Orem’s theory.

  Dorothea Orem’s theories of self-care, self-care deficit, and nursing systems have had great influence in nursing practice.  Orem’s self-care deficit theory stresses teaching the capable and educatable patient on self-care (George, 2011).  Dorothea Orem’s theory of self-care deficit has influenced quality improvement, decisions on quality care, patient health, and safety goals in multiple ways.  When applying Orem’s theory to assess and address self-care deficit, evidence-based practice (EBP) interventions can be used and data collected for quality improvement projects.  Through this constant continuum, quality care is provided, constantly evolving to stay relevant as advances in science are made.  Patient health outcomes are improved when individuals are given the skills, know-how, and tools to care for themselves, promoting independence (O, 2014).  It is imperative to assess patients for deficits in ability, knowledge, access, and need for assistance, so that they may be addressed appropriately to promote patient health.  When diagnosing deficits nurses are able to address safety goals that are directly related to deficits on an individual level.