NURSIN

G
PROCESS
THEORY
Ida Jean Orlando
 Ida Jean Orlando
Master of
August 12 Graduate
BS degree Arts in
Birth date d in
Health
nursing
Consultati
on

1926 1947 1951 1954

Nursing Served as
clinical nurse Yale University
Living
Legend consultant
Nov 28, Award
2007
1992 1972 1962 1961 1958
 Terms
Distre Nursi Nursi Outco
ss ng ng me
Role Actio
experienc to a change
e of a n in the
discover directly
patient and meet behavior
whose or of the
the indirectl
need has patient
patient’s y provide
not been indicating
immediate for the
met. either a
need for patient’s relief from
help immediate distress or
need. an unmet
need.
 Assumptions
When patients cannot cope with their needs without
help, they become distressed with feelings of helplessness
Nursing offers mothering and nursing analogous to an
adult mothering and nurturing of a child
Patient need help in communicating needs, they are
uncomfortable and ambivalent about dependency needs
Human beings are able to be secretive or explicit about
their needs, perceptions, thoughts and feelings
 Assumptions
The nurse – patient situation is dynamic, actions and
reactions are influenced by both nurse and patient

Human beings attach meanings to situations and actions

that are not apparent to others

Nurses are concerned with needs that patients cannot

meet on their own
 Major
Concep
ts
"Nursing is responsive to individuals who
suffer or anticipate a sense of helplessness,
it is focused on the process of care in an
immediate experience, it is concerned with
providing direct assistance to individuals
in whatever setting they are found for the
purpose of avoiding, relieving, diminishing
or curing the individuals sense of
Function of professional
helplessness."
- Orlando
nursing
• To find out the immediate need for help the
nurse must first recognize the situation as
problematic

• The presenting behavior of the patient,

regardless of the form in which it appears, may
represent a plea for help

• The presenting behavior of the patient, the

stimulus, causes an automatic internal response
Presenting behavior
in the nurse, and the nurses behavior causes a
response in the patient
PROBLEMATIC SITUATION
1. Person perceives with any one of his five
sense organs an object or objects
2. The perceptions stimulate automatic
thought
3. Each thought stimulates an automatic
feeling
4. Then the person acts
5. The first three items taken together are
defined as the person’s immediate
Immediate reaction
reaction
INTERNAL RESPONSE
• Any observation shared and explored with the patient is
immediately useful in ascertaining and meeting his need
or finding out that he is not in need at that time
• The nurse does not assume that any aspect of her
reaction to the patient is correct, helpful or
appropriate until she checks the validity of it in
exploration with the patient
• The nurse initiates a process of exploration to ascertain
how the patient is affected by what she says or does.
• When the nurse does not explore with the patient her

Nursing process
reaction it seems reasonably certain that clear
communication between them stops

discipline
• It is not the nurses activity that is
evaluated but rather its result: whether
the activity serves to help the patient
communicate her or his need for help
and how it is met.

• In each contact the nurse repeats a

process of learning how to help the
individual patient.
Improvement
RESOLUTION
 Patient’s verbal
or non-verbal
SENSElanguage
OF HELPLESSNESS

Nurse’s Response
EXPLORATION OF PATIENT’S
BEHAVIOR

Nurse’s Action
DELIBERATIVE APPROACH

Patient’s
Reaction
NEED FOR HELP
RESOLVED
 Major Dimensions
The role The patient's nurses need to This
presenting use their
of the perception,
process
nurse is behavior helps
thoughts
may be a
to find about the nurse find
plea for perception, or
out and help, the feeling
out the
meet the however, engendered nature of
patient's the help from their the
thoughts to
immediate needed may
explore with
distress
need for not be what patients the and what
help. it appears meaning of help the
 Metaparadigm
Person Environment Health Nursing
• Developmental • Focusing on • Sense of • Responsive
beings with the adequacy to
needs immediate
• Individuals
or well individual
need of the
have their patient
being s who
own subjective • Relationship • Fulfilled suffer or
perceptions and actions needs anticipate
and feelings between the • Sense of a self of
that may not nurse and
We Create
Conclusi
Professional
Presentation
on
Orlando's Deliberative Nursing
Process Theory focuses on the
Example Text : Get a modern
PowerPoint Presentation that
is beautifully designed. I hope
and I believe that this Template

interaction between the nurse

will your Time, Money and
Reputation.

and patient, perception validation,

and the use of the nursing
process to produce positive
outcomes or patient improvement.
Orlando's key focus was Faust toC.,
2002
Thank You