A critical analysis of the potential contribution of Orem's (2001) self-care deficit nursing theory to contemporary coronary care nursing practice.
BACKGROUND
Over the last three decades, nurse theorists have strongly advocated the use of conceptual models of nursing to guide nursing practice. Within coronary care units, conceptual model-based care has had inconsistent application and is currently challenged by contemporary approaches such as pathways of care.


OBJECTIVE
This paper aims to critically analyze the use of Orem's self-care deficit nursing theory as a modus operandi to effectively meet the needs of hospitalized patients in coronary care.


RESULTS
Although complex both in the language and construction, the self-care model , provides a comprehensive and holistic approach to the care of people in coronary care.


CONCLUSIONS
This paper highlights the potential contribution the application of the self-care deficit nursing theory to the coronary care setting from a philosophical and practical perspective. Orem's conceptual model of nursing and current practice in coronary care units share certain similarities that render a useful model for use in practice. However, while it is recommended for consideration for use in both practice and educational settings, further empirical work is required in the area, together with realistic and practical application of the theory to practice in a way that embraces contemporary notions.
Timmins
Fiona
F
School of Nursing and Midwifery, Trinity College Dublin, 24 D'olier Street, Dublin 2, Ireland. timminsf@tcd.ie
Horan
Paul
P
D003325:Coronary Care Units; D003327:Coronary Disease / Q000451:nursing*; D006801:Humans; D016294:Models, Nursing; D009742:Nursing Theory; D012648:Self Care; D013041:Specialties, Nursing