1. Ida Jean Orlando: Deliberative Nursing Process TheoryBy
Patrick Gerow

2. 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)

3. 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)

4. 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)

5. 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.

6. 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)

7. 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)

8. 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.

9. References
Orlando’s Nursing process Theory (2012). Retrieved from:
Rosenthal B. C. (1996). An Interactionist’s Approach to Perioperative Nursing. AORN Journal, 64(2), DOI: /S (06)
Tyra A. P. (2008). In Memoriam: Ida Jean Orlando Pelletier. Retrieved from:
Wayne G. (2014). Ida Jean Orlando’s Deliberative Nursing Process Theory. Retrieved from: theory/