University of Phoenix
Esther Van Baren
January 21, 2013
Nursing Theorist: Ida Jean Orlando
Ida Jean Orlando was born in 1926 and was the first generation of her family born in the United States. . She received her nursing diploma from New York Medical College, her B.S. in Public Health Nursing from St. John’s University, and her M.A. in Mental Health Nursing from Columbia University. Orlando became an associate professor at Yale School of Nursing and was director of the graduate program for Mental Health Psychiatric Nursing. While at Yale, she became the project investigator of a National Institute of Mental Health grant. Orlando’s participation and research in the grant study led her to the discovery of her theory that she first described as the Deliberative Nursing Process. The model was developed after being dissatisfied with the views that nurses were motivated to act as a result of orders from physicians, institutional policies, and other reasons, none of which related to nursing action based on patients’ needs (Tyra, 2008). The premise of Orlando’s theory is based on the relationship between the nurse and patient and whether or not the nurse is giving “good” patient care or “bad” patient care. She discovered in her research that patients and nurses alike considered good patient care the ability of the nurse to focus on the patient’s behavior, both verbal and non-verbal (Alligood, 2010). Bad patient care occurred when the nurse’s focus was strictly task oriented or had nothing to do with the patient’s behavior or needs. According to Orlando, all patient behavior can be a cry for help and it is up to the nurse to interpret the behavior and determine the needs of the patient (Potter & Bockenhaur, 2000). Nurses need to use their perceptions, thoughts, feelings, and intuition to explore the patient and the meaning of their behavior. Orlando’s theory focuses on the role of the nurse in...