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Deliberative Nursing Process Theory

Ida Jean Orlando's Deliberative Nursing Process is a nursing theory th...
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Theoretical Foundation of Nursing (CN248)

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Academic year: 2020/2021
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Ida Jean (Orlando) Pelletier

  • Internationally renowned psychiatric health nurse Ida Jean Orlando-Pelletier (August 12, 1926 – November 28, 2007) developed the "Deliberative Nursing Process Theory," which enables nurses to design an efficient nursing care plan that can also be easily modified when and if any complications with the patient arise.

  • Orlando may have facilitated the development of nurses as logical thinkers (Nursing Theories Conference Group & George, 1980).

  • Ida Jean Orlando developed her study at Yale University school of nursing carried out by observing & participating in experiences with patients, students, nurses and instructors, conducted 2000 nurse-patient contacts.

  • One of the first individuals to suggest that patients have their own meanings and interpretations of situations, nurses must validate their inferences and analyses before drawing any conclusions (Meleis,2012)

  • The Dynamic Nurse-Patient Relationship (Orlando 1961) – The book the theory was published in, the product of her study at yale

 Her proposal contributed to addressing: 1. Nurse-Patient relationship concern 2. Nurse’s professional role and identity 3. Knowledge developed distinct to nursing

  • 1990- National League for Nursing (NLN) reprinted Orlando's 1961 publication.

  • 1972 (second book) The Discipline and Teaching of Nursing Process: An Evaluative Study

 Redefined and renamed deliberative nursing process as nursing process discipline

  • One of the first nursing leaders to and emphasize the elements of nursing process and critical importance of patient's participation in nursing process.

  • Her theory focuses on how to produce improvement in patient's behavior.

  • Evidence of distress relief in a patient observable behavior is seen as positive changes (Nursing Theories Conference Group & George, 1980).

  • Persons become patients who require nursing care when they have needs for help that cannot be met independently because they have physical limitations, have negative reactions to an environment, or have an experience that prevents them from communicating their needs.

  • Orlando proposed that there is a positive relationship between the length of time the patient has unmet needs to degree of distress.

  • When individuals are able to meet their own needs, they do not feel distress and do not require care.

  • Practice guided by her theory employs reflexive principle for inference testing.

The Deliberative Nursing Process Theory has five stages: assessment, diagnosis, planning, implementation, and evaluation.

 Assessment - The nurse gathers both subjective and factual information about the patient using a nursing framework. The nurse completes a comprehensive assessment of the patient's needs

 Diagnosis - Makes use of the nurse's clinical expertise regarding health issues. The diagnosis can then be verified using connections to the patient's assessment's defining characteristics, linked factors, and risk factors.

 Planning – Where each of the issues mentioned in the diagnostic are addressed.

 Implementation - The nurse begins using the nursing care plan.

 Evaluation - The nurse looks at the progress of the patient toward the goals set in the nursing care plan.

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Deliberative Nursing Process Theory

Course: Theoretical Foundation of Nursing (CN248)

40 Documents
Students shared 40 documents in this course

University: Capitol University

Was this document helpful?
Ida Jean (Orlando) Pelletier
Internationally renowned psychiatric health nurse Ida Jean Orlando-Pelletier (August 12, 1926
November 28, 2007) developed the "Deliberative Nursing Process Theory," which enables nurses to
design an efficient nursing care plan that can also be easily modified when and if any complications with
the patient arise.
Orlando may have facilitated the development of nurses as logical thinkers (Nursing Theories Conference
Group & George, 1980).
Ida Jean Orlando developed her study at Yale University school of nursing carried out by observing &
participating in experiences with patients, students, nurses and instructors, conducted 2000 nurse-patient
contacts.
One of the first individuals to suggest that patients have their own meanings and interpretations of
situations, nurses must validate their inferences and analyses before drawing any
conclusions (Meleis,2012)
The Dynamic Nurse-Patient Relationship (Orlando 1961) The book the theory was published in, the
product of her study at yale
Her proposal contributed to addressing:
1. Nurse-Patient relationship concern
2. Nurse’s professional role and identity
3. Knowledge developed distinct to nursing
1990- National League for Nursing (NLN) reprinted Orlando's 1961 publication.
• 1972 (second book) The Discipline and Teaching of Nursing Process: An Evaluative Study
Redefined and renamed deliberative nursing process as nursing process discipline
One of the first nursing leaders to and emphasize the elements of nursing process and critical
importance of patient's participation in nursing process.
• Her theory focuses on how to produce improvement in patient's behavior.