IDA-JEAN ORLANDO

HISTORY

HISTORY

Ida became a project investigator in the 1950's after receiving and began investigating nursing practice. Orlando was the first to develop empirical study of nursing practice. For three years, Orlando observed and recorded the interactions between patients and nurses (May, 2017).

Orlando differentiated between good and bad nursing and understood that good nursing is when a nurse identified the cause of the patient's distress (May, 2017).

Orlando deduced that the focus of Professional Nursing is to find out and meet the patient's immediate need for HELP (May, 2017).

BACKGROUND

BACKGROUND

Ida- Jean Orlando was born in New York on August 12th, 1926.

She got her Diploma in Nursing 1947, Bachelors in Public Health in 1951, Master's in Mental Health Consultation in 1954.

Orlando conducted research at McLean Hospital at Belmont funded by Mental Health Public Service Grant (May, 2017).

The second study was done to assess and evaluate previous methods and the second study was also used to evaluate and educate nurses (May, 2017).

Everything depends on the Distress of the patient which is categorized as the need that has not been met yet. Also, part of the plan included that the patient cannot carry out the treatment plan on their own.

NURSING

PHENOMENON

CHART

DELIBERATIVE NURSING THEORY CHART

ASSESSMENT

Nurse completes a thourough assessment of the patient and the patients needs are given special emphasis and this is the first step in delivering care (American Nurses Association 2017).

Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well (American Nurses Association 2017).

DIAGNOSIS

DIAGNOSIS

The nurses uses all her skills and clinical judgement to diagnose the patient but it does not stop there the diagnosis is confirmed by carefully analyzing the risk factors and data obtained from the physical examination (American Nurses Association 2017).

PLANNING

PLANNING

The Planning stage addresses each problem that is identified in the diagnostic stage (American Nurses Association 2017).

Each problem is given a goal so it can be solved (American Nurses Association 2017).

IMPLEMENTATION

IMPLEMENTATION

The implementation is the action stage. This is the stage where all the interventations take place (American Nurses Association, 2017).

The nursing plan is formulated and implemented in this stage (American Nurses Association, 2017).

EVALUATION

EVALUATION

Evaluation stage is when the nurse evaluates the effectiveness of the interventions in the nursing plan and and changes can also take place should there be the need (American Nurses Association 2017).

Organizing Principle

Organizing Principle

Function of Professional Nursing

Finding out the areas where the patient needs immediate help (Current Nursing, 2020).

Problematic

Situation

Problematic Situation

Presenting Behavior

The behavior must be a plea for help and must cause an automatic reaction in the nurse

(Current Nursing, 2020).

Internal Response

Internal Response

Also known as the Immediate Reaction

A person perceives that stimulates automatic thought, feeling, and action (Current Nursing, 2020).

Investigation

Investigation

Investigation starts with Observation and nurse uses it to determine the condition of the patient.

The nurse checks the validity of her observation through facts.

Nurse then begins to explore and observes how the patient is affected by what she says and does (Current Nursing, 2020).

Resolution

It is important to understand that the nurse's efforts are not evaluated but the improvement in the patient's condition is evaluated (Current Nursing, 2020).

Each contact increases the nurse's experience.

Resolution

ARTICLE 1

According to Faust 2002, two older adult women were causing some problems on an extended care facility. One had a history of ringing her bell constantly and crying out of pain and the other had a history of removing her oxygen cannula and falling while trying to get out of bed (Faust, 2002). Once Orlando’s Deliberative Nursing Process was applied to both patients it was determined that one patient was afraid of dying in the dark and hence removed her oxygen trying to be with people and the other was afraid of being left in the hospital (Faust, 2002). After the interventions were discussed with the staff it was decided to change the medication on the patient that was falling to an analgesic/drowsy the patient no longer fell and was able to sleep through the night (Faust, 2002). The other patient was taken into confidence and a night light was left by her bed so she didn’t feel complete darkness and once she was assured that someone will answer her bell and removing her oxygen only made her more confused, the patient stopped removing their oxygen and slept through the night (Faust, 2002). These two cases were considered a successful testimony of Orlando’s Deliberative Nursing Process. The key here is to understand that the team responded to the patients needs but after careful deliberation and thinking (Faust, 2002).

ARTICLE 1

ARTICLE 2

ARTICLE 2

According to Sampoornam 2015, the application of Orlando’s Deliberative Nursing Process is expressed in the form of a patient who was very anxious due to impending carpal tunnel surgery. She acknowledged her intense fears of the surgery and the unknown to the nurse. The nurse validated her feelings and encouraged her participation in her care which eased her feelings (Sampoornam, 2015). Medications were administered and relaxation techniques were taught to the patient which successfully applied the Deliberative Nursing Process and the evaluation of the patient after the interventions showed that she was much more relaxed and at ease (Sampoornam, 2015).

ARTICLE 3

According to Potter & Bockenhauer 2000, Orlando’s Nursing Theory (ONT) based practice was compared with a non specified nursing practice. It was obvious that nurses that used ONT- based practice achieved excellence which was measured by lower distress levels in patients during interventions (Potter & Bockenhauer, 2000). RN’s also felt empowered with direction and motivation using the ONT-based practice compared to the the non specified nursing practice. RN’s also felt closer to excellence using ONT-based practice compared to the non specified practice (Potter & Bockenhauer, 2000).

ARTICLE 3

Easy Way to Explain Stages of Nursing Process Theory

Diagrams

Questions? Feedback?

Questions?

Feel Free to email me if you have any Questions about this Theory and I would love some feedback on what you think of my presentation? Thank you

ariannaseth@mail.adelphi.edu