Ida Jean Orlando: Deliberative Nursing Process Theory By Patrick Gerow

Ida Jean Orlando Education: Nursing Diploma from New York Medical College (1947) BS in Public Health Nursing from St. Johns’s University (1951) Author: The Dynamic Nurse-Patient Relationship The Discipline and Teaching of Nursing Process (Tyra, 2008)

Deliberative Nursing Theory Origin Originated from a study titled “Integration of Mental health Concepts in Basic Nursing Curriculum She was the lead investigator in this study and in the end had about 2,000 cases to review She separated them into 2 piles labeled “good nursing” and “bad nursing” What she noticed was that nurses who asked clarifying questions to guide care lead to better patient care (Orlando’s Nursing, 2012)

vs Bad Nursing Practices Orlando’s Design for Good Nursing Evaluation (did the patient improve?) Action Without patient validation With Patient Validation Patients needs (verbal or nonverbal) Automatic Responder Deliberative Responder Find out and meet the patients needs *(Rosenthal, 1996)

vs Bad Nursing Practices Orlando’s Design for Good Nursing Evaluation (did the patient improve?) Action Without patient validation With Patient Validation Patients needs (verbal or nonverbal) Automatic Responder Deliberative Responder Find out and meet the patients needs *(Rosenthal, 1996) Orlando’s theory was centered on the idea that communication between the nurse and patient would produce the correct actions that needed to be taken.

Types of Responses to Patient Needs Automatic Responder Deliberative Responder Nursing Actions take place without patient validation and as a result are unspecific to the patients needs. Verbal communication between the nurse and patient is used to confirm and clarify intent, observations and needs and as a result nursing actions are specific to the patient. “patients have their own meanings and interpretations of situations and therefore nurses must validate their inferences and analyses with patients before drawing conclusions.” *(Rosenthal, 1996)

Open/Expressed Reactions Perception of Actions Secret Reactions Open/Expressed Reactions The reaction of either the nurse or the patient to actions taken by the other are not shared and never corrected Reactions from the Nurse or patient to the other are expressed. This allows either side to correct or modify future interactions *(Wayne, 2014)

Why I Prefer this Method In my interpretation of this method, it fits me best because: I enjoy immediate results and this method is focused on the immediate needs of a patient This method seems to resemble how somebody would trouble shoot a problem, which I enjoy. Find the problem, isolate the problem, try a solution, evaluate the effectiveness of that solution. Repeat if the solution was not found.

References Orlando’s Nursing process Theory (2012). Retrieved from: http://currentnursing.com/nursing_theory/orlando_nursing_process.html Rosenthal B. C. (1996). An Interactionist’s Approach to Perioperative Nursing. AORN Journal, 64(2), 254-260. DOI: 10.1016/S0001-2092(06)63153-0 Tyra A. P. (2008). In Memoriam: Ida Jean Orlando Pelletier. Retrieved from: http://journals.sagepub.com/doi/pdf/10.1177/1078390308321092 Wayne G. (2014). Ida Jean Orlando’s Deliberative Nursing Process Theory. Retrieved from: https://nurseslabs.com/ida-jean-orlandos-deliberative-nursing-process- theory/