Nursing Theory Paper
March 7, 2011
Nursing Theory Paper
Many different nursing theories have been developed by leaders in the nursing field over the past 40 years. I chose the nurse theorist, Ida Jean Orlando because of my lack of knowledge of Ms. Orlando and her theory, The Deliberative Nursing Process. She was one of the first nursing theorists to write about the nursing process based on her own research. This theory involves interpersonal processes occurring between a patient and a nurse that will identify an immediate need of that patient (Mosby, 2010). Ms. Orlando believed nurses should have more input in a patient’s care than was allowed by the ...view middle of the document...
Ida Orlando's Philosophy
Ms. Orlando's theory is called the Deliberative Nursing Process. Her research consisted of her observations of the interactions between a nurse and a patient. She organized her results under "good nurse" and "bad nurse". Three concepts to this theory are patient's behavior, nurse's reaction, and the nurse's activity (Crossan & Robb, 1998). The role of the nurse is to find out the patient's immediate need for help based on the patient's behavior. The nurse uses not only her cognitive processes but also her personal and professional knowledge and experiences while listening to the patient and reacting (Alligood & Tomey, 2002). Report and trust is an important factor in facilitating the disclosure of the patient's needs. The nurse must validate her interpretation of the perceived need with the patient, to successfully manage the treatment and care plan for that particular patient. A positive change in the behavior is a successful identification of the need and the established interventions. If the behavior remains unchanged or worsens, the nurse and the patient return back to identifying what the need for help is.
Major Theory Assumptions Related to Environment, Nursing, Person, and Health
Orlando's Theory defines the environment as a nursing situation that occurs when there is a nurse-patient contact. The role of the nurse is to find out and meet the patient's immediate need for help and in "Providing direct assistance to individuals in whatever setting they are found for the purpose of avoiding, relieving, diminishing, or curing the individual's sense of helplessness"(NurseScribe, 2007). The person is defined as a unique individual who cannot always meet his own needs indicated through verbal and non-verbal behavior. The theory for health is the freedom of emotional or physical discomfort and developing a sense of well-being is what contributes to a healthy state.
Application of Theory to Nursing, Education, and Practice
Orlando’s theory is used throughout nursing schools to teaching critical thinking to new nurses. It shows them how to think...