Theoretical Foundations of Practice
NUR/513
March 05, 2012
Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow a brief concept analysis and overview. Finally, a case study outlines the application of Orlando's deliberative nursing process.
Concept Analysis of Orlando's Theory Orlando's theory hinges on the major tenets of nursing and the concept of the person as a developmental human being with needs. Individuals possess their own perceptions and personal beliefs that one may or may not observe on the surface. Her definition of health is implied only as a sense of wellbeing that one achieves when needs are met resulting in a sense of comfort. She does not directly define the environment but implies it only within the immediate nurse-patient situation. The true focus of Orlando's theory is nursing. Nursing is responsive to anyone who suffers or anticipates suffering a sense of helplessness. The role of nursing is to discover and meet the client's immediate needs (George, 2011). Ida Orlando bases her deliberative nursing process theory on the interpersonal relationship between the nurse and the patient. This helps to identify the immediate need of the patient and assess the nature of distress. Orlando provides the nurse an interpersonal approach to either simple or complex situations. Within the deliberative nursing process, the nurse continuously observes patient behavior and assesses needs to help with each situation (Sheldon & Ellington, 2008). Nursing communication has an important role in patient behavior such as anxiety, compliance with care, and
References: Alligood, M. R., & Tomey, A. M. (2006). Nursing theory: utilization & application (3rd ed.) [Adobe Digital Editions version]. Retrieved from University of Phoenix ebook collection Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2011). Nursing care plans (8th ed.). Philadelphia, PA: Davis. George, J. B. (2011). Nursing theories: the base for professional nursing practice (6th ed.) [Adobe Digital Editions version]. Retrieved from University of Phoenix ebook collection Sheldon, L. K., & Ellington, L. (2008, November). Application of a model of social information processing to theory: how nurses respond to patients. Journal of Advanced Nursing, 64(4), 388-398. doi:10.1111/j.1365-2648.2008.04795.x Timmins, F. (2006, December). Exploring the concept of information need. International Journal of Nursing Practice, 12(6), 375-381. doi:10.1111/j.1440-172X.2006.00597.x