Ida Jean Orlando developed her nursing theory while working as a professor and researcher in the 1950s and 1960s. Her theory focused on identifying patients' needs through their presenting behaviors and the nurse's immediate reactions. She believed nursing involved meeting patients' needs to relieve distress and improve their sense of well-being. Her theory emphasized the nurse-patient relationship and use of deliberative nursing actions to identify needs and provide individualized care.
Ida Jean Orlando developed her nursing theory while working as a professor and researcher in the 1950s and 1960s. Her theory focused on identifying patients' needs through their presenting behaviors and the nurse's immediate reactions. She believed nursing involved meeting patients' needs to relieve distress and improve their sense of well-being. Her theory emphasized the nurse-patient relationship and use of deliberative nursing actions to identify needs and provide individualized care.
Ida Jean Orlando developed her nursing theory while working as a professor and researcher in the 1950s and 1960s. Her theory focused on identifying patients' needs through their presenting behaviors and the nurse's immediate reactions. She believed nursing involved meeting patients' needs to relieve distress and improve their sense of well-being. Her theory emphasized the nurse-patient relationship and use of deliberative nursing actions to identify needs and provide individualized care.
1947- She received her nursing diploma from New York Medical College, Lower Fifth Avenue Hospital, and School of Nursing. 1951- She received a BS in public health nursing from St. John's University, Brooklyn, New York. 1954- She finished MA in mental health nursing from Teachers College, Columbia University, New York.
HISTORICAL CONTEXT OF THE THEORY Orlando was an Associate Professor at Yale School of Nursing where she was Director of the Graduate Program in Mental Health Psychiatric Nursing. While at Yale she was project investigator of a National Institute of Mental Health grant entitled: Integration of Mental Health Concepts in a Basic Nursing Curriculum. It was from this research that Orlando developed her theory which was published in her 1961 book, The Dynamic Nurse-Patient Relationship.
She furthered the development of her theory when at McLean Hospital in Belmont, MA as Director of a Research Project: Two Systems of Nursing in a Psychiatric Hospital. The results of this research are contained in her 1972 book titled: The Discipline and Teaching of Nursing Processs.
She is married to Robert Pelletier and lives in the Boston area. She passed away on November 28, 2007.
NURSES RESPONSIBILITY Whatever help the patient may require for his needs to be met. It is the nurses responsibility to see that the patients needs for help are met, either directly by her own activity or indirectly by calling in the help of others.
NEED Situationally defined as a requirement of the patient which, if supplied, relieves or diminishes his immediate distressor and improve his immediate sense of adequacy or well-being.
MAJOR CONCEPTS AND DEFINITIONS PRESENTING BEHAVIOR OF A PATIENT Any observable verbal or nonverbal behavior.
IMMEDIATE REACTIONS Include both the nurse and patients individual perceptions, thoughts and feelings.
NURSING PROCESS DISCIPLINE Includes the nurse communicating to the patient his or her own immediate reaction, clearly identifying that the item expressed belongs to the nurse, and then asking for validation or correction.
Nursing process discipline was called deliberative nursing process in Orlandos first book, The Dynamic Nurse-Patient Relationship: Function, Process and Principles of Professional Nursing Practice, and also called nursing process and process discipline. IMPROVEMENT Means to grow better, to turn to profit, to use advantage
PURPOSE OF NURSING Supply the help a patient requires in order for his needs to be met.
AUTOMATIC NURSING ACTION Those nursing actions decided upon for reasons other than the patients immediate need.
DELIBERATIVE NURSING ACTION Those actions decided upon after ascertaining a need and then meeting this need.
Assumptions about nursing:
Nursing is a distinct profession separate from other discipline Professional nursing has a distinct function and product/outcome There is difference between lay and professional nursing Nursing is aligned with medicine MAJOR ASSUMPTIONS Assumptions about patients:
Patients needs for help are unique Patients have an initial ability to communicate their needs for help When patients cannot meet their own needs they become distressed The patients behavior is meaningful Patients are able and willing to communicate verbally (and non-verbally when unable to communicate verbally)
Assumptions about nurses:
The nurses reaction to each patient is unique Nurses should not add to the patients distress The nurses mind is the major toll for helping patients The nurses use of automatic responses prevents the responsibility of nursing from being fulfilled Nurses practice is improved through self-reflection
Assumptions about the nurse-patient situation:
The nurse-patient situation is a dynamic whole The phenomenon of the nurse-patient encounter represents a major source of nursing knowledge
Nursing
-it is a distinct profession that functions autonomously.
-nurses should help relieve physical or mental discomfort and should not add to the patients distress.
-providing direct assistance to individuals in whatever setting for the purpose of avoiding, relieving, diminishing, or curing the persons sense of helplessness. METAPARADIGM Person
-persons behave verbally and nonverbally.
-people are sometimes able to meet their own needs for help in some situations; however they become distressed when they are unable to do so.
-each patient is unique and individual in his or her response Health
-Orlando, does not define health, but she assumes that freedom from mental or physical discomfort and feelings of adequacy and well-being (fulfilled needs) contribute to health. Environment
-she assumes that a nursing situation occurs when there is a nurse-patient contact and that both nurse and patient perceive, think, feel and act in the immediate situation.
-any aspect of the environment, even though it is designed for therapeutic and helpful purposes, can cause the patient to become distressed.
THE NURSING PROCESS Orlando's theory interrelate concepts Orlando's theory has a logical nature Orlando's theory is simple and applicable in the daily practice. Orlando's theory contribute to the professional knowledge. Orlando's theory is applicable in clinical practice
CHARACTERISTICS OF THE THEORY THANK YOU FOR LISTENING