Timmins Fiona, Horan Paul
School of Nursing and Midwifery, Trinity College Dublin, 24 D'olier Street, Dublin 2, Ireland.
Eur J Cardiovasc Nurs. 2007 Mar;6(1):32-9. doi: 10.1016/j.ejcnurse.2006.03.006. Epub 2006 May 18.
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.
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.
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.
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.
在过去三十年里，护理理论家大力倡导使用护理概念模型来指导护理实践。在冠心病监护病房中，基于概念模型的护理应用并不一致，目前还受到护理路径等当代方法的挑战。
本文旨在批判性地分析奥瑞姆自我护理缺陷护理理论作为一种运作方式，以有效满足冠心病监护病房住院患者需求的情况。
尽管自我护理模型在语言和构建上都很复杂，但它为冠心病监护病房患者的护理提供了一种全面且整体的方法。
本文从哲学和实践角度突出了自我护理缺陷护理理论应用于冠心病护理环境的潜在贡献。奥瑞姆的护理概念模型与冠心病监护病房的当前实践有某些相似之处，使其成为实践中有用的模型。然而，虽然建议在实践和教育环境中考虑使用，但该领域还需要进一步的实证研究，以及将该理论以符合当代观念的方式切实应用于实践。
