APPLICABLITY OF OREM S SELF-CARE MODEL IN IRAN: AN INTEGRATED REVIEW

Self-care is a basic concept in nursing care and has desirable outcomes in maintenance and promotion of human health. Orem's model focuses emphatically on self-care and leads patients to participate and collaborate in their caring process. This study aimed to investigate several studies conducted on Orem's self-care model through integrated review method and determine its applicablity in Iranian healthcare system.
Material & In an integrated review, all Iranian papers published during current 5 years (2011-2016) in both Persian and English language were searched using the related keywords of Orem's self care model in Elsevier, Web of Sciences, Scopus, PubMed, ProQuest, CINAHL, Google Scholar, Ovid, Magiran, SID, IranMedex, IranDoc databases. The quality of the articles was evaluated using CONSORT 2010 Statement. Finally, data were extracted, classified, summarized and, analyzed from 24 included articles in this study (Out of overall 28384 articles).
Out of 24 included articles, 17 artciles were published in Persian language and 7 articles were in English. All of the articles were original interventional studies (one experimental, 11 quasi-experimental, 11 clinical trial and one field trial). In all the papers, the researchers were used pretest and post-test design. Also, 3 main domains were derived from the literature review including: “type of intervention”, “intervention outcome” and “study population”.
Given that still many problems remain in patient care and post-discharge self-care and according to the positive and optimistic view of Orem’s self-care model about patients’ participation in self-care and about nurses’s prominent role in healthcare provision in both partly and wholly compensatory systems which is consistent with the contemporary values of of Iranian society; it seems that the scrutiny of this model’s implications is needel. Evidently, the nursing officials and stakeholders would benefit from the preparation of local clinical guidelines and promotion of nurses’ awareness about Orem’s self-care model that leads to the “translation of theoretical knowledge in practice”.