The document summarizes Ida Jean Orlando's nursing theory. Some key points:
- Orlando believed the nurse's role is to discover and meet the patient's immediate need for help. However, the patient's presenting behavior may not represent their true need.
- The theory involves the nurse assessing the patient through perception of verbal and non-verbal cues, thoughts about the perception, and feelings engendered. This helps identify the patient's distress and needed help.
- Nursing actions should be deliberative, directly exploring needs with the patient, or automatic, not focused on the patient's needs. The nurse must evaluate if actions met the patient's needs by observing outcomes like relief from distress.
- Orlando
Nursing process theory ( ida jean orlando) mainly focus on patient nurse relationship and also it guide the care giver to plane a best care for patient
Nursing process theory ( ida jean orlando) mainly focus on patient nurse relationship and also it guide the care giver to plane a best care for patient
In her model of nursing, she explains that nursing is the practice of identification of a patient’s need for help through the observation of presenting behaviors and symptoms, exploration of the meaning of those symptoms with the patient, determining the cause of discomfort, and determining the patient’s ability to resolve the discomfort or if the patient has a need for help from the nurse or other health care professionals. The goal of nursing consists primarily of identifying a patient’s need for help.
The need for help is defined as “any measure desired by the patient that has the potential to restore or extend the ability to cope with various life situations that affect health and wellness.” Need-for-help must be based on the individual patient’s perception of his or her own situation.
Wiedenbach’s theory identifies the patient as “any individual who is receiving help of some kind, be it care, instruction or advice from a member of the health profession or from a worker in the field of health.” A patient is any person who has entered the healthcare system and is receiving help, which means he or she does not need to be ill. A person receiving health-related education would qualify as a patient.
Among the many models of health related quality of life, Pender’s Health promotion behavior model helps to identify factors influenced the decisions and actions of individuals that were made to prevent disease and promote a healthy lifestyle.
Orlando's theory is a interrelate concepts. Many various theorist have describe different classification of this theory. It is a Middle Range Nursing Theory However all have shown it is an interactive type of theory
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
Hippocrates viewed the physician as 'captain of the ship' and the patient as someone to take orders. Relationship between patients and doctors are often unstated, and thy are dynamic
As conditions change, the kind of relationship that works best for a patient may change. Doctors and patients should choose a “relationship fit” . Effectiveness of the patient-physician relationship directly relates to health outcomes.
In her model of nursing, she explains that nursing is the practice of identification of a patient’s need for help through the observation of presenting behaviors and symptoms, exploration of the meaning of those symptoms with the patient, determining the cause of discomfort, and determining the patient’s ability to resolve the discomfort or if the patient has a need for help from the nurse or other health care professionals. The goal of nursing consists primarily of identifying a patient’s need for help.
The need for help is defined as “any measure desired by the patient that has the potential to restore or extend the ability to cope with various life situations that affect health and wellness.” Need-for-help must be based on the individual patient’s perception of his or her own situation.
Wiedenbach’s theory identifies the patient as “any individual who is receiving help of some kind, be it care, instruction or advice from a member of the health profession or from a worker in the field of health.” A patient is any person who has entered the healthcare system and is receiving help, which means he or she does not need to be ill. A person receiving health-related education would qualify as a patient.
Among the many models of health related quality of life, Pender’s Health promotion behavior model helps to identify factors influenced the decisions and actions of individuals that were made to prevent disease and promote a healthy lifestyle.
Orlando's theory is a interrelate concepts. Many various theorist have describe different classification of this theory. It is a Middle Range Nursing Theory However all have shown it is an interactive type of theory
Virginia henderson's theory of nursingMandeep Gill
Virginia Henderson was born in Kansas City, Missouri in 1897, the fifth of eight children in her family. During the World War 1, Henderson developed an interest in nursing. So in 1918 she entered the Army school of Nursing in Washington D.C. Henderson graduated in 1921 and accepted a position as a staff nurse with the Henry Street Visiting Nurse Service in New York. After 2 years, in 1923, she started teaching nursing at the Norfolk Protestant Hospital in Virginia. She has enjoyed a long career as an author and researcher. She is known as, “The Nightingale of Modern Nursing” & “The 20th century Florence Nightingale."
Hippocrates viewed the physician as 'captain of the ship' and the patient as someone to take orders. Relationship between patients and doctors are often unstated, and thy are dynamic
As conditions change, the kind of relationship that works best for a patient may change. Doctors and patients should choose a “relationship fit” . Effectiveness of the patient-physician relationship directly relates to health outcomes.
PREPARED BY:
MS SHALINI ABRAHAM,
ASSOCIATE PROFESSOR,
D Y PATIL SCHOOL OF NURSING, NERUL, NAVI MUMBAI.
