NURSING PROCESS THEORY:

IDA JEAN ORLANDO

Presented by: samiullah
 IDA JEAN ORLANDO
 1926-2007
 1947- Diploma in Nursing from New York
Medical College
 1951-Bachelor of Science in Public Health from
St. Johns University, Brooklyn
 1954- Master of Arts in Mental Health
consultations in Columbia University
 During her study: clinical positions in
medical/surgical, OBS, ER
OVERVIEW OF ORLANDO’S NURSING
PROCESS THEORY
 This theory stresses the reciprocal relationship
between the patient and nurse
 What the nurse and patient say and do during
their interaction affects both of them
 The function of the professional nurse is to
address and fulfill the presenting and urgent
needs of the patient
 The theory emphasizes on improvement in the
patient’s behavior
MAJOR CONCEPTS & DEFINITIONS
CONCEPT DEFINITION

PERSON Patient with unmet needs

ENVIRONMENT OPEN TO DEFINITION

It is NOT Defined…..as it occurs in any place where
there is a nurse-patient contact

OPEN TO DEFINITION
HEALTH Feelings or emotions or physiologic state from having
fulfilled needs contributes to health

NURSING A job or profession which involves discovering and

fulfilling the patient’s immediate needs for help
ASSUMPTION ABOUT THEORY
 NURSING
 It is a distinct profession, separate from other
disciplines
 Professional nursing has a distinct function and
product
 There is a difference between lay and professional
nursing
 Nursing is aligned with medicine
 ASSUMPTIONS
 PERSON
 Each patient’s needs for help are different
 Each patient communicates differently regarding
their needs (verbal and non-verbal)
 When patients cannot meet their own needs, they
become distressed
 The patient’s behavior is meaningful
ASSUMPTION ABOUT THEORY
 NURSES
 Nurse interactions with patients are unique and
differ each time
 Nurse should alleviate the patient’s distress or
concerns
 Nurses using automatic response and behaviors
prevents the responsibility of nursing from being
fulfilled.
 The nurse’s practice is improved through self-
reflection.
 ASSUMPTIONS
 Nurse-Patient Situation

-Dynamic and constantly changing

-Phenomena of the nurse-patient encounter
represents a major source of nursing knowledge
 ASSUMPTIONS
 The nurse’s quick and immediate reactions
eases the patient’s distress
 The more competent in immediate reaction, the
more likely to find out the nature of distress
 CRITIQUE
 Simple as it relates to the nursing process
 Meets criteria for a middle-range theory
 Inductive and logical and applicable to nursing
practice
 ORLANDO’s FRAMEWORK
 5 interrelated concepts:
1.) The organizing principle or professional
nursing function
2.) The problematic situation or the patient’s
presenting behavior
3.) The internal response or immediate reaction
4.) Deliberative nursing process
5.) Resolution or improvement
 NURSING PROCESS
 ASSESSMENT: Deliberative nursing process to
validate the nurse’s direct and indirect observation
 PLANNING: Planning occurs with participation

from both the nurse and patient

 IMPLEMENTATION: Both direct help and

indirect help occur

 EVALUATION: Focus on change in the patient’s

behavior
If no change, nurse continues the process until
improvement
 CASE STUDY
 Mrs. Parveen is a 52 year old patient in med/surg
ward in DUH. She is asking nurse for some pain
medication. The nurse asks her to rate her pain score
on scale of 1-10 and Mrs. Parveen states it is 7 out of 10.
 The nurse inquires if anything else is annoying her
besides the pain.
 Mrs. Parveen started crying, saying she is worried
about her children at home.
 Nurse suggested calling them and talking to them.
 After which she did not ask for pain medication or
receive it.
 CASE STUDY-REFLECTION
 The nurse inquires about the patient problem.
She identifies immediate perception thoughts,
and feelings.
 The nurse share with the patient and confirm
the problem
 Together with patient, they make the plan
 The nurse helped the patient in
implementation
 The evaluation is if the need for help is met
 CONCLUSION
 Orlando’s theory is one of the most effective
practical theories and stresses the reciprocal
relationship between the patient and the nurse.
ANY QUESTIONS?