ppt for report tfn

1. DELIBERATIVE NURSING
PROCESS THEORY BY
IDA JEAN ORLANDO
presented by:
Group 1
Arizabal, Ryan William M.
Bombarda, Abelard
Banglayan, John Daniel
Valdez, Francheksa
Magaoay, Romeia
Iris, Rheanne
BSN 1 -M

2. WHO IS IDA JEAN
ORLANDO?
• born in 1926
• Nursing diploma - New
York Medical
• BS Public Health - St. John’s
University, NY
• MA Mental Health Nursing
- Columbia, NY

3. “Patients have their own meaning
and interpretations of situations
and
therefore nurses must validate
their inference and analyses with
patients before concluding” -Ida
Jean Orlando
QUOTE

4. BRIEF DESCRIPTION
OF THE THEORY
Ida Jean Orlando's Deliberative Nursing
Process Theory, developed in the late 1950
s, emphasizes the dynamic
relationship
between the nurse and the patient. It is
centered around the nurse's ability to
identify and meet the patient's
immediate needs th rou gh a
deliberate process. Orlando
proposed that nurses must
observe and
interpret the patient's behavior
and use this in for mation to form
an appropriate
response, thereby improving
patient care.

5. DEFINITION OF CONCEPTS
• The function of Professional Nursing This
means finding out and meeting the
patient’s immediate needs for help.
According to
Orlando, nursing is responsive to
individuals who suffer or who
anticipate a sense of
helplessness.
• Presenting Behavior is the
patient’s problematic situation.
Through the
presenting behavio r, the nurse
finds the patient’s immediate
need for help
>DISTRESS The patient’s
behavior reflects distress when the
patient experiences a need
that he cannot resolve, a sense

6. DEFINITION OF CONCEPTS
• Immediate Reaction is the internal
response. The patient perceives objects
with his or her five senses. These
perceptions stimulate
automatic thought, and each thou gh t
stimulates an automatic feeling, causing
the patient to act.
>Nurse Reaction The patient’s
behavior
stimulated a nurse’s reaction, which
marks
the nursing process discipline’s
beginning.
>Nurse’s Action When the
nurse acts, an action process
transpires. This action
process by the nurse in a nurse-
patient

7. 2 TYPES OF NURSING ACTIONS
AUTOMATIC NURSING ACTIONS are nursing actions
decided upon for reasons other than the
patient’s immediate need.
DELIBERATIVE NURSING ACTIONS are actions decided
upon after ascertaining a need and then meeting
this need.
• Deliberative actions result from the correct
identification of patient needs by validating
the nurse’s reaction to patient behavio r.
• The nurse explores the meaning of the
action with the patient and its relevance to
meeting his need.
• The nurse validates the action’s
effectiveness immediately after completing
it.
• The nurse is free of stimuli unrelated to
the patient’s need when she
acts.

8. 5 STAGES OF THE DELIBERATIVE
NURSING PROCESS
1ST
ASSESMENT PLANNING EVALUATION
DIAGNOSIS
3RD
IMPLEMENTATION
5TH
2ND 4TH

9. DEFINITION OF CONCEPTS
• Nursing Process Discipline is the investigation
into the patient’s needs. Any observation
shared and explored with the
patient is immediately
useful in ascertaining and meeting his or
her need or finding out they have no
needs at that time. The nurse decides
on appropriate action to resolve the need
in cooperation with the
patient.
• Improvement is the resolution to the
patient’s situation. In the resolution, the
nurse’sactions are not evaluated. Instead, the
result of his or her actions is
evaluated to determine whether their
actions served to help the patient
communicate his or her need for help and
how it was met.

10. DEFINITION OF METAPARADIGMS
NURSING: Orlando speaks of
nursing as unique and
independent in its
concerns for an individual’s need
for help in an immediate
situation. The
efforts to meet the individual’s
need for help are carried out in an
interactive situation and in a
disciplined manner that
requires proper training.
HUMAN BEING: Orlando
uses the
concept of human as she
emphasizes individuality and the
dynamic nature
of the nurse-patient relationship.
For her, humans in need are the
HEALTH: In Orlando’s theory, health is
replaced by a sense of helplessness
as the initiator of a necessity for
nursing. She stated that nursing
deals with individuals who require
help.
Perceived as a sense of well-being
and absence of distress.
ENVIRONMENT: Orlando completely
disregarded the environment in
her
theory, only focusing on the
patient’s immediate need, chiefly the
relationship and actions between
the nurse and the patient (only an
individual in her theory; no families
or groups were mentioned). The
effect that the environment could

11. CONCEPTUAL MODEL
*Orlando’s theory doesn’t have
a
detailed visual conceptual model, but
it can be summarized as:
A
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DIAGNOSIS
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NURSING
PROCESS

12. • Nurses must identify patient
needs through direct interaction.
• Patient behavior provides cues
to these needs.
• The nurse’s professional
judgment and actions should be
tailored to address these cues.
PROPOSITIONS OF
THE THEORY

13. 1. When patients cannot cope with their needs on
their own, they become distressed by feelings of
helplessness.
2.In its professional character, nursing adds to
the distress of the
patient.
3.Patients are unique and individual in how
they respond.
4.Nursing offers mothering and nursing
analogous to an adult who mothers and
nurtures a child.
5.The practice of nursing deals with people,
the
environment, and health.
6.Patients need help communicating their needs;
they are uncomfortable and ambivalent about
their
ASSUMPTIONS OF THE THEORY

14. 8.The nurse-patient situation is dynamic; actions
and reactions are influenced by both the nurse and
the
patient.
9.People attach meanings to situations and actions
that aren’t apparent to others.
10. Patients enter into nursing care through
medicine.
11.The patient cannot state the nature and
meaning of his or her distress without the nurse’s
help or him or her
first having established a helpful relationship with
the patient.
12.Any observation shared and observed
with the patient is immediately helpful in
ascertaining and
meeting his or her need or finding out that he or
she is not in need at that time.
ASSUMPTIONS OF THE THEORY

15. HYPOTHETICAL APPLICATION
OF THE THEORY IN NURSING
PRACTICE
(COMING SOON)

16. HYPOTHETICAL APPLICATION
OF THE THEORY IN NURSING
PRACTICE
(COMING SOON)

17. •Use of her theory assures that patient will be treated as
individuals
and that they will have active and constant input into their own
care
•Prevents inaccurate diagnosis or ineffective plans because the
nurse has to constantly explore her reactions with the patient
•Assertion of nursing's independence as a profession and her
belief
that this independence must be based on a sound theoretical
frame work
•Guides the nurse to evaluate her care in terms of objectively
STRENGTHS OF THE
THEORY

18. • Can be time-consuming in fast-paced settings.
• Requires high levels of nurse-patient interaction, which may not
be feasible in all situations.
• Limited empirical testing and validation.
• Lacks a formal conceptual model, which may limit its
application in some settings.
• Can be seen as too focused on the immediate patient
needs, potentially overlooking broader health concerns.
• The theory may be challenging to apply in situations where
patient behavior is difficult to interpret.
WEAKNESSES OF
THE THEORY

19. REFERENCES