Esther C. Gallegos
Without survey or interview data, but having watched and heard several groups of Mexican colleagues conduct research and discuss Orem's theory, we assert that Orem's Self-Care Deficit Nursing Theory (SCDNT) has had an enormous influence on nursing education, research, and practice in our country.
Possibly the first to learn about the Self-Care Deficit Theory were the instructors at nursing schools that were affiliated with the Mexican Federation of Nursing Schools (Federation Mexicana de Escuelas y Facultades de Enfermeria, FEMAFEE). This association of educational institutions has taught workshops on nursing theory, including SCDNT, throughout the country since the 1980s. It appears that the theory was introduced to academics when self-care nursing theory literature reached leaders in the nursing field. In addition, chapters in books such as the one by MarinarTomey (1994), available in Spanish, also helped to disseminate this theory, although in a limited manner.
Another mechanism that has had an influence in spreading the theory to a greater number of nurses has been through Master in Nursing students from several Mexican states, whose curricula include courses on nursing theory. Orem's book (1993), translated to Spanish, is utilized in these courses, thus helping to spread knowledge about the theory. Master's programs have also promoted theory-based research and proposals.