Nursing Process Theory:

Ida Jean Orlando

gracejoymataassoso19@gmail.com
Objectives

By the ends of this seminar, you’ll be able to

 Discuss the nursing process theory

 Describe the major concepts nursing according to Orlando
 Define the assumption of Orlando’s theory
 Discuss the propositions of Orlando’s theory
 Explain Orlando’s theory as framework for nursing practice
 Explain the nursing process and Orlando’s theory
Background

 Ida Jean Orlando was born on August 12, 1926 and she
dead on November 28, 2007
 1947- Diploma in nursing from new York medical College,
Flower Fifth Avenue Hospital School of Nursing.
 1951- Bachelor of Science in Public Health from St. Johns
University, Brooklyn.
 1954- Master of Arts in Mental Health consultation in
Columbia University Teachers College.
Orlando’s Experience

During her study

 Various clinical nursing position in OB, medical, surgical,
and ER.
 Assistant director of nursing and a teacher of serval
course in the hospital-based school of nursing.
Orlando’s Experience
After her master
 Yale School of Nursing for 8 years.
 Research associate and principal investigator on a grant-funded
project examining the integration of mental health concepts into
the basic nursing curriculum.
Orlando’s Experience
 1961- her first book

The Dynamic Nursing- Patient Relationship, Function, Process,

And Principles of Professionals Nursing practice

 The ideas in this book provided the foundation for Orlando’s

theory of deliberative nursing process.
Orlando’s Experience

 1962- she become a clinical nursing consultant at

MacLean Hospital.
 1972- Her second book; The Discipline and Teaching of
Nursing Process; An Evaluation Study
 1987- Assistant Director of Nursing of Education and
Research at Metropolitan State Hospital.
 1992- Retired from nursing
Overview of Orlando’s Nursing
Process theory
 This theory stresses the reciprocal relationship between
the patient say and the nurse
 What the nurse and patient say and during their
interaction affects both of them
 The function of the professional nurse is to discover and
meet the patient’s immediate need for help.
 The theory focuses on producing improvement in the
patient’s behavior.
 Major Concepts of Nursing
PERSON Patient or individual with unmet needs
ENVIRONMENT  Doesn’t define it.
 Assumes that nursing situation occurs when
there is a nurse-patient contact

HEALTH  Doesn’t define it.

 Assumes that feelings of adequacy and well
being from fulfilled needs contribute to health

NURSING A district profession that functions autonomously,

the function of which is to find out autonomously,
the function of which is to find out and meet the
patient’s immediate need for help.
Assumptions
Assumptions
about nursing

 Nursing is a district profession, separate from other

disciplines.
 Professional nursing has a distinct function and product
(outcome)
 There is a between lay and professional nursing.
 Nursing is aligned with medical
Assumptions
Assumptions
about patients

 Each patient’s needs of the help for unique.

 Patients have an initial ability to communicate their needs for help.
 When patient cannot meet their own needs they become distressed.
 The patients behavior is meaningful
 Patients are able welling to communicate verbally (and nonverbally when
unable to communicate verbally)
Assumption
Assumption
about nurses
 The nurse’s reaction to each patient is unique.
 Nurses should not add to the patients distress
 The nurse’s mind is the major tool for helping patients
 The nurse’s use for automatic response to prevents the
responsibility of nursing from being fulfilled
 The nurse’s practice is improve through self reflection
Assumptions
Assumption about
nurse-patient
situation

 The nurse-patient situation is dynamitic whole

 The phenomenon of the nurse-patient encounter represents major
source of nursing knowledge
Propositions

 Patient’s presenting behavior and the presence of patient

distress.
 Using Orlando’s distinct nursing function and the nurse’s
ability to identify the problem
 The more competent in immediate reaction the more apt
to find out the nature of distress.
 nurse’s immediate reaction lessen the patient distress
 Using deliberative nursing process is less costly than
personal responses
Critique of Orlando’s Theory

 Developed inductively and is logical and applicable to

nursing practice.
 Simple because it is contains few concepts and
relationships.
 Internally consistent and meet the criteria for testability
for a middle range theory
 One of the most effective practice theories and especially
helpful to new nurses as they begin practice.
Orlando’s theory as Framework for
nursing practice
5 interrelated concept;
 The organization principle or professional nursing
function
 The problematic situation or the patient’s presenting
behavior
 The internal response or immediate reaction
 Reflective inquiry or deliberative nursing process
 Resolution or improvement
 The nursing process and Orlando’s theory
Evaluati
Planning
on
 Deliberativ  Focus on
 Planning change in
e nursing  Both
process occurs the
direct patient’s
used to with
help and behavior
share and participa
validate the
occur in  If no change
tion
nurse’s the nurse’s
from the continues
direct and impleme
nurse the process
indirect ntation
and the until
observatio phase
n patient improveme
nt occur

Assessment Implemen
tation
Conclusion
 Orlando’s theory remains on of the most effective practice theories
available which stresses the reciprocal relationship between the
patient and the nurse