1. The Deliberative Nursing Process The Theory of Ida Jean Orlando
Presented by: Kelly Vogt, Brandie Zimmerman, Sarah Smith, and
Jill Lovano

2. Introduction This is the theory of Ida Jean Orlando
Orlando believed nurses actions should be deliberate not automatic (Nursing Theory).
Believed the nurse is an “autonomous, interpersonal agent who forms helping relationships with patients, other nurses, or other disciplines for problem resolution” (Rosenthal, 1996).
Believed that a patients’ behavior could be clues that their needs are not being met.

3. Theory as Evidence Based Practice
Nurses individualize care for each patient by attending to behavior, confirming with the patient ideas and inferences the nurse draws from interactions and identifying pressing needs” (Black, p.277).
“The nurse integrates evidence and research findings into practice” (White, 2012, p. 133).
Nurses use their critical thinking skills and produce a list of the patients’ most important needs and come up with ways for the patient to most effectively get these needs met.

4. How the nursing theory of Ida Jean Orlando can improve the healthcare environment
“The goal of the nurse is to determine and meet patient’ s immediate needs and to improve their situation by relieving distress or discomfort” (Black, p.277).
The nurse-patient interaction is a key factor and the patient’s participation in the process is essential.
When nurses help the patients verbalize what they need, nursing care is much more effective.

5. References
Black, B.P. (2014). Professional nursing: Concepts & challenges (7th ed). St Louis, MO: Elsevier Saunders.
Nursing Theory (2013). Ida Jean Orlando-nursing theorist. Retrieved from theorists/Ida-Jean-Orlando.php
Rosenthal, B. C. (1996). An interactionist's approach to perioperative nursing. AAON Journal, 64(2), 254–260.
Tyra, P. A. (2008). Ida Jean Orlando Pelletier. Journal of the American Psychiatric Nurses Association,14(3), 231+.
White, K. & O’Sullivan, A. (2012). The essential guide to nursing practice: Applying ANA’s scope and standards in practice and education. Silver Spring, MD: American Nurses Association.