Tag: Clinical-Nursing

Feedback…

You have misunderstood the requirements for this assessment.

You need to select an actual organization and complete a TOWS matrix and analysis. This TOWS matrix should build upon the information that you provided for your selected organization in Assessment 1.

Be sure to review what is mean by the “knowledge economy management approach.” You will want to find examples of this in your organization.

You might want to quickly look at all of the assessment guidelines for this course. Each one builds on the previous one with a final paper at the end of the term.

Overview

Create a 3–5-page draft for a strategic plan for your selected organization using a TOWS matrix and portfolio analysis in addition to any other appropriate tool of your choosing.

Note: The assessments in this course are presented in sequence and must be completed in order.

The TOWS Matrix is a decision-making process for developing strategic alternatives. You will be able to better develop a more effective strategic plan based upon an in-depth understand of the current environment.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces. ◦Apply methodologies from the knowledge-economy management approach appropriately to the organization.

◦Integrate recent research into a strategic management plan.

Competency 2: Develop a strategic organizational plan that provides human and financial resources to support targeted organizational outcomes. ◦Synthesize operational and financial components into a strategic planning process.

◦Analyze strategy in relation to achieving competitive advantage.

Competency 3: Recommend an organizational structure and design to optimize a strategic plan. ◦Recommend an alternative organizational structure model that aligns with organizational goals.

 

Context

Development of strategies involves awareness of the environment, intellectual curiosity, and a willingness to be open to creative ideas and solutions.

The Assessment 2 Context document contains important information about the following topics related to Adaptive and Market Entry strategies:

The TOWS Matrix.

Service/Product Life Cycle.

Product (or service) Development Process.

Strategy Implementation & Organizational Culture.

When Cultures Need Changing.

 

 

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

 

Required Resources (Attached)

The following resources are required to complete the assessment.

Click the links provided below to view the following multimedia pieces:

Riverbend City: Ruby Lake Evacuation Mission | Transcript.

TOWS Matrix

 

Suggested Resources

 

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

 

Library Resources

 

The following e-books or articles from the Capella University Library are linked directly in this course:

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic management of health care organizations (7th ed.). San Francisco, CA: Jossey-Bass. ◦Chapter 7, “Evaluation of Alternatives and Strategic Choice,” pages 255–304.

◦Chapter 8, “Value-Adding Service Delivery Strategies,” pages 307–341.

 

Littlejohns, P., Sharma, T., & Jeong, K. (2012). Social values and health priority setting in England: “Values”-based decision making. Journal of Health Organization and Management, 26(3), 363–373.

 

Assessment Instructions

Note: Assessment 1, Current Environmental Analysis, must be completed before beginning this assessment. You will be revisiting and revising strategies throughout each of the assessments in this course. Each assessment builds on your previous work.

 

Step One: Critical Thinking Skills Practice

The TOWS Matrix is a decision-making process for developing strategic alternatives. Your ability to think critically is key to organizing your thoughts throughout the strategic planning process.

In preparation for this assessment, you are required to view the Riverbend City: Ruby Lake Evacuation Mission simulation (linked in the Resources). This activity is an ideal setting to practice thoughtful application of critical thinking skills. This media piece addresses multiple competencies, some of which are difficult to practice and assess without a real world or a simulated setting. As you begin your TOWS matrix, keep the following categories of critical thought in mind as you consider the threats, opportunities, strengths, and weaknesses of the Ruby Lake Evacuation scenario.

Assumptions: What assumptions are being taking for granted by the people in this simulation? What alternative assumptions could be useful in this situation?

Information: What information did people have and what kind of information were they missing?

Fairness: How was intellectual and intercultural fairness demonstrated?

Criteria for Evaluation: What criteria would you use to evaluate the quality of the information, implementation and/or effectiveness?

Complete a practice TOWS Matrix for this scenario before proceeding to Step Two. This practice matrix does not need to be submitted.

 

Step Two: Complete a TOWS Matrix

Apply the same critical thought process to a real world setting that is relevant for your selected health care organization’s future success. In addition to completing a TOWS matrix, you may use any other appropriate analysis tools to determine alternative strategies.

Include the following as you develop alternative strategies:

Incorporate the use of new methodologies from the knowledge-economy management approach that might be appropriate for this organization.

