Ida Jean Orlando
Deliberative Nursing Process Theory
Overview of Theorist
Ida Jean Orlando was born in 1926 and was
a highly respected nurse theorist in the field
of psychiatric nursing. Orlando obtained a
Diploma in Nursing in 1947, a Bachelors of
Science in Public Health in 1951 and a
Master of Arts in Mental Health in 1954.
Between 1954-1961 Orlando worked at
several reputable institutions and
healthcare facilities. She retired in 1992 and
received the Nursing Living legend award by
the Massachusetts Registered Nurse
Association. She published her first book in
1961. The Dynamic Nurse-Patient
Relationship and her second in 1972
entitled: The Discipline and teaching of
Nursing Processes (Eichelberger, 2012).
Theoretical sources
Ida Jean Orlando made no
acknowledgement of theoretical sources.
However, her theory was based on the
individual nurse understanding of self, as
thoughts and feelings has a direct effect on
healthcare outcome based on nursing
actions.
Application to Nursing Practice
Establishes criteria to measure quality of
nursing care.
Enhances autonomy by defining
independent function
A model that is universal for
communication among nurses.
Provides an environment for research to
establish evidence based practice and
improve quality of care.
Provide nurses with a basis for practice that
is measurable.
Guides the processes of assessment,
intervention and evaluation.
Facilitates critical thinking and documented
continuity of care.
Standardizes nursing practices (Sitzman &
Eichelberger, 2011).
Elaine Dean & Chyrianne Jones
Major Concept of Theorist Work Summary of Conceptual Model References
Use of Empirical Evidence The foundation of Ida Jean Orlando’s deliberate nursing process
Orlando’s theory was developed while conducting a study at Yale theory is the unique interaction between nurse and patient in a Alligood, M. (2014). Nursing Theorist: And
University School of nursing between 1958-1961. The research aimed specific environment. This dynamic nurse patient relationship uses their work (8th ed.). St Louis, MO: Elsevier.
to examine the process of integrating mental health concepts into the the nursing process as the theoretical framework to produce positive
nursing curriculum. This was a observational study, nurses students and and improved patient outcome. Eichelberger, L., W. (2012). Pioneering
instructors participated in various experiences with patients. The data Conceptual Framework nursing theory on the world wide web.
collected was extensive and Orlando created her theory based on the Evolution on nursing theory on the internet.
analysis of this data (Alligood, 2014) Retrieved from
http://www.currentnursing.com
Major Assumptions
Assumptions about Nurse Petiprin, A. (2016). Nursing Theory: Ida Jean
The nurse’s reaction to each patient is unique Orlando-Nursing Theorist. Retrieved from
Nurses should not add to the patient distress http://www.nursing-theory.org
The nurses use of automatic responses prevents the responsibility of
nursing from been fulfilled. Schmieding, N., J. (2016) Ida Jean Orando:
Nurses improves practice through self-reflection Theory of nursing process discipline>
Nurses deals with people, environment and health. Retrieved from
Assumptions about Patient http://www.stritch.edu/…Nursing-
The need for help is unique Theorist/Nursing-theorist/
The patient can be secretive or explicit about needs, perception,
thoughts and feelings Sitzman, K., Eichelberger, L., W. (2011).
When the need is not met the patient become distressed. Understanding the work of nurse theorist: A
Patient perceived their behavior as being meaningful Theoretical Assertions creative beginning (2nd ed.). Sudbury, MA;
Patient need help in communication needs, they are uncomfortable and Patient behavior implies distress and sets the nursing process in motion Jones & Bartlett.
ambivalent about dependency needs. The patient behavior initiates a reaction from the nurse.
Patient can attach meaning to situation and actions that others are not The reaction of the nurse has three sequential parts perception,
aware of thoughts and feelings.
The nurse enacts deliberate actions that will accurately and adequately
Assumptions about Nurse-Patient relationship
meet the need of the patient
Components of a Theory
The nurse patient relationship is a dynamic whole
The phenomenon of the nurse-patient encounter represents the major
source of nursing knowledge.
Nurses are concerned with needs that the patient cannot meet.
Correlation with the Metaparadigm of Nursing
Orlandos’ theorectical model link together the four metaparadigm
of nursing which are the central concept of nursing care.
Person
Individual with personal
needs. Has own
perception and feelings
Nurse Health Orlando Theory Slideshow
Provides care Freedom from
avoids discomfort.
diminishing Feeling of
sense of adequacy and
helplessness well being Logical Form
Environment
Inductive
Nurse and patient think,
Orlando collected extensive data over an extended period of time. She
feel and act in the
analyzed the data looking for ‘good verses ‘bad’ outcome (Schmieding,
immediate situation
2016).