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Using Orem's theory in transcultural settings: a critique

M R Roberson, J H Kelley

    Nursing Forum
    |July 1, 1996
    PubMed
    Summary

    Dorothea Orem's nursing theory requires adaptation for diverse cultural contexts. Its Western-centric assumptions limit applicability, necessitating a more culturally sensitive approach for global healthcare.

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    Area of Science:

    • Nursing Theory
    • Transcultural Nursing
    • Healthcare Practice

    Background:

    • Dorothea Orem's theory is a foundational nursing framework.
    • Its Western cultural underpinnings may pose challenges in diverse populations.
    • Understanding cultural compatibility is crucial for effective nursing care.

    Purpose of the Study:

    • To evaluate Orem's theory's applicability across different cultures.
    • To examine its usefulness with non-Western and minority Western values.
    • To identify limitations of the theory in diverse cultural settings.

    Main Methods:

    • Literature review of studies utilizing Orem's theory globally.
    • Analysis of theoretical components and assumptions.
    • Exploration of cultural compatibility and usefulness.

    Main Results:

    • Orem's theory's Western-centric assumptions were identified as a limitation.
    • Cultural variations impact the theory's direct application.
    • Existing studies highlight the need for cultural adaptation.

    Conclusions:

    • Orem's theory, in its current form, is culture-bound.
    • The theory requires supplementation or replacement for non-Western cultures.
    • A less culture-bound theoretical framework is needed for global nursing practice.

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