Correlate recent research findings regarding strategy management into your approach.

Synthesize operational and financial components in your strategic planning process.

Incorporate your findings from your current environment analysis.

Determine the organizational structure that best facilitates the strategy—functional, divisional, or matrix.

 

Step Three: Draft Strategic Plan

Re-examine your work from Assessment 1 and create a high level draft of a strategic plan that incorporates insights from your environmental analysis and the TOWS matrix exercise.The goal is to focus upon application of the concepts and new insight. Keep it brief and substantive.

Preface your draft with the core assumptions regarding environmental opportunities and threats, organizational strengths and weaknesses, and organizational behavior dynamics that are foundational to the strategy.

Include a brief description of the proposed strategy that reflects the choices made regarding:

Service/product domain.

Market domain.

Level of investment in the respective service/product and market domains.

Positioning approach for achieving competitive advantage.

Maneuvers that will be used to implement the positioning approach.

Distinctive competencies or assets that will be relied on to gain and sustain competitive advantage.

 

Additional Requirements

Submit your selected health organization’s TOWS Matrix from Step Two, with the high-level components of a strategic plan, as an attachment to this assessment.

Length: 3–5 double-spaced, typed pages. Note: Feel free to construct images/diagrams to summarize information where appropriate (for example, TOWS matrix…).

APA formatting: Resources and citations are formatted according to current APA style and formatting.

Resources: Use evidence from the literature to support your recommendations.

Feedback

Thank you for your initial work on this current environmental analysis of Parkland Health and Hospital Center.

An introduction to the organization would be helpful. Through reading of this paper, I could gather that this facility is in Dallas. Is this Texas? How many people are employed here? How many patients are served? Are there any specialties? Is this a for-profit or not-for-profit group?

You are an excellent writer. I look forward to your continued work.

Kind regards

 

Basic

Analyzes the internal and external environment of a health care organization, but the analysis is unclear or incomplete.

Faculty Comments:

“Your PEST analysis looked at some factors that might affect the internal and external environment. The external analysis might also look at direct competitors to this organization. Who is the competition? How close are these other organizations? Are there any overlapping services? You did include mention of serving a large about of the immigrant population. What is the population that is actually served? Are there any other external factors that affect this organization? The internal analysis might look at employees. For example, are there any staffing issues? This area might also look at the physical plant – are any changes or upgrades needed? Do people have any issues with accessing the facility due to transportation needs or lack of parking? (just some examples)”Thank you for your initial work on this current environmental analysis of Parkland Health and Hospital Center.

An introduction to the organization would be helpful. Through reading of this paper, I could gather that this facility is in Dallas. Is this Texas? How many people are employed here? How many patients are served? Are there any specialties? Is this a for-profit or not-for-profit group?

You are an excellent writer. I look forward to your continued work.

Kind regards

Environmental Analysis of Parkland Health & Hospital System

This paper conduct an environmental analysis of Parkland Health & Hospital System having in mind the importance of such analyses in guiding  a healthcare organization’s  strategic decisions. It not only sheds insights on opportunities, but barriers as well, both internal and external. With this information, strategies can be developed for successful improvement and positioning of a healthcare organization (Mitchell, 2013).

Key Structural Features Determining the Forces of Competition in Health Industry

In the health care industry, competing has an impact on several perspectives of relationships. In healthcare, it is theoretically proposed that the vertically integrated market structure in professional practice serves as the vehicle for intra-professional debate in the organization and for developing the needful provider-oriented care policy (Mitchell, 2013). This analysis suggests that key to the forces of competition in the industry is the special relationship between professionalism in healthcare service provision and professional regulation. Such regulation may simultaneously function as a limit to unfair competition and in fostering a well prized consumption for the clients in terms of professionalism and professional esteem (Finch, 2012).

The organized demand for health care services inherently tends to dampen competition in the industry. However, professionalism in itself is crucial in securing an organized care provider a state regulation, in which the care providers form the main decision-makers. Further it may influence the market behavior of the providers and consumers in several significant ways that may result in formation and maintenance of a leadership cartels in the local market. Therefore, pursuit of the political-economic theory of health care market formally affirms that professionalism is valued by established practitioners as the main factor that determines the influence in the industry (Finch, 2012).

