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View/Open - ARAN - National University of Ireland, Galway

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Table 6.1: Summary <strong>of</strong> nursing models examined<br />

242<br />

Chapter 6 Phase Two<br />

Nursing Model Summary <strong>of</strong> the Model<br />

Roper, Logan and Tierney Model This describes the person as being<br />

capable <strong>of</strong> performing 12 activities <strong>of</strong><br />

living along an<br />

independence/dependence continuum<br />

throughout their lifespan.<br />

Orem’s Model Nurses would assess patients for their<br />

individual self-care deficits and plan an<br />

appropriate set <strong>of</strong> interventions to help<br />

them to overcome and restore theirselfcare<br />

deficits as much as possible.<br />

Neuman’s System Model Emphasises the need to assess the<br />

patient for the stressors affecting them<br />

and provide appropriate interventionsto<br />

<strong>of</strong>fset the effects <strong>of</strong> these stressors.<br />

Hodges Model The purposes, processes, policies and<br />

practices which affect the health<br />

domain.<br />

According to Kenny (1993) and Hodgson (1992) Orem’s model and Neuman’s<br />

model may be criticised for their frequent use <strong>of</strong> jargon and complex concepts.<br />

For example, Neuman (1995) uses the terms intra, inter and extra-personal<br />

stressors which have the potential to affect the system (or the person) which has a<br />

central core, lines <strong>of</strong> resistance and two lines <strong>of</strong> defence. In addition, Orem<br />

(1991) includes a number <strong>of</strong> complex terms such as health deviation, universal<br />

and developmental self-care requisites, self-care deficit, dependent-care deficit,<br />

and wholly, partly compensatory and supportive-educative nursing systems.<br />

Further exploration <strong>of</strong> the literature yielded an additional, less well known but<br />

more recently developed model called Hodges model (2000) (Figure). The co-<br />

researchers felt that the Hodges model uses more straight forward terminology<br />

such as purposes, processes, practices and policies.

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