The Effect of Self-Care Deficit Nursing Theory Based Practice Training On Nurse and Patient Outcomes in Internal Medicine Clinics
Abstract views: 904
/ 
PDF downloads: 304
DOI:
https://doi.org/10.5281/zenodo.8400543Keywords:
Nursing agency, self-care, self-care agency, theoryAbstract
This study aims to evaluate the effect of the training given to nurses working in internal medicine clinics so that they can practice based on nursing theory of self-care deficit, on nurse and patient outcomes. The research conducted in a quasi-experimental design. The sample of the study consisted of 33 nurses working in internal medicine clinics and 322 patients. Data collection tools applied to nurses and patients before and after the training. After the training given to nurses; it found that the time spent by nurses for patient care increased, their attitude evidence-based practices, patient-centered care competence, counseling skills and job motivation increased significantly (p<.05), awareness of nursing actions that support patients' individuality and perception of their individuality in their own care significantly increased (p<.05). It can be recommended that nurses working in internal medicine clinics should be taught in the nursing theory of self-care deficiency and support the theory-based study, and that the study should be conducted out in different clinics other than internal medicine clinics.
References
Acaroglu, R., Sendir, M., 2012. Bireyselleştirilmiş bakımı değerlendirme skalaları. İstanbul Üniversitesi Florence Nightingale Hemşirelik Dergisi, 20(1):10-16.
Acaroglu, R., Suhonen, R., Sendir, M., Kaya, H., 2010. Reliability and validity of Turkish version of the Individualised Care Scale. Journal of Clinical Nursing, 20(1‐2):136-145.
Afrasiabifar, A., Mehri, Z., Javad Sadat, S., Ghaffarian Shirazi, H. R. G., 2016. The effect of Orem's self-care model on fatigue in patients with multiple sclerosis: A single blind randomized clinical trial study. Iranian Red Crescent Medical Journal, 18(8):1-9.
Afrasiabifar, A., Mehri, Z., Shirazi, H. R. G., 2020. Orem's self-care model with multiple sclerosis patients' balance and motor function. Nursing Science Quarterly, 33(1):46-54.
Aish, A. E., Isenberg, M., 1996. Effects of Orem-based nursing intervention on nutritional self-care of myocardial infarction patients. International Journal of Nursing Studies, 33(3):259-270.
Akcan, F., Ozsoy, S., Ergul, S., 2006. Birinci basamak sağlık hizmetlerinde çalışan ebe ve hemşirelerin danışmanlık becerilerinin incelenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 9(4):10-21.
Altay, N., Cavusoglu, H., 2013. Using Orem's self-care model for asthmatic adolescents. Journal for Specialists in Pediatric Nursing, 18(3):233-242.
Altinisik, M., 2019. Onkoloji kliniğinde hasta ve hemşire bakış açısıyla bireyselleştirilmiş bakım algısı. Master's thesis. Sağlık Bilimleri Enstitüsü Hemşirelik Anabilim Dalı, Akdeniz Üniversitesi.
Arslanoglu, A., Kirilmaz, H., 2019. Hasta merkezli bakım yetkinliği (HMBY) ölçeğinin Türkçe’ye uyarlanması. Sağlık Akademisyenleri Dergisi, 6(2):158-166.
Avci, I.A., Kumcagiz, H., 2019. Hemşirelerde Danışmanlık Becerileri Ölçeği’ni (HDBÖ) geliştirilmesi: Geçerlik ve güvenirlik çalışması. Eskişehir Osmangazi Üniversitesi Sosyal Bilimler Dergisi, 20(Özel sayı):873-884.
Ayhan, Y., Kocaman, G., Bektas, M., 2015. Kanıta Dayalı Hemşireliğe Yönelik Tutum Ölçeği”nin Türkçe’ye uyarlanması: Geçerlik ve güvenirlik çalışması. Hemşirelikte Araştırma Geliştirme Dergisi, 17(2-3):21-35.
Bakir, N., Demir, C., 2020. Hemşirelerin hasta merkezli bakım yetkinliği ve bütüncül hemşirelik yeterliliği. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5(3):109-117.
Bal Ozkaptan, B., Kapucu, S., 2016. Home nursing care with the self-care model improves self-efficacy of patients with chronic obstructive pulmonary disease. Japan Journal of Nursing Science, 13(3): 365-377.
Biggs, A., 2008. Orem’s Self-Care Deficit Nursing Theory: Update on the state of the art and science. Nursing Science Quarterly, 21:200-206.
Ceylan, B., 2014. Hemşirelikte bireyselleştirilmiş bakım. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 30(3):59-67.
Dastan, B., Hintistan, S., 2018. Dahiliye kliniklerinde çalışan hemşirelerin kanıta dayalı hemşireliğe yönelik tutumlarının belirlenmesi: kırsal bölge örneği. Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi, 1(1):1-9.
Deng, Q., Kang, L., Zhu, S., Luo, W., Qing, J., Zhong, S.. et. al., 2021. Effects of nursing based on Orem's self-care model on self-care efficacy, quality of life and adverse emotions in patients with advanced lung cancer. American Journal of Translational Research, 13(4):2983-2989.
Engin, E., Cam, O., 2009. Validity and reliability study of the Turkish psychiatric nurses of job motivation scale. Journal of Psychiatric and Mental Health Nursing, 16(5):462-472.
Gocmen Baykara, Z., Caliskan, N., Ozturk, D., Karadag, A., 2019. Hemşirelikte teori ve model kullanımı: Nitel bir çalışma. Cukurova Medical Journal, 44:281-289.
Hemati, Z., Mosaviasl, F. S., Abasi, S., Ghazavi, Z., Kiani, D., 2015. Effect of Orem's Self-Care Model on self-esteem of adolescents with asthma referred to an asthma and allergy clinic in Isfahan. Tanaffos, 14(4):232-7.
