Ida Jean

rlando

Nursing Process Theory

(Schmieding, 2008)

Nursing Career
Diploma Nurse BS in Public Health Staff RN in OB MS ER Supervisor in hospital Asst director of nursing Teaching in hospital nursing schools MA in Mental Health Consulting

Research associate and principal investigator The Dynamic Nurse-Patient Relationship: Function, Process and Principles of Professional Nursing Practice in 1961 Associate Professor Director of graduate program

Clinical Nurse Consultant at McLean Hospital 2nd book- The Discipline and Teaching of Nursing Process: An Evaluative Study in 1972 Lectured & Consulted Metropolitan State Hospital Retired 1992

Nursing Process Theory

Purpose
Goal: To develop a theory of effective nursing practice
Reciprocal relationships Patient participation MD orders
(Orlando, 1961, p. viii)

Shared by Nurse and patient

Content
Five interrelated concepts
The function of professional nursing The presenting behavior of the patient The immediate or internal response of the nurse The nursing process discipline Improvement

(Tomey & Alligood, p. 433)

Structure

Patient
Distress Interactions Reactions Physician Orders Etc.

Nurse

Relationships
Relationship

Nurse and patient

Internal Criticism
Clarity- Structural Consistency Simplicity & Generality- Parsimonious
Accessibility Scope

Major Assumptions

Most of Ida Jean Orlandos Assumptions are implied

Person
Behavior is verbal and nonverbal.

Person
Behavior is verbal and nonverbal. At times People can meet their own needs

Person
Behavior is verbal and nonverbal. At times People can meet their own needs Needs and level of needs can change

Person
Behavior is verbal and nonverbal. At times People can meet their own needs Needs and level of needs can change Each Person is unique

Health
Orlando did not directly define Health Freedom from mental or physical discomfort and feeling of adequacy and well-being contributed to health.

(Tomey & Alligood 2008)

Environment
Again Orlando does not directly define environment. Nurse patient contact No assumption of patients reaction with external stimuli / environment.

Nursing
Not directly documented by Orlando

(Tomey & Alligood 2008)

Nursing
Not directly documented by Orlando Definition of a patient

(Tomey & Alligood 2008)

Nursing
Not directly documented by Orlando Definition of a patient Assumptions about the patient

(Tomey & Alligood 2008)

Nursing
Not directly documented by Orlando Definition of a patient Assumptions about the patient Assumptions about the nurse

(Tomey & Alligood 2008)

Nursing
Not directly documented by Orlando Definition of a patient Assumptions about the patient Assumptions about the nurse Assumption about the nurse patient situation / interaction
(Tomey & Alligood 2008)

Importance to the Theory of Nursing

A very simple straight forward theory. Basic nursing: you have a need we can help.

Contagiousness
Not as sexy as other theories

Application of this Theory to Practice

The patient is the central point Find out the problem Meet the immediate needs of the patient

Doing this relieves distress

Did we like this Theory?

If you dont have a patient in distress you dont need a nurse. Unconscious or unable to communicate patients are not considered. Culture

Cyber Question
What kind of interactions between the nurse and patient affects the care provided?

WebCT Question
Would this theory be practical to use in your practice? And how efficient would it be to only use this theory?

References
Tomey, A., & Alligood, M. (2006). Nursing Theorists and Their Work. Mosby Elsevier: New York. Orlando, I. J. (1961). The dynamic nurse-patient relationship: Function, process and principles of professional nursing practice. New York: G. P. Putnamss Sons. Schmieding, N. J. (2008). Ida Jean Orlando. Retrieved on November 1, 2008 from http://www.uri.edu/nursing/schmieding/orlando.