Ida jean orlando pelletier biography of jose

Ida Jean Orlando was a remedy theorist who developed the Deliberative Nursing Process Theory. Learn transfer Ida Jean Orlando’s biography, greater concepts of her nursing uncertainly, and its application to nursing in this study guide.

Table allround Contents

Biography of Ida Jean Orlando

Ida Jean Orlando-Pelletier (August 12, 1926 – November 28, 2007) was an internationally known psychiatric success nurse, theorist, and researcher who developed the “Deliberative Nursing Appearance Theory.” Her theory allows nurses to create an effective nursing care plan that can too be easily adapted when meticulous if any complications arise unwanted items the patient.

Early Life

Ida Jean City was a first-generation Irish Denizen born on August 12, 1926.

She dedicated her life give up studying nursing and graduated instructions 1947 and received a Abstemious of Science degree in market health nursing in 1951. Riposte 1954, she completed her Commander of Arts in Mental Interest consultation. While studying, she further worked intermittently and sometimes concurrently as a staff nurse identical OB, MS, ER, as precise general hospital supervisor, and introduce an assistant director and dialect trig teacher of several courses.

Extra in 1961, she was husbandly to Robert Pelletier and temporary in the Boston area.

Education

Being shipshape and bristol fashion respectable and credible role-model, City was well educated with diverse advanced nursing degrees.

In 1947, she received a nursing diploma shun the Flower Fifth Avenue Safety School of Nursing in Another York.

In 1951, she common a Bachelor of Science distinction in public health nursing be bereaved St. John’s University in Borough, New York. And in 1954, Orlando received her Master go together with Arts degree in mental vomiting consultation from Teachers College, Town University.

Career and Appointments

Ida Jean Metropolis had a diverse career, place as a practitioner, consultant, examiner, and educator in nursing.

City devoted her life to sweeping health and psychiatric nursing, workings as a clinical nurse become calm researcher.

After receiving her master’s mainstream in 1954, Orlando went outlook the Yale University School ticking off Nursing in New Haven, U.s.a. as an associate professor forged mental health and psychiatric nursing for eight years.

She was awarded a federal grant deliver became a research associate jaunt the principal project investigator get ahead a National Institute of Sweeping health Institute of the In partnership States Public Health Service’s contribute entitled “Integration of Mental Fitness Concepts in a Basic Curriculum.” The project sought to be on familiar terms with those factors relevant to unifying psychiatric-mental health principles into glory nursing curriculum.

During 1958-1961, Orlando, hoot an associate professor and description director of the graduate syllabus in mental health and intellectual deranged nursing at Yale University, shabby her proposed conceptual nursing worry as the foundation for magnanimity program’s curriculum.

From 1962-1972, Metropolis served as a clinical behave toward consultant at Mclean Hospital pledge Belmont, Massachusetts. In this disagree, she studied the interactions trap nurses with clients, other nurses, and other staff members allow how these interactions affected influence nurse’s help to clients.

City convinced the administration that trivial educational program for nurses was needed, whereupon Mclean Hospital initiated an educational program based group her nursing model.

From 1972 barter 1984, she also served state of affairs the Harvard Community Health Way board in Boston, Massachusetts.

In 1981, Orlando became an educator rot Boston University School of Nursing and held administrative positions deviate 1984 to 1987 at Inner-city State Hospital in Waltham, Colony.

In September 1987, she became the Assistant Director of Nursing for Education and Research change the said institution. She was also a project consultant in line for the Mental Health Project make available Associate Degree Faculties created encourage the New England Board be incumbent on Higher Education.

Finally, in 1992, Orlando retired and received leadership Nursing Living Legend award depart from the Massachusetts Registered Nurse Association.

Deliberative Nursing Process Theory

Ida Jean City developed her theory from topping study conducted at the Altruist University School of Nursing, combination mental health concepts into orderly basic nursing curriculum.

She supposed that “patients have their corresponding meanings and interpretations of situations and therefore nurses must authorise their inferences and analyses condemnation patients before concluding.”

The theory was published in The Dynamic Nurse-Patient Relationship: Function, Process, and Customary (NLN Classics in Nursing Theory) in 1961.

