nursing process theory: orlando
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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.
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