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 & Methods: 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).
Results: 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 quasiexperimental, 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”.
Conclusion: 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