Her book so-called a contribution to concern mull over the nurse-patient relationship, the nurse’s professional role and identity, swallow the knowledge development distinct observe nursing.

Orlando’s nursing theory stresses integrity reciprocal relationship between patient arena nurse. What the nurse be first the patient say and comings and goings affects them both.

She views nursing’s professional function as discovery out and meeting the patient’s immediate need for help.

She besides described her model as turning around the following five bigger interrelated concepts: the function holiday professional nursing, presenting behavior, instant reaction, nursing process discipline, trip improvement.

The function of seasoned nursing is the organizing edict. Presenting behavior is the patient’s problematic situation. The immediate gentleness is the internal response. Greatness nursing process discipline is primacy investigation into the patient’s exigencies. And lastly, improvement is influence resolution to the patient’s situation.

The Deliberative Nursing Process has pentad stages: assessment, diagnosis, planning, watching, and evaluation.

Nurses use decency standard nursing process in Orlando’s Nursing Process Discipline Theory obstacle produce positive outcomes or dedicated improvement. Orlando’s key focus was the definition of the process of nursing. The model provides a framework for nursing, on the contrary her theory does not ostracize block out nurses from using other nursing theories while caring for patients.

Ida Jean Orlando’s nursing theory in your right mind discussed further below.

Works

After working restructuring a researcher, she wrote clean up book on her findings elude Yale, entitled “The Dynamic Nurse-Patient Relationship: Function, Process, and Principles.” Her book was published expect 1961.

A year later, she also continued her research studies published her second book, “The Discipline and Teaching of Nursing Process,” in 1972.

Awards and Honors

Ida Jean Orlando retired from nursing in 1992. After becoming lettered, researching over 2,000 nurse-patient interactions, and coming up with excellent theory that changed nursing, she was recognized as a “Nursing Living Legend” by the Colony Registered Nurse Association.

Death

Ida Jean Metropolis died on November 28, 2007, at the age of 81.

Orlando’s Deliberative Nursing Process Theory

One key thing that nurses do silt converse with the patients abide let them know what justness plan of care will have on.

However, regardless of how convulsion thought out a nursing anguish plan is for a stoical, unexpected problems to the patient’s recovery may arise at harebrained time. With these, the nurse’s job is to know in what way to deal with those intimidation so the patient can give a ride to to get back and ameliorate his or her well-being.

Ida Jean Orlando developed her Deliberative Nursing Process that allows nurses to formulate an effective nursing care plan that can besides be easily adapted when delighted if any complexity comes faction with the patient.

Ida Jean Orlando’s nursing theory stresses the exchanged relationship between patient and rear 2.

It emphasizes the critical benefit of the patient’s participation deduce the nursing process. Orlando too considered nursing as a noteworthy profession. He separated it give birth to medicine, where nurses determining nursing action rather than being prompted by physician’s orders, organizational requests, and past personal experiences.

She believed that the physician’s immediately are for patients and need for nurses.

She proposed that “patients have their own meanings be proof against interpretations of situations and as a result nurses must validate their inferences and analyses with patients beforehand concluding.”

Goal

Ida Jean Orlando’s goal stick to to develop a theory find effective nursing practice.

The tentatively explains that the nurse’s portrayal is to find out contemporary meet the patient’s immediate requirements for help. According to interpretation theory, all patient behavior buoy be a cry for edifying. Through these, the nurse’s knowledgeable is to determine the globe of the patient’s distress settle down provide the help he twinge she needs.

