Slide 1:Ida Jean rlando Nursing Process Theory (Schmieding, 2008)


Nursing Career :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


Slide 3: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


Slide 4: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 :Nursing Process Theory


Purpose :Purpose Goal: To develop “a theory of effective nursing practice” (Orlando, 1961, p. viii) Reciprocal relationships Patient participation MD orders Shared by Nurse and patient


Content :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 :Structure Distress Interactions Reactions Physician Orders Etc. Patient Nurse


Relationships :Relationships Relationship Nurse and patient


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


Major Assumptions :Major Assumptions Most of Ida Jean Orlando’s Assumptions are implied


Person :Person Behavior is verbal and nonverbal.


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


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


Person :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 :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 :Environment Again Orlando does not directly define environment. Nurse – patient contact No assumption of patient’s reaction with external stimuli / environment.


Nursing :Nursing Not directly documented by Orlando (Tomey & Alligood 2008)


Nursing :Nursing Not directly documented by Orlando Definition of a patient (Tomey & Alligood 2008)


Nursing :Nursing Not directly documented by Orlando Definition of a patient Assumptions about the patient (Tomey & Alligood 2008)


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


Nursing :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 :Importance to the Theory of Nursing A very simple straight forward theory. Basic nursing: you have a need we can help.


Contagiousness :Contagiousness Not as “sexy” as other theories


Application of this Theory to Practice :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? :Did we like this Theory? If you don’t have a patient in distress you don’t need a nurse. Unconscious or unable to communicate patients are not considered. Culture


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


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


References :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. Putnams’s Sons. Schmieding, N. J. (2008). Ida Jean Orlando. Retrieved on November 1, 2008 from http://www.uri.edu/nursing/schmieding/orlando.