Goals and Strategies of the Respective Competitive Forces

In a PESTanalysis,this paper evaluates the political, economic, social, and technological environment of the health industry in reference to the Parkland Hospital. As part of the healthcare industry, the hospital has equally undergone these factors, and they have, over the years of its service provision in Dallas, influencedits performance in the industry. As may be noted in the industry-specific analysis, some of these factors have benefited the facility, while others provide the institution several challenges that need to be addressed to survive the growing and unique competition in the industry. As a healthcare provider, therefore, the hospital needs to analyze these factors with the aim of improving on their current products and services(Finch, 2012).

Political Factors

These are external factors that are mainly ecological in terms of the legislation (future, current, and international), roles of the regulatory bodies, and the processes of government policies. It also includes the government term and any changes that legal activities may have on trading policies in terms of funding, access to grants, andinitiatives in the home market pressure. In the Parkland Hospital case, the passage of health laws such as the Centers for Medicare Services Act (2012) towards lowering the cost of care has increased the level of hospital utilization by the locals. This has significant impact on the availability of facilities to cater for the increased demand. Further, there has been an increase in activist lobbying that has impacted on the hospital operations based on the lobbying. For instance, there is an upsurge of special Interest groups lobbying for groups such as physicians, patient advocacy,hospital associations and nurse unions. In this regard, the hospital management is faced with the challenge of dealing with a stricter level of standards for an informed clique of consumers.

Economic Factors

This factor of industry competition is mainly concerned with the home economy in which the industry lies. Economy has an impact on other operations, both local and international. These operations may include general taxation that is specific to the health care product or services, in which seasonality issues affect market cycles of the industry factors. In other instances, the behaviors elicited affect market routes that in turn affect the distribution of customer and end-user drivers of the industry. Parkland is faced with the changes occasioned by the reduced reimbursement due to the requirements of the Centers for Medicare Services (CMS). For instance, implementation of the requirements led to a general reduction on as consumers demanded lowerpricing for the medical services. In order to increase capitation, the hospital is forced to consider other methods of increasing patient turnover, hence an increasedcompetition in the industry through competitive pricing. Clients are encouraged to pay for quality as the hospital operationalizes the patientsafety and riskreduction policy.

Social Factors

These factors include lifestyle trends of the catchment of the hospital. It is notable that the hospital mainly serves immigrants with a generally reserved cultural background. This has had an impact on the demographics as well as the attitudes andopinions of the consumer depending on how they view the law changes that affect their social brand. It is notable that even a simple action of introducing technology may have an impact on the consumer image that would compound into changes in their buying patterns and access to the services (Sutherland, 2013). In Dallas, there is a general culture shift towards transparency for patients involving integrating consumers in the care delivery and hospital operations. This has been majorly utilized in selling and marketing of the healthcare services as a product.

Technological Factors

Technologically, the industry is subjected to competing technology, in which research and developmentfunding is associated with dependent technology replacement (Cohen, Manion, & Morrison, 2013). Solutions to the maturity of technologymanufacturing and capacity of information andcommunications are in the resulting consumer buyingmechanisms. In the industry, technology legislationinnovation and potential of technology access affect the competitive edge depending on costs of licensing, patents, intellectual property rights, and communications. The hospital has a burden of investing in innovation to become the early adopters of technologies in the industry. For instance, the trending Central eMR can be embraced to improve service delivery. However, this is affected by legislation andrequirements. Altogether, the industry has potential in establishing scalable technology solutions. This will technically reduce the current barriers to partner business, in which leaders can adopt change and provide the required technology support resources.

The Organization’s Directional Strategy

As a public health system in its immediate community in Dallas, Parkland is the bedrock of a healthy population. In this regard, it is a daily reminder to the hospital management to improve the servicesrendered to its patients. By the time of this analysis, Parkland was adding more community health care services in the neighborhoods (Hall, &Roussel,2016). To them, patient care is not just their job but their passion. As indicated in the Hospital’s website, their mandate is to avail medical aid and other hospital-based care to its majorly needy population in the hospital district. This is borne in the mission of dedication to the well-being of communities depending on their care. Parkland Hospital envisions through their actions, to define the understanding of the standards of excellence a public academic health system as currently rendered by the facility.