Hwang, J. N., 2015. Development and testing of a patient-centred care competency scale for hospital nurses. International Journal of Nursing Practice, 21(1):43-51.
Jaarsma, T., Abu-Saad, H. H., Dracup, K., Halfens, R., 2000. Self-care behaviour of patients with heart failure. Scandinavian Journal of Caring Sciences, 14(2):112-9.
Karahan, I., Aydin, C., 2018. Bir üniversite hastanesi iç hastalıkları kliniğinde yatan hastaların özellikleri ve yatış sebeplerine genel bakış. Sağlık Bilimleri ve Tıp Dergisi, 1(13):59-61.
Karakoc-Kumsar, A., Polat, S., Afsar-Dogrusoz, L., 2020. Determining attitudes of nurses toward evidence-based nursing in a university hospital sample. Florence Nightingale Journal of Nursing, 28(3):268-275.
Keskin, A., 2019. Yetişkin hastaların bireyselleştirilmiş bakım algılarının hastane taburculuğuna hazır oluşluklarına etkisi. Master's thesis. Afyonkarahisar Sağlık Bilimleri Üniversitesi.
Khademian, Z., Ara, F. K., Gholamzadeh, S., 2020. The effect of Self Care Education Based on Orem’s Nursing Theory on quality of life and self-efficacy in patients with hypertension: A quasi-experimental study. Uluslararası Toplum Temelli Hemşirelik ve Ebelik Dergisi, 8(2): 140-149.
Kirigo, G. G., 2017. Quality of nursing care through patient participation: An integration of Orem’s theory to the nursing process in Kiambu and Thika Hospitals. PhD thesis.
Michel, O., Garcia Manjon, A. J., Pasquier, J., Ortoleva Bucher, C., 2021. How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit. Journal of Advanced Nursing, 77(11):4459–4470.
Miller, W. R., Moyers, T. B., 2007. Eight stages in learning motivational interviewing. Journal of Teaching in the Addictions, 5(1):3-17.
Mohammadpour, A., Sharghi, N. R., Khosravan, S., Alami, A., Akhond, M., 2015. The effect of a supportive educational intervention developed based on the Orem’s self-care theory on the self-care ability of patients with myocardial infarction: a randomised controlled trial. Journal of Clinical Nursing, 24:1686–1692.
Morgan, S., Yoder, L. H., 2012. A concept analysis of person-centered care. Journal of Holistic Nursing, 30(1):6-15.
Nasresabetghadam, S., Jahanshahi, M., Hajiahmadi, M., 2021. The Effects of Orem's Self-care Theory on self-care behaviors among older women with hypertension: A randomized controlled trial. Nursing and Midwifery Studies, 10(2):9-106.
Ogel, K., 2009. Motivasyonel görüşme tekniği. Türkiye Klinikleri Journal of Psychiatry-Special Topics, 2(2):41-4
Orem, D. E., 2001. Self-care deficit theory of nursing: concepts and applications (7 ed. pp.99-135). USA: Dennis C. M. Mosby-Year Book Inc.
Ruzafa-Martínez, M., López-Iborra, L., Madrigal-Torres, M., 2011. Attitude towards Evidence-Based Nursing Questionnaire: development and psychometric testing in Spanish community nurses. Journal of Evaluation in Clinical Practice, 17(4):664-70.
Saeedifar, E. S., Memarian, R., Fatahi, S., Ghelichkhani, F., 2018. Use of the Orem self-care model on pain relief in women with rheumatoid arthritis: A randomized trial. Electronic Physician, 10(6):6884-6891.
Suhonen, R., Leino-Kilpi, H., Valimaki, M., 2005. Development and psyhometric properties of the Individualized Care Scale. Journal of Evaluation in Clinical Practice, 11(1):7-10.
Suhonen, R., Schmıdt, L., Radwın, L., 2007. Measuring individualized nursing care: Assessment of reliability and validity of three scales. Journal of Advanced Nursing, 59(1):77–85.
Suhonen, R., Välimäki, M., Katajisto, J., 2000. Developing and testing an instrument for the measurement of individual care. Journal of Advanced Nursing, 32(5):1253-63.
Tok Yildiz, F., Kasikci, M., 2020. Impact of training based on Orem's Theory on Self-Care Agency and quality of life in patients with coronary artery disease. Journal of Nursing Research, 28(6):1-10. e125.
Tuna, H. I., Alparslan, G. B., 2021. Effects of Orem's Self-Care Model of nursing on hand symptoms and life activities in geriatric ındividuals diagnosed with rheumatoid arthritis: A pilot study. Research and Theory For Nursing Practice, 35(3):207-221
Yapicioglu, G., 2019. Sağlık Çalışanlarında Motivasyonla Bağlantılı İş Verimliliği Düzeyinin Ölçülmesi ve Motivasyonu Etkileyen Faktörler. Master's thesis. Sağlık Bilimleri Enstitüsü, Kırklareli Üniversitesi.
Yildiz, F. T., Cingo, N., Yildiz, I., Kasikci, M., 2018. Nurses’ Perceptions of Individualized Care: A Sample from Turkey. International Journal of Caring Sciences, 11(1):246-53.
Zhang, L., Pan, W., 2021. Effect of a nursing intervention strategy oriented by Orem's self-care theory on the recovery of gastrointestinal function in patients after colon cancer surgery. American Journal of Translational Research, 13(7):8010-8020.
Zhu, T., Liu, H., Han, A., Gu, H., Li, X., 2021. Orem's self-care to treat acute coronary syndrome after PCI helps improve rehabilitation efficacy and quality of life. American Journal of Translational Research, 13(4):2752-2762.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 The copyright of the published article belongs to its author.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The journal is licensed under a 