Ida Jean Orlando Nursing Process Theory, Slides of Nursing

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By: Tara Braun, Nathan Buchinger, Leah Mueller, Elisabeth Vander Zwaagas

NURSING THEORIST GROUP

PRESENTATIONS

Ida J. rlando

Ida J. Orlando’s Nursing Process Theory

Theory of the Deliberative Nursing Process

“How nurses process their observations of

patient behavior and also about how they react to

patients on the basis of inferences from patients’

behavior, including what they say” (Chitty & Black,

2011, p. 315).

What is a Nursing Conceptual Model?

• “Provide comprehensive, holistic, perspectives of nursing by describing the relationships of specific concepts” (Chitty & Black, 2011, p. 310)
• Are more formalized than a philosophy but more abstract than a theory (Chitty & Black, 2011, p.310)

Ida Jean Orlando - Pelletier (1926 – 2007)

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

Achievements

(Tyra, 2008)

Motivation

7 (Ida Jean Orlando)

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

Good

Nursing

Nursing Process Theory

10 (Ida Jean Orlando)

Three basic aspects of Orlando’s Nursing Theory (Sheldon & Ellington, 2008 )

Patient Behavior - verbal and nonverbal communication relating to

the nurse what the patient immediately needs

The Nurse’s Reaction – An active thought process by the nurse in

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.

The Nurse’s Activity – An interactive process with the patient

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)

14 (Chitty & Black, 2011)

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

Human Beings

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)

Environment

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).

Evaluation of Global Concepts

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.

How can this model be used?

● 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

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