The Organization’s Positioning Approach

Positioning approach of Parkland service is in its excellence standards. With the goal of providing the best possible health care for their patients, patient-centered approaches are promoted through compassionate handling of patients, and skill development through teamwork. This is the goal behind creation of CIRCLES –behavioral standards guiding the actions and interactions at the Parkland. Some of the values that help in positioning the organization include show of Compassion for every patient individually. This enables provision of service empathetically, in love and with concern. Further, the institution emphasizes integrity among its staffs. They are expected to remain honest, trustworthy, and transparent in their internal and external relationships. At management and technical level, collaboration is an important constituent of achieving the company goals by working with patients and partners. These goals have necessitated investment in leadership training and placement(Hall, & Roussel, 2016).

Summary/ Conclusion

This analysis underscores the place of quality management in ensuring good competition among stakeholders in the industry. Overall, the immigrants in Dallas have limited access to health care compared to the natives. This is regardless of whether they are insured or not. Majority of the immigrants have reported very few or no office medical visits in all categories of medical coverage of the US population: the uninsured, privately insured, and the public insured individuals. The disparity jeopardizes the quest of safer communities as outlined in health quality improvement given that individuals mingle in the society. Incidents of preventable infections are most likely under such a disparity in health care provision. Although healthcare institutions are charged by legislation to offer these services to the poor immigrants, there is laxity by the staffs. Such attitude can only be linked to a possible cultural incompetence among staffs in handling the immigrants and maintaining a competitive edge over its immediate competitors in the state.

To facilitate the desired change in the cultural competence, the healthcare institution has opportunities in the sufficiency of supporting demand-driven factors in the region. Further, the diversity in the population served offers the nurses and other staffs to learn the immigrant language or to employ nurses with competency in immigrants’ languages. This notwithstanding, the health care institution needs to benchmark cultural competency to capture its ability in providing the needed knowledge of the needs of the immigrants, and the awareness and respect for the local cultural values, language, and ethnicity and practices (as a group or as individuals)

 

References

Cohen, L., Manion, L., & Morrison, K. (2013).
Research methods in education.
7
th
Ed. New York, NY: Routledge.

Finch, J. (2012). 
Managerial marketing
. San Diego: Bridge point Education, Inc.

Hall, H.R., &Roussel, L.A. (2016).
Evidence-based practice
.Burlington: Jones & Bartlett Publishers.

Mitchell, G. (2013). Selecting the best theory to implement planned change.Belfast: Queen’s University press.

Sutherland, K. (2013). Applying Lewin’s change management theory to the implementation of bar-coded medication administration.
Canadian Journal of Nursing Informatics.Editoral Board
, 8(1&2).

Diverse Populations and Age

Read the required readings. Consider the influence of socioeconomic status (SES), culture, gender, ethnicity, and spirituality on mental and physical health for the individual in various health care settings, as it relates specifically to age in adulthood. Construct your post addressing young, middle and older adult related risks concerning a topic. (Young adults are 18–35, not adolescents). Consider physiological, psychological and iatrogenic risks

Be creative in how you address the discussion. You may choose a specific health topic, social health issue, a health condition or create a family scenario. Consider life transitions and role change. Be sure to include risks, addressing the issue across the adult lifespan. Integrate some social, spiritual and environmental influences on mental and physical health.

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section.

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion.

Please see the Kaplan Writing Center located in the student portal for assistance with writing, APA, and online communication.

 

Required Reading

In 
Health Promotion Throughout the Lifespan in Nursing Practice
, read:

Chapter 22: “Young Adult”

Chapter 23: “Middle-Aged Adult“

Chapter 24: “Older Adult”

Caldwell, J. T., Ford, C. L., Wallace, S. P., Wang, M. C., & Takahashi, L. M. (2016). Intersection of Living in a Rural Versus Urban Area and Race/Ethnicity in Explaining Access to Health Care in the United States. American Journal Of Public Health, 
106
(8), 1463-1469.

Emlet, C. A. (2016). Social, Economic, and Health Disparities Among LGBT Older Adults. Generations, 
40(
2), 16

Lee, K. H., & Hwang, M. J. (2014). Private religious practice, spiritual coping, social support, and health status among older Korean adult immigrants. Social Work In Public Health, 
29
(5), 428-443.

