Literature Review
Out of the articles identified in the search, thirteen were chosen for review, seven involving nursing theory and six involving non-nursing theory. Two of the articles reviewed for the nursing theory did also include research involving the non-nursing theory selected.
Nursing Theoretical Framework Two of the seven primary articles regarding Orem’s Self-Care Deficit Nursing Theory were conducted using a quantitative research method, two used a qualitative method and three provided development of theory framework; six of the articles provided some description of Orem’s theory. Callaghan (2003) developed a questionnaire that was sent out to 650 random participants, from a healthcare system, county college and a fire department, ranging in ages 18 to 65. Of the 650 questionnaires distributed, 379 could be used for evaluation. This study investigated the relationships among health-promoting self-care behaviors, self-care self-efficacy, and self-care agency in an adult population (Callaghan, 2003) but not the aspects regarding cardiac surgery. This article identified the basic conditioning factors and concept of self-care agency from Orem’s self-care deficit nursing theory and studied how nursing practice could influence self-care behaviors.
Three of the articles involving studies were based on the patient population involved in cardiac surgery and obtained random samples after patients were admitted to the