Cavanagh S
Nurs Pract. 1991;4(4):26-8.
The fourth edition of Orem's book Nursing: Concepts of Practice (1) offers many new insights and applications of her model which will be particularly welcomed by nurses in this country. While there will still be complaints about the 'jargon' the model requires nurses to contend with, Orem has made a serious attempt at making her model more accessible to practitioners. Careful attention has been given to the nurse's role in health promotion and the care of dependent others, in particular children. There has also been the introduction of 'green' issues, such as the impact of toxic substances in the atmosphere. Yet the most important reformulation of Orem's ideas involve the nursing process. The explanation of Orem's ideas in terms identifiable as assessment, planning, implementation and evaluation will assist both student nurses and qualified staff to tackle the 'practical' aspects of Orem's model with more familiarity and ease. This article presents an overview of Orem's current thinking about the nursing process, and identifies similarities with the nursing process as generally understood in this country.
奥瑞姆所著的《护理：实践的概念》第四版（1）提供了许多关于她的护理模式的新见解和应用，这将受到我国护士的特别欢迎。虽然仍会有人抱怨该模式要求护士应对的“行话”，但奥瑞姆已认真尝试让她的模式更便于从业者理解。人们已仔细关注护士在健康促进以及照顾依赖他人（尤其是儿童）方面的作用。还引入了“绿色”问题，比如大气中有毒物质的影响。然而，奥瑞姆思想最重要的重新阐述涉及护理程序。按照可明确为评估、计划、实施和评价的方式对奥瑞姆的思想进行解释，将有助于实习护士和合格的护理人员更熟悉、轻松地处理奥瑞姆模式的“实践”方面。本文概述了奥瑞姆目前对护理程序的看法，并指出了与我国普遍理解的护理程序的相似之处。