Course Web Resources

Agency for Healthcare Research and Quality [AHRQ]. (2014). Guide to clinical preventive services. Retrieved from
https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/index.html

Centers for Disease Control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Glossary. Retrieved from
https://www.cdc.gov/OPHSS/CSELS/DSEPD/SS1978/Glossary.html

Department of Health and Human Services. (2014).
Leading health indicators
. Retrieved from 
http://healthypeople.gov/2020/LHI/default.aspx

Healthy People 2020. (2016).
Topics and objective
Retrieved from 
https://www.healthypeople.gov/2020/topics-objectives

Course PDF Web Resources

Centers for Disease control and Prevention [CDC]. (2014). Principles of epidemiology in public health practice. An Introduction to applied epidemiology and biostatistics. (3rd ed.). Retrieved from
https://www.cdc.gov/ophss/csels/dsepd/ss1978/ss1978.pdf

Guide to Clinical Preventive Services. (2014). Recommendations of the US preventive task force. Retrieved from
https://archive.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide2012/guide-clinical-preventive-services.pdf

Adult Life Span Health Promotion

After completing this unit, you should be able to:

Identify health disparities among diverse adult populations

Name psychosocial and spiritual changes that may occur during the adult life span.

Describe health patterns of young, middle and older adults.

Course Outcome(s) practiced in this unit:

MN505-5: 
Evaluate intradisciplinary health promotion resources.

Application of Health Promotion in the Young Adult, the Middle-Aged Adult, and the Older Adult

The master’s prepared registered nurse promotes health care measures and behaviors in a variety of places where young adults come into contact with the health care delivery system, such as community colleges, University settings, or community health clinics. Preventative care in young adults takes the form of screenings, counseling and education in methods of contraception. Health examinations that are recommended are crucial components of screening for potential health concerns and providing education in measures to avoid disease and disability.

The master’s prepared registered nurse assists the middle-aged adults in improving their quality of life, both in the present and futuristically, through identification of risk factors, as well as through health promotion. It is anticipated that the middle aged adult will need healthcare services several times before they reach into their sixties.

Life expectancy is now well beyond 75 years for both men and women, and the age group of 85 and older is one of the fastest-growing populations. With this longevity, the process of aging results in multiple physiological changes in many body functions. Older adults have a tendency to have a higher rate of illness than younger populations. The master’s prepared registered nurse who specializes in the care of the older adult population can promote their health and well-being through education, research, and practice. Education of the patient is equally important and begins with the master’s prepared registered nurse making an assessment of the individual level of understanding of health promotion activities. Major areas of focus are healthy weight and diet, activity, fall prevention, general safety, and medical appointments for screening.

Evaluating Organizational Change

Description:

This Assignment provides an overview of how to evaluate evidence-based practice quality improvement in a practice change.

Directions:

Introduce an overview of a healthcare system practice guideline, preferably where you work or have worked.

Discuss how different professionals in the healthcare system (nurses, pharmacists, technicians, etc.) are held to this guideline.

Identify the research/reference used by the system to adopt the guideline.

Define the evidence used to define the guideline.

Determine the level of evidence used in the EBP identified.

Provide an opinion on how well this guideline is followed by professionals in the system.

Conclude with a concise overview of the guideline and the discussion in the paper.

Write the paper in 8–10 pages, using APA format.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment 1 Requirements:

Before finalizing your work, you should:

be sure to 
read the Assignment description carefully
(as displayed above)

consult the Grading Rubric
(under the Course Resources) to make sure you have included everything necessary;

utilize 
spelling
and 
grammar check
 to minimize errors; and

Your writing Assignment should:

follow the conventions of 
Standard American English
(correct grammar, punctuation, etc.);

be 
well ordered
, 
logical,
and 
unified
, as well as 
original and insightful
;

display 
superior content, organization, style, 
and
mechanics
; and;

use 
APA 6th edition
format

How to Submit Assignment 1:

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, submit to the unit Dropbox. Make sure to save a copy of your work and be sure to confirm that your file uploaded correctly.

Purpose: Conceptual-Theory-Empirical (C-T-E) structure Discussion

Things to remember:

Discussion post is at least 200 words.

Answers all questions with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

3 References, try to find resources that are 5 years or less

No errors with APA format 6thEdition

 

To Discuss:

Discussion
Topic 1: Conceptual-Theory-Empirical

Writing in the voice of your chosen theorist from your
Unit 5 Assignment
, describe the Conceptual-Theory-Empirical (C-T-E) structure process you used in creating your theory?

