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Nursing Science Quarterly
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Orem’s Self-Care Deficit Nursing Theory: Pediatric Asthma as Exemplar

Karen R. Cox, RN; PhD

Center for Health Care Quality, University of Missouri Health Care, Columbia, Missouri

Susan G. Taylor, RN; PhD; FAAN

Sinclair School of Nursing, University of Missouri, Columbia, Missouri

Asthma is the most frequent reason for preventable hospital admissions among children regardless of race or socioeconomic status. Since hospitalizations are preventable, a reasonable assumption is that parents are not optimally managing their child’s asthma. Using Orem’s self-care deficit nursing theory, 14 conditions were uncovered in the pediatric asthma literature that influence development of competency by parents. Twelve of the 14 antecedent conditions are influenced by factors partly or completely controlled by the healthcare system. Healthcare system gaps associated with asthma symptom control have come to light through the articulation of the pediatric asthma literature and Orem’s theory.

Key Words: nursing theory • Orem • pediatric asthma • self-care • therapeutic self-care demand

Nursing Science Quarterly, Vol. 18, No. 3, 249-257 (2005)
DOI: 10.1177/0894318405277528
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