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Orem's self-care deficit nursing theory: pediatric asthma as exemplar

Karen R Cox1, Susan G Taylor

  • 1Center for Health Care Quality, University of Missouri Health Care, Columbia, USA.

Nursing Science Quarterly
|June 25, 2005
PubMed

Insights

Pediatric asthma hospitalizations are preventable, indicating suboptimal parental asthma management. Healthcare system gaps significantly impact parents

Area of Science:

  • Pediatric Pulmonology
  • Nursing Theory
  • Healthcare Systems Analysis

Background:

  • Pediatric asthma is a leading cause of preventable hospital admissions across all demographics.
  • Preventable hospitalizations suggest potential deficits in parental asthma self-management.
  • Orem's Self-Care Deficit Nursing Theory provides a framework for understanding parental competency.

Purpose of the Study:

  • To identify factors influencing parental competency in managing pediatric asthma.
  • To analyze the role of the healthcare system in pediatric asthma self-management.

Main Methods:

  • Systematic literature review of pediatric asthma management.
  • Application of Orem's Self-Care Deficit Nursing Theory to identify antecedent conditions.
  • Analysis of healthcare system influences on identified conditions.

Main Results:

  • Fourteen conditions influencing parental asthma management competency were identified.
  • Twelve of these conditions are significantly influenced by healthcare system factors.
  • Gaps in healthcare systems contribute to challenges in pediatric asthma symptom control.

Conclusions:

  • Healthcare system deficiencies are critical barriers to optimal pediatric asthma self-management.
  • Addressing these systemic gaps is essential for reducing preventable asthma hospitalizations in children.
  • Orem's theory highlights actionable areas for healthcare system improvement in pediatric asthma care.

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