Researchers often identify the research problem and then go in search of a theory. Discuss the disadvantages of doing this. What does the textbook recommend that researchers do to assure a true fit between theory and designing the study?

Dorothea is one of the leading nursing theorists, and was an important influence in service, practice and education in nursing. In this paper, the focus will not be on who Dorothea was, but on the theory of Self Care and how it was formulated explicated in the professional field. The four main stages of the paper will involve steps in which theorizing occurs, syntax is developed, the theory is tested and lastly evaluation.

Stage One: Theorizing

The self-care theory is development at an early stage of a nurse’s career. When an individual is working at an administrative capacity in state health board, their thinking is most likely aligned to finding a solution to the changing needs of the state’s hospitals (Orem, 1991). The changing needs can be met through proper definition of nursing practice and self-care. The concept is developed in line with what is seen to be important elements of self-care.

Stage Two: Development of Syntax

At this stage, the most important thing that is done is definition of concepts that are very critical to the theory. The most critical question that comes to one’s mind is related to definition of nursing (Taylor, 2006). Orem defined nursing as an act, which involves the process of assisting others in management and provision of self-care to improve the functioning of human at the level of being effective at home.

Another important concept that has to be defined in this case is the self-care. It is described as the practice and performance of certain activities initiated by an individual on their own behalf to ensure that they maintain proper life and health. The concept of nursing and self-care are about the existence of human beings (Orem, 1991). In the case of these theory human beings are defined as those with the ability to use and reflect on the symbols. The human is viewed as a total being that has developmental and universal needs and has the capacity to uphold self-care.

Third Stage: Theory Testing

The concept of nursing as defined by Orem has been split into three other important elements that include self-care, self-care deficit and theory of nursing system. Under the theory of self-care there is the understanding of what self-care means. The definition is that activity with is initiated by an individual in performing their own wellbeing and maintenance of life. The human ability to engage in self-care is what has been defined as the self-care agency. Such ability is conditioned through other elements such as state of development, age and life experience on sociocultural orientation and use of resources that are made available. The therapeutic self-care demand means the totality of self-care actions that are carried out for a given period of time to meet the requirements of self-care for a certain period of time and is related to a given set of actions and operations (Taylor, 2006). The self-care requisites make up part of the theory, and it means the actions that are carried out and directed towards giving of self-care.

The development of the theory also does involve making of certain assumptions that are very critical. The main assumption is that people are required to be self-responsible and reliant for their own health care and for the care of their family. In the theory, it is further assumed that the people are distinct individuals (Orem, 1991). Nursing is also defined through a given assumption which looks at the practice as a form of action that involves interaction between more than one individual. Meeting the needs of self-care is an important part of primary care and most importantly looks at prevention of ill health.

Fourth Stage: Evaluation

In the evaluation of the theory is a philosophical debate about how the theory is implemented. In this case the theory is looked at in terms of its strength and weaknesses when applied in nursing practice (George, 2012). The main strength is that it is a theory that offers comprehensive basis under which nursing practice is carried out. It provides utility for professional nursing in form of education, administration in nursing (Whelan, 2014). It is a theory that is contemporary and in line with the contemporary ideas of health maintenance and promotion.

The limitations to the theory also explain a better part of the philosophical application. The main shortcoming is based on the fact that health in most cases is seen as a dynamic and ever-changing concept. It cannot be viewed as a single element but as a whole with several parts. In general view, the theory can be said to be simple but it can be applied to variety of patients (Tomey & Alligood, 2002). It does provide an explanation of what nursing systems entail deficits in self-care and the terms under self-care. The theory is also an indication that patients are in need of taking care of themselves and that they are at a better position of getting better if they perform their personal self-care.

 

 

References

George B. J. (2012). Nursing Theories- The base for professional Nursing Practice, 3rd ed. Norwalk, Appleton & Lange.

Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.

Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M.

Tomey, A. & Alligood, M. (2002). Significance of theory for nursing as a discipline and profession. Nursing Theorists and their work. Mosby, St. Louis, Missouri, United States of America.

Whelan, E. G. (2014). Analysis and application of Dorothea Orem’s Self-care Practice Model.