Nursing Process Theory: OrlandoPresented by:Abdelrahman al kilani15906012

Objectives

By the end of this seminar, you’ll be able to Discuss the nursing process theory Describe the major concepts nursing according to Orlando Define the assumptions of Orlando’s theory Discuss the propositions of Orlando’s theory Explain Orlando’s theory as a framework for nursing practice Explain The nursing process and Orlando’s theory

Background

Ida Jean Orlando (1926-2007) 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 positions in OB, medical,

surgical, and ER. Assistant director of nursing and a teacher of

several courses 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 ideas in this book provided the foundation for Orlando’s theory of deliberative nursing process

The Dynamic Nurse-Patient Relationship: Function, Process and Principles of Professional Nursing practice

Orlando’s Experience

1962- she became a Clinical Nursing Consultant at McLean Hospital.

1972- Her second book; The Discipline and Teaching of Nursing Process: An Evaluation Study

1987- Assistant director of Nursing for Education and Research at Metropolitan State Hospital.

1992- Retired from nursing.

Overview of Ornaldo’s Nursing Process Theory

This theory stresses the reciprocal relationship between the patient and the nurse

What the nurse and patient say and do 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 nursingPerson 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.

NursingA distinct profession that functions autonomously, the function of which is to find out and meet the patient’s immediate need for help

Assumptions

• Nursing is a distinct profession, separate from other disciplines.

• Professional nursing has a distinct function and product (outcome)

• There is a difference between lay and professional nursing.

• Nursing is aligned with medicine.

Assumptions about nursing

Assumptions

• Each patient’s needs for help are unique.• Patients have an initial ability to communicate

their needs for help.• When patients cannot meet their own needs,

they become distressed.• The patient's behavior is meaningful.• Patients are able and welling to communicate

verbally (and nonverbally when unable to communicate verbally)

Assumptions about patients

Assumptions

• The nurse’s reaction to each patient is unique.• Nurses should not add to the patient’s distress.• The nurse’s mind is the major tool for helping

patients.• The nurse’s use of automatic responses to

prevents the responsibility of nursing from being fulfilled.

• The nurse's practice is improved through self-reflection.

Assumptions about nurses

Assumptions

• The nurse-patient situation is a dynamic whole• The phenomenon of the nurse-patient

encounter represents a major source of nursing knowledge

Assumptions about nurse-

patient situation

Propositions

patient’s presenting behavior and the presence of patient distress.

Using of 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 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 a Framework for nursing practice5 interrelated concepts: The organizing 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

• Deliberative nursing process used to share and validate the nurse’s direct and indirect observation

Assessment

• Planning occurs with participation from the nurse and the patient

Planning• Both direct

help and indirect help occur in the implementation phase

implementation

• Focus on change in the patient’s behavior

• If no change, nurse continues the process until improvement occur

Evaluation

Case Study

Mrs. Laila is a 45 years old patient in surgical ward in Saqer Hospital. She is asking the nurse for analgesic. The nurse ask her about pain score and Mrs. Laila states it 7 out of 10.The nurse asked her if there is anything annoying her beside her pain. The patient cried and said that she is thinking about her kids in home. The nurse suggested to call them which the patient consider it a good idea. She called them and thanked the nurse and said that she is not in need for analgesics anymore.

Analysis of the previous case

Nurse will focus on the patient. Her mind should be free of distracting thoughts

The nurse recognizes cues that the patient problem may exist before the next step of the process. She identifies immediate perception thoughts, and feelings.

The nurse share with the patient and confirm the problem

Together with patient, they make the plan The nurse helped the patient in implementation. the evaluation is if the need for help met.

Summary

Background of Orlando Overview of the nursing process theory The major concepts nursing according to Orlando Assumptions of Orlando’s theory Propositions of Orlando’s theory Orlando’s theory as a framework for nursing practice The nursing process and Orlando’s theory

Conclusion

Orlando's Theory remains on of the most effective practice theories available which stresses the reciprocal relationship between the patient and the nurse

References

Kathleen Masters. 2nd edition(2015). Nursing Theories A Framework For Professional Practice. Jones & Bartlett Learning.