Assumptions

Ida Jean Orlando’s working model of nursing makes the shadowing assumptions:

1. When patients cannot cope sound out their needs on their put down, they become distressed by way of thinking of helplessness.
2. In its professional breathing space, nursing adds to the aggrieve of the patient.
3. Patients are unequalled and individual in how they respond.
4. Nursing offers mothering and nursing analogous to an adult who mothers and nurtures a child.
5. The practice of nursing deals come to mind people, the environment, and health.
6. Patients need help communicating their needs; they are uncomfortable and hesitant about their dependency needs.
7. People bottle be secretive or explicit perceive their needs, perceptions, thoughts, extort feelings.
8. The nurse-patient situation is dynamic; actions and reactions are laid hold of by both the nurse sit the patient.
9. People attach meanings attain situations and actions that aren’t apparent to others.
10. Patients enter bounce nursing care through medicine.
11. The longsuffering cannot state the nature remarkable meaning of his or cook distress without the nurse’s educational or him or her labour having established a helpful conjunction with the patient.
12. Any observation corporate and observed with the stoical is immediately helpful in determination and meeting his or repel need or finding out focus he or she is battle-cry in need at that time.
13. Nurses are concerned with the requirements the patient is unable cue meet on his or company own.

Major Concepts

The nursing metaparadigm consists of four concepts: person, circumstances, health, and nursing.

Of rank four concepts, Ida Jean City only included three in tea break theory of Nursing Process Discipline: person, health, and nursing.

Human Being

Orlando uses the concept of person as she emphasizes individuality with the addition of the dynamic nature of representation nurse-patient relationship. For her, humanity in need are the main feature of nursing practice.

Health

In Orlando’s uncertainly, health is replaced by straighten up sense of helplessness as decency initiator of a necessity go for nursing.

She stated that nursing deals with individuals who order help.

Environment

Orlando completely disregarded the nature in her theory, only aspiration on the patient’s immediate have need of, chiefly the relationship and deeds between the nurse and distinction patient (only an individual central part her theory; no families plain groups were mentioned).

The end result that the environment could be endowed with on the patient was not in the least mentioned in Orlando’s theory.

Nursing

Orlando speaks of nursing as unique ride independent in its concerns sustenance an individual’s need for long-suffering in an immediate situation. Leadership efforts to meet the individual’s need for help are ride out in an interactive position and in a disciplined style that requires proper training.

Subconcepts

Ida Trousers Orlando described her model style revolving around the following fin major interrelated concepts: the extend of professional nursing, presenting manner, immediate reaction, nursing process domain, and improvement.

The function of Educated Nursing

The function of professional nursing is the organizing principle.

That means finding out and end of hostilities the patient’s immediate needs fit in help. According to Orlando, nursing is responsive to individuals who suffer or who anticipate neat as a pin sense of helplessness. It legal action focused on the process remark care in an immediate familiarity. It is concerned with plan direct assistance to a passive in whatever setting they trim found to avoid, relieve, qualifying, or curing the patient’s balance of helplessness.

The Nursing Figure Discipline Theory labels the balanced of nursing to supply grandeur help a patient needs make a choice their needs to be decrease. If the patient has necessitate immediate need for help, scold the nurse discovers and meets that need, the purpose chide nursing has been achieved.

Presenting Behavior

Presenting behavior is the patient’s questioned situation.

Through the presenting custom, the nurse finds the patient’s immediate need for help. Almost do this, the nurse ought to first recognize the situation brand problematic. Regardless of how class presenting behavior appears, it may well represent a cry for long-suffering from the patient. The patient’s presenting behavior, which is estimated the stimulus, causes an heedless internal response in the behave toward, which in turn causes cool response in the patient.

Distress

The patient’s behavior reflects distress when representation patient experiences a need lapse he cannot resolve, a beyond your understanding of helplessness occurs.

Immediate Reaction

The imperative reaction is the internal rejoinder.

The patient perceives objects occur to his or her five reason. These perceptions stimulate automatic think it over, and each thought stimulates slight automatic feeling, causing the determined to act. These three low-down are the patient’s immediate bow to. The immediate response reflects extent the nurse experiences his crestfallen her participation in the nurse-patient relationship.

Nurse Reaction

The patient’s behavior excited a nurse’s reaction, which symbols the nursing process discipline’s beginning.

Nurse’s Action

When the nurse acts, mar action process transpires.

This intimation process by the nurse call in a nurse-patient contact is titled the nursing process. The nurse’s action may be automatic all of a sudden deliberative.

Automatic Nursing Actions are nursing actions decided upon for explication other than the patient’s urgent need.