About Theorist : Dorothea Orem (1914-2007)
Born 1914 in Baltimore, US
Earned her diploma at Providence Hospital –Washington
1939 – BSN Ed., Catholic University of America
1945 – MSN Ed., Catholic University of America
She worked as a staff nurse, private duty nurse, nurse educator and administrator and nurse consultant.
Received honorary Doctor of Science degree in 1976.
She Is focusing on:
1. Theory if self care
2. Theory of self care deficit
3. Theory of Nursing System
Prepared by Ms Shalini Abraham
Associate Professor
D Y Patil University School of Nursing
Nerul, Navi Mumbai
About the Author and the ppt:
Dorothea Orem (1914-2007)
Born 1914 in Baltimore, US
Earned her diploma at Providence Hospital –Washington
1939 – BSN Ed., Catholic University of America
1945 – MSN Ed., Catholic University of America
She worked as a staff nurse, private duty nurse, nurse educator and administrator and nurse consultant.
Received honorary Doctor of Science degree in 1976.
She came up with the idea of
1. Theory of Self care
2. Theory of Self care Deficit
3. Theory of Nursing System
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Attending workshops and conferences on pediatric nursing.
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2. About the Theorist
•Ida Jean Orlando - born in 1926.
•wrote about the nursing process.
•Nursing diploma - New York Medical College
•BSC in public health nursing - St. John's University, NY,
•MA in mental health nursing - Columbia University, New
York.
•Associate Professor at Yale School of Nursing and
Director of the Graduate Program in Mental Health
Psychiatric Nursing.
•Project investigator of a National Institute of Mental
Health grant entitled: Integration of Mental Health
Concepts in a Basic Nursing Curriculum.
3. INTRODUCTION TO THEORYINTRODUCTION TO THEORY
O The role of the nurse is to find out and meetThe role of the nurse is to find out and meet
the patient's immediate need for help.the patient's immediate need for help.
O The patient's presenting behavior may be aThe patient's presenting behavior may be a
appeal for help; however, the help needed mayappeal for help; however, the help needed may
not be what it appears to be.not be what it appears to be.
O Therefore, nurses need to use theirTherefore, nurses need to use their
perception, thoughts about the perception, orperception, thoughts about the perception, or
the feeling engendered from their thoughts tothe feeling engendered from their thoughts to
explore with patients the meaning of theirexplore with patients the meaning of their
behaviorbehavior..
O This process helps nurse find out the natureThis process helps nurse find out the nature
of the distress and what help the patientof the distress and what help the patient
needs.needs.
4. Terms
•Distress is the experience of a patient whose need has
not been met.
•Nursing role is to discover and meet the patient’s
immediate need for help.
•Patient’s behavior may not represent the true need.
•The nurse validates his/her understanding of the
need with the patient.
•Nursing actions directly or indirectly provide for the
patient’s immediate need.
5. •An outcome is a change in the behavior of the
patient indicating either a relief from distress or an
unmet need.
•Observable verbally and nonverbally
6. ASSUMPTIONS
When patients cannot cope with their needs without help,
they become distressed with feelings of helplessness.
•Patients are unique and individual in their responses.
•Nursing deals with people, environment and health
7. •Patient need help in communicating needs, they are
uncomfortable and undecided about dependency needs
•Human beings are able to be secretive or explicit about
their needs, perceptions, thoughts and feelings,
•The nurse – patient situation is dynamic, actions and
reactions are influenced by both nurse and patient
•Nurses are concerned with needs that patients cannot
meet on their own
8. CHARACTERISTICS OF THE THEORY
•Orlando's theory interrelate
concepts
•Orlando's theory has a logical nature
•Orlando's theory is simple and
applicable in the daily practice.
•Orlando's theory contribute to the
professional knowledge.
•Orlando's theory is applicable in
clinical practice
9. STRENGTHS
•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
observable patient outcome
10.
11.
12.
13. AssessmentAssessment
O Identifying patients need for help.Identifying patients need for help.
O It includes:It includes:
Perception of clientPerception of client
Thoughts and feelings aboutThoughts and feelings about
perceptionperception
14. Perception of clientPerception of client
O VerbalVerbal- what client says- what client says
O Non verbalNon verbal - moaning, groaning, tone- moaning, groaning, tone
,volume.,volume.
Client activities ,pacing,Client activities ,pacing,
runningrunning
O Physiological manifestations:Physiological manifestations: BP, pulse,BP, pulse,
patterns of urinationpatterns of urination
15. Thoughts and feelings aboutThoughts and feelings about
perceptionperception
O Observation of clients behavior (nurse’sObservation of clients behavior (nurse’s
perception ) gives rise to nurse’s thoughtsperception ) gives rise to nurse’s thoughts
and feelings.and feelings.
