Assignent Solutionnurs

Select one theory discussed during Topics 4 and 5. Describe how this theory applies to your future role in advanced nursing practice (individuals, families, communities, and special populations)? Why or why not? Use examples from your current practice to illustrate differences or similarities.
Below is my discussion post for week 4, use this to answer the question
Comparing Nursing Theories: Environmental Theory vs. Self-Care Theory
Intent
Florence Nightingale pioneered the environmental theory aiming to use the patient’s environment to assist them in their recovery. The primary intent of the environmental theory is to design the environmental setting in a manner that enhances the gradual restoration of health (Mughal & Ali, 2017; Smith, 2019). Generally, it entails establishing the external factors or the patient’s surroundings to improve life, biological, and physiological processes alongside their development. On the other hand, Orem pioneered the self-care theory, focusing on the nursing role to assist others in providing and managing self-care to improve their functioning (Indra, 2018). Generally, Orem’s self-care theory focuses on the activities people perform on their own to heighten well-being. Therefore, the primary focus of the self-care theory is to improve well-being through patients’ self-management of their conditions.
Scope
It is essential to acknowledge that the nurses in the environmental theory are the core promoters of the patient’s well-being by designing an environment worth promoting healing. Typically, nurses are tasked with improving the external factors in the patient’s environment to enhance the overall well-being (Indra, 2018). For example, under the environmental theory, nursing is responsible for cleanliness, clean air, water and warmth, and proper diet, alongside others to ensure the patient’s overall wellness. However, in Orem’s self-care theory, the patients are directly involved in their well-being (Smith, 2019). Therefore, patients’ well-being or health depends heavily on their practices or self-management activities that improve life and functioning. As a result, one can hold that the environmental theory emphasizes the responsibility of the nurses to cultivate a healing environment, whereas Orem’s self-care theory accentuates self-management.
Goal
Notably, the primary goal of Nightingale’s environmental theory is to enhance the patient’s recovery and well-being by cultivating a healthy environment (Smith, 2019). Generally, Nightingale emphasizes influencing nature by offering favorable conditions or prerequisites for healing. Therefore, according to this theory restoring the patient’s health requires modifying their environment. For example, environmental cleanliness can alleviate the risk of infection. On the other hand, Orem’s self-care theory aims to enhance one’s well-being through self-care or self-health management activities (Smith, 2019). Therefore, the primary objective of the self-care theory is to help individuals initiate and promote their well-being, health, and quality of life. Furthermore, Orem’s self-care theory aims to enhance the patient’s well-being by allowing some independence or autonomy over their self-care.
Relevance to the Future Role
Notably, Orem’s self-care theory would be the most relevant in the future role. It is essential to acknowledge that contemporary healthcare requires patient-centered treatment. Therefore, patient engagement is a remarkable requirement to enhance the quality of outcomes and improve their autonomy in care. As a result, the self-care theory would be a prerequisite for ensuring active involvement in own health (Khademian et al., 2020). Additionally, the future role requires building and maintaining quality relationships with the patient to enhance recovery. Therefore, self-care theory would promote a healthy relationship through which the practitioners can determine the areas of focus for the patient to improve recovery. Furthermore, self-care theory is an essential tool for heightening the patient-nurse collaboration in recovery by allowing patient autonomy in healthcare decisions (Khademian et al., 2020). Besides, considering the essence of self-care theory in self-management, it is relevant in the future practice to inspire people to learn about their health situations and empower active involvement in well-being.
References
Indra, V. (2018). Nursing theories: A review. International Journal of Advances in Nursing Management, 6(3), 271-274. https://doi.org/10.5958/2454-2652.2018.00061.6
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. International Journal of Community Based Nursing & Midwifery, 8(2), 140–149. https://doi.org/10.30476/IJCBNM.2020.81690.0
Mughal, F. B., & Ali, B. H. I. (2017). Enhancing patient well-being: Applying environmental theory in nursing practice. Annals of Nursing and Practice, 4(3), 1085.
Smith, M. C. (2019). Nursing theories and nursing practice (5th ed.). F.A. Davis Company.