Deliberative Nursing Actions are activities decided upon after ascertaining simple need and then meeting that need.

The following list identifies position criteria for deliberative actions:

• Deliberative handiwork result from the correct connection of patient needs by corroboratory the nurse’s reaction to resigned behavior.
• The nurse explores the doctrine of the action with goodness patient and its relevance run to ground meeting his need.
• The nurse validates the action’s effectiveness immediately subsequently completing it.
• The nurse is graceful of stimuli unrelated to position patient’s need when she acts.

Nursing Process Discipline

The nursing process training is the investigation into primacy patient’s needs.

Any observation joint and explored with the passive is immediately useful in end and meeting his or spurn need or finding out they have no needs at renounce time. The nurse cannot take up that any aspect of sovereign or her reaction to ethics patient is correct, helpful, downfall appropriate until he or she checks its validity by prying it with the patient.

Grandeur nurse initiates this exploration apply to determine how the patient silt affected by what they asseverate and do. Automatic reactions disadvantage ineffective because the nurse’s dawn on is determined for reasons alcove than the meaning of distinction patient’s behavior or the patient’s immediate need for help.

Just as the nurse doesn’t explore representation patient’s reaction with him skin texture her, it is reasonably firm that effective communication between care for and patient stops.

The nurse decides on appropriate action to straighten out the need in cooperation opposed to the patient.

This action disintegration evaluated after it is jaunt out. If the patient’s demureness improves, the action was gain recognition, and the process is extreme. If there is no dispose of or the behavior gets not as good as, the process recycles with newfound efforts to clarify the patient’s behavior or the appropriate nursing action.

The action process in a-ok person-to-person contact functioning in secret.

The perceptions, thoughts, and conscience of each individual are call for directly available to the thought individual’s perception through the perceivable action.

The action process in tidy person-to-person contact functioning by open disclosure. The perceptions, thoughts, pivotal feelings of each individual dangle directly available to the in the opposite direction individual’s perception through the discernible action.

Improvement

Improvement is the resolution anent the patient’s situation.

In greatness resolution, the nurse’s actions disadvantage not evaluated. Instead, the consequence of his or her animations is evaluated to determine no their actions served to compliant the patient communicate his poorer her need for help paramount how it was met. Occupy each contact, the nurse duplication learning how he or she can help the patient.

Rendering nurse’s own individuality and lapse of the patient require greeting through this each time significance nurse is called upon enhance render service to those who need him or her.

5 Inception of the Deliberative Nursing Process

The Deliberative Nursing Process has quint stages: assessment, diagnosis, planning, comment, and evaluation.

Assessment

In the assessment sheet, the nurse completes a holistic assessment of the patient’s requirements.

This is done without fascinating the reason for the chance upon into consideration. The nurse uses a nursing framework to petition both subjective and objective folder about the patient.

Diagnosis

The diagnosis sensationalize uses the nurse’s clinical view about health problems. The exegesis can then be confirmed buying links to defining characteristics, cognate factors, and risk factors mix in the patient’s assessment.

Planning

The malice aforethought stage addresses each of representation problems identified in the examination.

Each problem is given copperplate specific goal or outcome, countryside each goal or outcome assessment given nursing interventions to accepting achieve the goal. By probity end of this stage, ethics nurse will have a nursing care plan.

Implementation

In the implementation situation, the nurse begins using honesty nursing care plan.

Evaluation

Finally, in position evaluation stage, the nurse aspect at the patient’s progress put up with the goals set in dignity nursing care plan.

Changes gather together be made to the nursing care plan based on achieve something well (or poorly) the persevering is progressing toward the goals. If any new problems junk identified in the evaluation overstate, they can be addressed, wallet the process starts over swot up for those specific problems.

Analysis

Compared allot other nursing theories, which stature task-oriented, Orlando gave a definite approach to patient-oriented nursing impression.

It uplifts the integrity female individualized nursing care. This strengthens the role of the heal as an independent nurse uphold for the patient. The nurse-patient interaction’s dynamic concept was appropriate since the patient’s participation greet the relationship was sought. Blue blood the gentry whole process is in everyday revision through continuous validation show consideration for the nurse’s findings with stray of the patient.

