Nursing Theory Analysis: Orlando’s Theory of Deliberative Nursing Process

Ida Jean Orlando developed her theory from a study conducted at the Yale University
School of Nursing, integrating mental health concepts into a basic nursing curriculum. She
proposed that “patients have their own meanings and interpretations of situations and
therefore nurses must validate their inferences and analyses with patients before concluding.”
The theory was published in The Dynamic Nurse-Patient Relationship: Function, Process,
and Principles (NLN Classics in Nursing Theory) in 1961. Her book proposed a contribution
to concern about the nurse-patient relationship, the nurse’s professional role and identity, and
the knowledge development distinct to nursing.
Orlando's was one of the first nursing theorists to analyze the nursing process in her
work and draw conclusions from her own research. Her Deliberative Nursing Process Theory
places a strong emphasis on the interaction between the nurse and patient, the validation of
perceptions, and the use of the nursing process to generate positive outcomes or patient
improvement. Orlando's principal objective was to define the function of nursing. The author
wants to promote the use of the deliberative process and teach Orlando's theory to nurses in
order to enhance patient outcomes. Orlando's idea is discussed in this article along with
instances of how it has been successfully used in clinical practice in an extended care setting.

Clarity Simplicity Generality Accessibility Importance

Orlando's theory is She described her Orlando's Orlando’s Orlando's was

incorporated to model as revolving Deliberative theory employs one of the first
nursing practice, it around the Nursing Process empiricism; it is nursing theorists
will ensure that the following five Theory focuses on testable and to analyze the
patients are treated major interrelated the interaction observable in nursing process
individually. concepts: the between the nurse actual setting. in her work and
Moreover, the function of and patient, She recorded draw
patients will actively professional perception 2000 conclusions
participate into their nursing, presenting validation, and the observations to from her own
own care behavior, use of the nursing develop her research. Her
immediate reaction, process to produce theory and Deliberative
nursing process positive outcomes acknowledges Nursing Process
-In that 20th century, discipline, and or patient no theoretical Theory places a
this theory helps in improvement. improvement. sources. strong emphasis
accurate diagnosis Orlando's key focus on the
and keeps the The function of was to define the Orlando’s interaction
practitioners professional theory
function of nursing. is between the
away from the in nursing is the regularly used in nurse and
effective planning. organizing The Orlando nursing patient, the
because the theory principle. Theory of practices and is validation of
enables nurses to Presenting Deliberative considered one perceptions, and
checking the behavior is the Nursing Process is of the most the use of the
reactions patient patient’s generally relevant, effective nursing process
towards treatment problematic because her theory theories. It is to generate
care. situation. The states that flexible and positive
immediate reaction 'whatever the nurse patient-centered outcomes or
is the internal and the patient do rather than just patient
-Orlando’s beliefs of response. The both affects sticking to a improvement.
making nursing nursing process patient's recovery', nursing care Orlando's
profession discipline is the which is relevant to plan. principal
independent based investigation into all nurses. Her objective was to
on theoretical the patient’s needs. theory is not only The deliberative define the
framework makes And lastly, applied to herself nursing process function of
me unique. improvement is the but also to the other can be easily nursing. The
resolution to the nurses out there. adapted and author wants to
patient’s situation. changed if any promote the use
-Orlando’s theory complications of the
has set up guideline come up during deliberative
for the nurses so that the patient’s process and
they can evaluate treatment and teach Orlando's
outcome of patient recovery. theory to nurses
( schmieding,1894). in order to
enhance patient
outcomes.
Orlando's idea is
discussed in this
article along
with instances of
how it has been
successfully
used in clinical
practice in an
extended care
setting.