficits of self-care and to then define a support modality. (Orem Model of Nursing, 2006)

Orem states specifically that:

1) Care demands recognition by the care agent of the essential freedom of the other as a developing person to grasp possible courses of action, to reflect, and to decide; (2) Care demands that the care agent view the person being taken care of as subject who lives, experiences, ahs awareness of self and environment, attaches meaning to what is experienced; and (3) Care demands that the care agent respect and accept the person being taken care of as a subject who has more and more to do with his or her becoming or developing." (p.22) (Banfield, 1997)

According to the work entitled: "A Meta-Analysis Research Supporting Discharge Phone Calls to Hospital Patients" states that: "Twenty-nine journal articles published between 1981 and 2004 were reviewed… READ MORE