 Dynamic Nurse-Patient

Relationship

Nursing Process Discipline

 “The role of the

nurse is to find out
and meet the patient's immediate
need for help. The patient's
presenting behavior may be a
plea for help, however, the help
needed may not be what it
appears to be.”
 This process helps the nurse find
 Orlando's theory was developed
out the nature of the distress and
in the late 1950s from observations
what help the patient needs.
she recorded between a nurse
 Orlando's theory remains one the
and patient. Despite her efforts,
of the most effective practice
she was only able to categorize
theories available. The use of her
the records as "good" or "bad"
theory keeps the nurse's focus on
nursing. It then dawned on her
the patient. The strength of the
that both the formulations for
theory is that it is clear, concise,
"good" and "bad" nursing were
and easy to use. While providing
contained in the records.
the overall framework for nursing,
 She believed that the nurse helps
the use of her theory does not
patients meet perceived needs
exclude nurses from using other
that the patient cannot meet for
theories while caring for the
themselves.
patient.
 To interact with clients to meet
immediate needs by identifying Key Concepts of Three Interlocking
client behaviors, nurse’s reactions, Circles Theory
and nursing actions to take
 According to Hall, Nursing is
 From these observations she
participation care, core and cure
formulated the deliberative
aspects, where CARE is the sole
nursing process
function of nurses, whereas the
 Therefore, nurses need to use their
CORE and CURE are shared with
perception, thoughts about the
other members of the health team
perception, or the feeling
 The major purpose of care is to
engendered from their thoughts to
achieve an interpersonal
explore with patients the meaning
relationship with the individual that
of their behavior.
will facilitate the development of
the core.
 METAPARADIGM

PERSON: Unique individual behaving

verbally and nonverbally. Assumption
is that individuals are at times able to
meet their own needs and at other
times unable to do so

ENVIRONMENT: Not defined

HEALTH: Not defined. Assumption is

that being without emotional or
physical discomfort and having a
sense of well-being contribute to a
healthy state.

NURSING: Professional nursing is

conceptualized as finding out and
meeting the client’s immediate need
for help