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Ida Jean Orlando Theory in describes theory of deliberative nursing process, nursing Models, motivation, patient behaviour, nurse reaction and nurse activity and relationship between orlando's theory and four global concepts.
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By: Tara Braun, Nathan Buchinger, Leah Mueller, Elisabeth Vander Zwaagas
Received her Nursing Diploma at New York Medical College in 1947 Earned her BS in Public Health at St. John’s University in 1951 Received her MA in Mental Health at Columbia University in 1954
(Tyra, 2008)
Length 1:
Based on the nurse-patient relationship focusing on communication (Sheldon & Ellington, 2008 ) “The role of the Nurse is to find out and meet the patient’s immediate need for help” (Nursing Theory: Orlando Nursing Process) “The patient’s presenting behavior may be a plea for help, however, the help needed may not be what it appears to be” (Nursing Theory: Orlando Nursing Process) Primary goal of Orlando’s theory is the “identification of the nature of the patient’s distress and is or her immediate needs for help” (D. Venes, 2010)
Stated perception, thought, or feeling Patient asked a question about same perception, thought, or feeling
Nursing Process Theory
Three basic aspects of Orlando’s Nursing Theory (Sheldon & Ellington, 2008 )
the nurse what the patient immediately needs
which he/she observes the behavior, interprets them, and formulates a plan to meet the patient’s needs. The nurse also communicates with the patient to validate whether the patient’s behavior was correctly perceived by the nurse before deciding on an appropriate intervention.
whereby the nurse performs actions for and with the patient to meet the patient’s observed needs.
Benefits Patient’s needs being met more effectively Improved critical thinking Enhanced nurse – physician relationship Improved Nursing Identity (Tyra, 2008)
Deliberate action, as opposed to automatic action, involves critical thinking as well as constant interaction with the patient. Orlando heavily emphasizes a strong and dynamic nurse-patient relationship
Patients are human beings who cannot meet their specific, immediate health needs without intervention by the nurse (Alligood & Tomey, 2006). Patients are interactive, dynamic, and constantly make inferences about their needs. Nurses are to observe inferences made by them in order to provide deliberate nursing care that will “relieve distress or discomfort” (Chitty & Black, 2011, p. 315). Patient’s are relational beings who, through both verbal and nonverbal communications, work with the nurse to meet their immediate needs (Chitty & Black, 2011)
Because inferences are taken from the patient as to what the nurse can do immediately to meet his/her needs, the nurse also takes into account how the environment may need to be adjusted to help meet patient outcomes. Since patients exist within the environment they are currently in, and “all patient behavior is meaningful and may reflect distress,” the nurse must actively take action based on his/her observations and meet the patient’s needs (Schmieding, 1993). This may include adjusting the patient environment. “This distress is related to the inability to meet one's own needs because of injury or disease, the inability to recognize or accurately communicate one's own needs, or the reaction to the confusing, new, painful, or exhausting care environment ” (emphasis added, Orlando, 1987, as paraphrased by Potter & Bockenhauer, 2000, para. 6).
Orlando’s theory does address these concepts as shown on the previous slides. However, the primary foci of her theory is on the patient and nursing. Although environment is included, it is assumed that the nurse will make changes if that is what is required to meet patients’ needs. Health is also addressed, though less emphasized, and it is assumed that meeting immediate needs will contribute to patients’ long-term health achievement.
● Concrete theory based on needs of the patient ● Specific to nurse patient relationship ● Used in OR or OB setting Nurse must monitor patient needs during and after surgery Nurse must be able to adapt care based on patient needs Postoperatively the patient will have different needs than preoperatively The laboring patient will have different needs than during delivery and then postpartum