O A thought is a cognitive process and feelingA thought is a cognitive process and feeling
is an affective process.is an affective process.
O Thoughts about a client’s behavior areThoughts about a client’s behavior are
merely assumptions which should not guidemerely assumptions which should not guide
nursing actions unless validated by thenursing actions unless validated by the
client.
16. Nursing DiagnosisNursing Diagnosis
O Product of analysisProduct of analysis
O Leads to identification of need forLeads to identification of need for
helphelp..
17. Planning phasePlanning phase
O Writing goals and objectives andWriting goals and objectives and
deciding about appropriate actiondeciding about appropriate action ..
18. Nursing actionNursing action
Two types of nursing actions:Two types of nursing actions:
O Deliberative: The nurse initiates believingDeliberative: The nurse initiates believing
that she will help ascertain or meetthat she will help ascertain or meet
client’s immediate need for help.client’s immediate need for help.
O Automatic: Actions which are not focusedAutomatic: Actions which are not focused
on the clients need but other need suchon the clients need but other need such
as nurse’s or physicians.as nurse’s or physicians.
20. EvaluationEvaluation
O Nurse need to evaluate the processNurse need to evaluate the process
to know that the action taken by herto know that the action taken by her
is appropriate for the patient or not.is appropriate for the patient or not.
21. Application of theoryApplication of theory
O Mrs Reshma Anil Barisode, a 26 yearMrs Reshma Anil Barisode, a 26 year
old nullipara came to infertility OPDold nullipara came to infertility OPD
with history of 6 years of nonwith history of 6 years of non
consanguineous marriage and noconsanguineous marriage and no
history of contraceptives for thehistory of contraceptives for the
treatment of primary infertility.treatment of primary infertility.
22. Objectives of nursingObjectives of nursing
managementmanagement
O Using Orlando’s nursing theory, theUsing Orlando’s nursing theory, the
following objectives were planned forfollowing objectives were planned for
care:care:
To assess patient condition by use ofTo assess patient condition by use of
theorytheory
State perception of clientState perception of client
Find client’s immediate need for helpFind client’s immediate need for help
Validate immediate need for help.Validate immediate need for help.
23. Reactions:Reactions:
O Verbal: can I able to concieve? My familyVerbal: can I able to concieve? My family
members keep on blaming me …huge familymembers keep on blaming me …huge family
pressurepressure
O Non verbal: anxious, worried depressedNon verbal: anxious, worried depressed
O No eye to eye contact while answering, onlyNo eye to eye contact while answering, only
nodding of headnodding of head
24. Need for helpNeed for help
O Anxiety r/t chances ofAnxiety r/t chances of
conceptionconception
O Knowledge deficit regardingKnowledge deficit regarding
assisted reproductive techniquesassisted reproductive techniques
and treatment of infertilityand treatment of infertility..
25. Nurse actionNurse action
O Identify positive coping behavior andIdentify positive coping behavior and
reinforce them.reinforce them.
O Give positive reinforcement.Give positive reinforcement.
O Reassure the patient.Reassure the patient.
O Clarify the doubts of patient.Clarify the doubts of patient.
O Provide explanation in simpleProvide explanation in simple
understanding terms to patient.understanding terms to patient.
O Involve both couple for counselingInvolve both couple for counseling
O Arrange special meeting with patientsArrange special meeting with patients
who had positive results from infertilitywho had positive results from infertility
treatmenttreatment
26. O Provide psychological support to theProvide psychological support to the
patient.patient.
O Give realistic opinion.Give realistic opinion.
O Encourage patient to take herEncourage patient to take her
decision independently.decision independently.
27. Evaluation
O Evaluate the patient level of anxiety and
stress after clarifying the doubts.
O Re evaluate the patient in next visit
28. Limitations
O Highly interactive nursing theory makes it
hard to include highly technical and
physical care that nurses give in certain
situation.
O Long term care and planning are not
applicable.
29. Conclusion
O Orlando’s nursing theory stresses the
reciprocal relationship between patient
and nurse and finding out and meeting the
patient’s immediate need for help.
O Orlando may have facilitated the
development of nurses as logical thinkers.
O The Deliberative Nursing Process helps
nurses achieve more successful patient
outcomes such as fall reduction. Orlando’s
theory remains a most effective practice
theory that is especially helpful to new
nurses as they begin their practice
30. Bibliography
George, J.B. (2011). Nursing theories: The base for
professional nursing practice (6th ed.). Philadelphia:
Pearson.
Potter, P.A., & Perry, A.G. (2012). Fundamentals of
nursing (8th ed.). St. Louis, MO: Mosby Elsevier.
Schmieding, N. (1990). An integrative nursing theoretical
framework. Journal of Advanced. Nursing, 15(4), 463-46