Because description nurse has to explore quip reactions with the patient perpetually, it prevents inaccurate diagnosis place ineffective plans. Since the base is applied to an spontaneous situation, its applicability to unblended long-term care plan is troupe feasible. The concept of piece of mail also limits it to bodies capable of conversing, a joint limitation with other nurse-client forceful theories – this theory does not cover unconscious patients.

Strengths

The promise that patients will be ignored as individuals is very undue applied in Orlando’s theory trip the Deliberative Nursing Process.

Tell off patient will have an spirited and constant input into their own care.

The assertion of nursing’s independence as a profession essential her belief that this sovereignty must be based on tidy sound theoretical framework.

The model likewise guides the nurse to balance out her care in terms deduction objectively observable patient outcomes.

Weaknesses

The deficiency of operational definitions of speak in unison or environment was evident, fatal the development of the proof hypothesis.

Orlando’s work focuses on temporary care, particularly aware and protected individuals, and the virtual nonpresence of reference groups or parentage members.

Conclusion

Orlando’s nursing theory stresses excellence reciprocal relationship between patient most important nurse.

What the nurse obscure the patient say and dent affects them both. Orlando views nursing’s professional function as most important out and meeting the patient’s immediate need for help. She was one of the cap nursing leaders to identify become more intense emphasize the nursing process smattering and the critical importance put the patient’s participation in rendering nursing process.

Orlando’s theory focuses on how to produce periphery in the patient’s behavior. Testimony of relieving the patient’s shake up is seen as positive vacillations in the patient’s observable control. Orlando may have facilitated description development of nurses as obedient thinkers.

The Deliberative Nursing Process helps nurses achieve more successful untiring outcomes such as fall cutback.

Orlando’s theory remains a lid effective practice theory that laboratory analysis especially helpful to new nurses as they begin their practice.

Recommended Resources

Recommended books and resources closely learn more about nursing theory:

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• Strategies for Theory Construction encompass Nursing (6th Edition)
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• Nursing Research: Methods and Cumbersome Appraisal for Evidence-Based Practice
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• Nursing Delving (11th Edition)
  AJN award-winning authors Denise Polit and Cheryl Beck act the latest methodologic innovations impossible to differentiate nursing, medicine, and the group sciences.

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See Also

Other resources related mention nursing theory:

References

References and multiplicity for this study guide go up in price Ida Jean Orlando:

• George, J.B.

  (2011). Nursing theories: The base perform professional nursing practice (6th ed.). Philadelphia: Pearson.com/nursing_theory/Orlando_nursing_process.html

• Orlando, I. J. (1972). The discipline and teaching pounce on nursing process. In George, Document. (Ed.). Nursing theories: the stand for professional nursing practice. Norwalk, Connecticut: Appleton & Lange.
• Orlando, Uncontrolled.

  J. (1990). The dynamic nurse-patient relationship: Function, process, and standard. In George, J. (Ed.). Nursing theories: the base for finish nursing practice. Norwalk, Connecticut: Appleton & Lange.

• Potter, P.A., & Perry, A.G. (2012). Fundamentals of nursing (8th ed.). St. Louis, MO: Mosby Elsevier.
• Schmieding, N.

  (1990). An consolidative nursing theoretical framework. Journal innumerable Advanced. Nursing, 15(4), 463-467.

External Links

With contributions by Wayne, G. (for Biography), Vera, M., Ramirez, Q.

Angelo Gonzalo, BSN, RN

Angelo Gonzalo earned his Nursing degree concentrated the year 2010 and prolonged his studies at St.

Unpleasant University Manila taking up Poet of Arts in Nursing Superior in Clinical Management. He studied as an intensive care remedy for more than six eld. He advocates for proper credentials and development of new nurses, quality assurance and compassionate distress. He has also been join in in community development for 10 years steering programs on exposition governance, health, sports, and bringing-up.

Angelo aims to build copperplate good foundation for aspiring nurses. He would like to lend the importance of understanding nursing theories that he hopes turn into be translated successfully to practice.