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Tige Stand Tiru Ye Presentation 1
Tige Stand Tiru Ye Presentation 1
Introduction
Assumptions
Meta-paradigm
York.
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Cont.….
Nursing Career
• Staff nurse, varied specialties (Obstetrics, Medical
Surgical and Emergency Room)
• Supervisor in a General Hospital
• Research Associate & Principal Investigator of a
Federal Project entitled “Integration of Mental Health
Concepts in a Basic Curriculum´ at Yale University in
New Haven”(1954-1961)
• Clinical Nursing Consultant in Mental Health,
McLean Hospital in Belmont, Massachusetts (1962-
1972)
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Cont.…
• Served on various committees at Harvard
Community Health Plan in Boston,
Massachusetts since 1972
• Nurse Educator for Metropolitan State Hospital
in Waltham, Massachusetts in 1981
• Assistant Director of Nursing for Education and
Research at Metropolitan State Hospital
(September 1987)
• Retired in1992
• Died in October 28, 2007
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Cont.…
Attainment and Honor
• Books Published:
1961 –”The Dynamic Nurse-
Patient Relationship: Function,
Process and Principles”
1967 –”The Patients
Predicament and Nursing
Function “an issue of
Psychiatric Opinion”
1972 -”The Discipline and
Teaching of Nursing Process”
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Cont.…
• Conducted Training Programs at Boston
Hospital
• Managed 60 workshops about her theory in
USA and Canada (1972-1981)
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meeting patients’ needs.
Tigest & Tiruye 13
Origin of theory
• Orlando developed her theory from a study
conducted at the Yale University School of Nursing,
integrating mental health concepts into a basic
nursing curriculum.
• In the late 1950s, Orlando developed her theory
inductively through an empirical study of nursing
practice.
• For 3 years, she recorded 2000 observations between
a nurse and patient interactions.
nursing formulation)
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Cont.….
• From these observations, she formulated the ”D
eliberative Nursing Process” which was
published in 1961.
• Conducted research at McLean Hospital through
continuous tape recording of nurses with
patients and other health care members.
• Based on this research, her formulations were
validated, thus she extended her theory to
include the entire nursing practice system which
then evolved as “Nursing Process Discipline”
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Cont.…
• Orlando's theory remains one the of the most
effective practice theories available.
• Many theory scholars utilized her concept as
basis for their further studies.
• Her work has been translated into different
languages and was contained in the
international section.
Nursing role is to discover and met the patient immediate need for
help.
Nursing action directly or indirectly provide for patients immediate
need.
Focuses on:
Nursing profession
Nurses
Patients
The nature of nurse-patient interaction
3. Immediate reaction
5. Improvement
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1. Professional Nursing Function
• Organizing principle
Problematic situation
“The presenting behavior of the patient, regardless of
the form in which it appears, may represent a plea
for help’’
Patient’s behavior can be manifested in the following
forms:
Verbal, such as asking a question or making a
statement to the nurse; Tigest & Tiruye
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Cont…
Vocal: such as coughing, moaning, crying,
wheezing, shouting
Non-verbal: such as Tears in the eyes, skin
color, reddened face, clenched fist, or
physiological manifestations like BP,Pulse
(Orlando 1961).
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3. Immediate Reaction
Internal response
an object.
process discipline.
Patient behavior
Nurse reaction
Nurse action
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Cont.…
Nurse’s Action – the action process by the nurse in a nurse-
action
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5.Improvement
• Resolution
• This refers to improvement in the patient’s
behavior
• According to Orlando, If the nurses activity
meets the patient’s immediate needs for help,
the patient’s behavior improves.
• If behavior of the patient doesn’t change, the
nursing function has not been met.
health problems.
patient’s assessment.
Planning
action.
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Cont.…
• The planning stage addresses each of the
problems identified in the diagnosis.
• By the end of this stage, the nurse will have a
nursing care plan.
Implementation
hypothesis.
Improvement (Resolution):
Mrs. Sosina is relaxed; feeling satisfied that she has
overcome an anxiety and relief from pain and her need
is met.