Ida Jean Orlando: Deliberative Nursing Process

Theory

BY
PATRICK GEROW
 Ida Jean Orlando

• EDUCATION: NURSING DIPLOMA FROM NEW YORK MEDICAL COLLEGE (1947)

BS IN PUBLIC HEALTH NURSING FROM ST. JOHNS’S UNIVERSITY (1951)
• AUTHOR: THE DYNAMIC NURSE-PATIENT RELATIONSHIP
THE DISCIPLINE AND TEACHING OF NURSING PROCESS (TYRA, 2008)
 Deliberative Nursing Theory Origin

• ORIGINATED FROM A STUDY TITLED “INTEGRATION OF MENTAL HEALTH CONCEPTS IN BASIC

NURSING CURRICULUM
• SHE WAS THE LEAD INVESTIGATOR IN THIS STUDY AND IN THE END HAD ABOUT 2,000 CASES TO
REVIEW

• SHE SEPARATED THEM INTO 2 PILES LABELED “GOOD NURSING” AND “BAD NURSING”

• WHAT SHE NOTICED WAS THAT NURSES WHO ASKED CLARIFYING QUESTIONS TO GUIDE CARE
LEAD TO BETTER PATIENT CARE (ORLANDO’S NURSING, 2012)
Bad Nursing Practices vs Orlando’s Design for Good Nursing

Find out and meet the patients needs

Patients needs (verbal or nonverbal)

Automatic Responder Deliberative Responder

Action
Without patient validation With Patient Validation

Evaluation
(did the patient improve?)

*(Rosenthal, 1996)
Bad Nursing Practices vs Orlando’s Design for Good Nursing

Find out and meet the patients needs

Patients needs (verbal or nonverbal)

Automatic Responder Deliberative Responder

Action
Without patient validation With Patient Validation

Evaluation
(did the patient improve?)
*(Rosenthal, 1996)
Orlando’s theory was centered on the
idea that communication between the
nurse and patient would produce the
correct actions that needed to be taken.
 Types of Responses to Patient Needs

AUTOMATIC RESPONDER DELIBERATIVE RESPONDER

NURSING ACTIONS TAKE PLACE WITHOUT PATIENT
VALIDATION AND AS A RESULT ARE UNSPECIFIC TO
THE PATIENTS NEEDS.
VERBAL COMMUNICATION BETWEEN THE NURSE
AND PATIENT IS USED TO CONFIRM AND CLARIFY
INTENT, OBSERVATIONS AND NEEDS AND AS A
RESULT NURSING ACTIONS ARE SPECIFIC TO THE
PATIENT.

“patients have their own meanings and interpretations of situations and therefore
nurses must validate their inferences and analyses with patients before drawing
conclusions.”

*(Rosenthal, 1996)
 Perception of Actions
Secret Reactions Open/Expressed Reactions

THE REACTION OF EITHER THE NURSE REACTIONS FROM THE NURSE OR

OR THE PATIENT TO ACTIONS TAKEN PATIENT TO THE OTHER ARE EXPRESSED.
BY THE OTHER ARE NOT SHARED THIS ALLOWS EITHER SIDE TO CORRECT
AND NEVER CORRECTED OR MODIFY FUTURE INTERACTIONS
*(Wayne, 2014)
 Why I Prefer this Method

IN MY INTERPRETATION OF THIS METHOD, IT FITS ME BEST BECAUSE:

• I ENJOY IMMEDIATE RESULTS AND THIS METHOD IS FOCUSED ON THE IMMEDIATE NEEDS OF A
PATIENT

• THIS METHOD SEEMS TO RESEMBLE HOW SOMEBODY WOULD TROUBLE SHOOT A PROBLEM, WHICH
I ENJOY. FIND THE PROBLEM, ISOLATE THE PROBLEM, TRY A SOLUTION, EVALUATE THE
EFFECTIVENESS OF THAT SOLUTION. REPEAT IF THE SOLUTION WAS NOT FOUND.
 References

ORLANDO’S NURSING PROCESS THEORY (2012). RETRIEVED FROM:

HTTP://CURRENTNURSING.COM/NURSING_THEORY/ORLANDO_NURSING_PROCESS.HTML

ROSENTHAL B. C. (1996). AN INTERACTIONIST’S APPROACH TO PERIOPERATIVE NURSING. AORN

JOURNAL, 64(2), 254-260. DOI: 10.1016/S0001-2092(06)63153-0
TYRA A. P. (2008). IN MEMORIAM: IDA JEAN ORLANDO PELLETIER. RETRIEVED FROM:
HTTP://JOURNALS.SAGEPUB.COM/DOI/PDF/10.1177/1078390308321092

WAYNE G. (2014). IDA JEAN ORLANDO’S DELIBERATIVE NURSING PROCESS THEORY. RETRIEVED
FROM: HTTPS://NURSESLABS.COM/IDA-JEAN-ORLANDOS-DELIBERATIVE-NURSING-PROCESS-
THEORY/