The Deliberative Nursing Process

The Theory of Ida Jean Orlando

Presented by: Group Member, Brandie Zimmerman, Group Member, and
Group Member
Introduction
This is the theory of Ida Jean Orlando
Orlando believed nurses actions should be deliberate not
automatic (Nursing Theory).
Believed the nurse is an autonomous, interpersonal
agent who forms helping relationships with patients,
other nurses, or other disciplines for problem resolution
(Rosenthal, 1996).
Believed that a patients behavior could be clues that
their needs are not being met.




Theory as Evidence Based Practice
Nurses individualize care for each patient by
attending to behavior, confirming with the
patient ideas and inferences the nurse draws
from interactions and identifying pressing
needs (Black, p.277).
The nurse integrates evidence and research
findings into practice (White, 2012, p. 133).
Nurses use their critical thinking skills and
produce a list of the patients most important
needs and come up with ways for the patient
to most effectively get these needs met.

Metaparadigm Concepts in Orlandos
Theory
Environment- supports the nurse-patient
relationship.
Health-by meeting patient needs, patients
can begin to heel.

Metaparadigm Concepts cont.
Person- is patient centered.
Nurse- involves nurse contribution to meet
needs. The goal of the nurse is to
determine and meet patients immediate
needs and to improve their situation by
relieving distress or discomfort (Black, p.
277).

How the nursing theory of Ida Jean
Orlando can improve the healthcare
environment
The goal of the nurse is to determine and
meet patient s immediate needs and to
improve their situation by relieving
distress or discomfort (Black, p.277).
The nurse-patient interaction is a key
factor and the patients participation in the
process is essential.
When nurses help the patients verbalize
what they need, nursing care is much
more effective.
References
Black, B.P. (2014). Professional nursing: Concepts &
challenges (7th ed). St Louis, MO: Elsevier Saunders.
Nursing Theory (2013). Ida Jean Orlando-nursing theorist.
Retrieved from http://www.nursing-theory.org/nursing-
theorists/Ida-Jean-Orlando.php
Rosenthal, B. C. (1996). An interactionist's approach to
perioperative nursing. AAON Journal, 64(2), 254260.
Tyra, P. A. (2008). Ida Jean Orlando Pelletier. Journal of the
American Psychiatric Nurses Association,14(3), 231+.
White, K. & OSullivan, A. (2012). The essential guide to
nursing practice: Applying ANAs scope and standards in
practice and education. Silver Spring, MD: American Nurses
Association.