Ida Jean Orlando

Topics: Nursing, Nursing theory, Nurse Pages: 5 (1595 words) Published: October 12, 2013
Ida Jean Orlando Theory
Nursing Theory 315

Ida Jean Orland was a first- generation American of Italian decent, born 1926. She received her diploma in nursing at New York Medical College in 1947, Bachelor of Science in Public health from St. Johns University in Brooklyn, New York in 1951 and her Master of Arts Degree in Mental Health Nursing from Columbia University. Orlando was an associate Professor at Yale School of Nursing, and while there she served as the Director of the Graduate Program in Mental Health Psychiatric Nursing. She was the project investigator of a National Institute of Mental Health grant entitled Integration of Mental Health Concepts in Basic Nursing Curriculum. In 1961, Orlando published her theory, The Dynamic Nurse- Patient Relationship and in 1972 The Discipline and Teaching of Nursing Process. She has served as a board member of Harvard Community Health Plan.

Her theory is explanatory and straightforward, she believes that the role of the nurse is to find out and meet the patients immediate need for help. She describes nursing as it is, the nurse is responsible for gathering all the information directly from the patient and making decisions based on this information. We as nurses are the Care Plan that we develop, however, we must always be aware that situations change and we must be able to adapt to the change immediately and come up with other ways of treatment without allowing it to interfere with the quality of care that the patient is receiving.

She directly states definition of nursing that can summarize the theory provided by Ida Jean Orlando. “All patients behavior can be a cry for help, both verbal and non-verbal. It is up to the nurse to interpret their behavior and determine the needs of the patient”.

Nursing differs from medicine according to this theory because based on Orlando’s theory; everything we need to know to provide the best care to the patient is received directly from the patient. Usually with medicine, we use textbook information and trial and error, however, according to the theory of Orlando, it is the nurse’s job to collect all the information directly from the patient and interpret it on our own to provide quality care.

Orlando’s theory definitely relies on the content/knowledge of nursing. It is clearly stated that it is the nurse’s job to use their perception, thoughts about the perception or the feeling engendered from their thought to explore with patients the meaning of their behavior. This process helps the nurses find out the nature of the distress and what help the patient needs. It is the knowledge of the nurse that is being relied on for the best care.

Ida Jean Orlando theory Deliberative Nursing Process was developed in the late 1950’s from an observation she witnessed involving nurse and patient interaction. Orlando’s Deliberative Nursing Process is based on and involves the patient’s behavior and nurse’s reaction. In most cases the patient will exhibit certain behaviors both verbal and nonverbal as a plea for help. The role of the nurse is to find out and meet the patient's immediate need for help. The four major concepts of the metaparadigm, the person, environment, health and nursing collectively are one with Orlando’s Theory Stages Assessment, diagnosis, implementation, and the goal. Together they provide the nurse with the data needed to accurately assess and serve the patient.

Ida Jean Orlando uses an assessment as a tool when collecting subjective and objective data in relation to the person/patient hence allowing the nurse to notably assess the disease process. The assessment stage enhances the nurse ability to analyze and interpret the behavior and determine the needs of the patient. The assessment is done without reason. The health of the individual is closely evaluated to determine the patient needs.

During the diagnosis stage the diagnosis can be confirmed using links to classify the characteristics,...

References: Alligood, M. R., & Tomey, A. M. (2010). Nursing Theorist and Their Work seventh edition. Maryland Heights, MO: Mosby.
Ida Jean Orlando- Nursing theorist. (2011). Retrieved October 12, 2013, from Nursing- website:
Nursing theories a companion to nursing theories and models. (2013, September 9). Retrieved October 6, 2013, from Current nursing website:
Orlando, I. J. (1972). The discipline and teaching of nursing process: An evaluative study. New York: G. P Putnam.
Orlando, I. J. (1990). The dynamic nurse-patient relationship: Function, process, and principles. New York: National League of Nursing.
Orlando 's Nursing Process Theory. (2013, September 9). Retrieved October 12, 2013, from website:
Parker, M. E. (2005). Nursing Theories and Nursing Practice second edition. Philadelphia, PA: F.A. Davis Company.
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