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Running head: NURSING THEORIST PAPER1Nursing Theorist PaperSarah DeLaatFerris State University
NURSING THEORIST PAPER2AbstractThis theory analysis paper focuses on the work of Ida jean Orlando and her Nursing Process Theory. It will show how the model can be used in clinical practice and why it is a good fit for Emergency and Trauma Nursing. Strengths and limitations of the model will also be identified and explained in how it can be used as a framework for patient assessment.
NURSING THEORIST PAPER3Nursing Theorist PaperIda Jean Orlando was one of the first nursing theorists to develop a theory based on her own practice and research. Orlando was a professor of nursing at Yale University in the 1950’s, and developed her theory while doing research on mental health nursing. According to Meleis (1997), “Orlando used field methodology before it became a world view in research” (pg. 348). She continued to observe nursing interactions with clients over the next few years serving as a nurse educator and consultant. Orlando conducted workshops and lectured for many years. Her Dynamic Nurse-Patient Relationship Theory (renamed as Nursing Process Theory) remains influential and practical in today’s settings.Analysis of ModelDr. Norma Jean Schmieding writes that the “Role of the nurse is to find out and meet the patient’s immediate need for help” (Schmieding, n.d.). Orlando viewed the nurse’s actions as being determined by the patient’s needs, whether that need was verbalized by the patient or not. The nurse’s role is to find out what the need is and to take action in order to meet those needs. Although patient’s needs may not always be apparent, nurses need to use their own thoughts and perceptions of the patient in order to discover what that underlying need may be. Nursing deals with the person, their environment, and health.PersonOrlando, in her Nursing Process Theory bases some assumptions upon her directly observed interactions between nurses and clients. One of these being that people are normally able to meet their own needs, and become distressed when they are unable to do so (Tomey, 2006). The nursing process is set in motion by patient behavior. Behaviors are unique to each individual with different possible meanings. Nurses perceive this behavior and react deliberately
NURSING THEORIST PAPER4according to their assessment after exploring their perceptions with the patient. “This process helps the nurse find out the nature of the distress and what help the patient needs” (Schmieding, n.d.).EnvironmentThe concept of environment is not specifically defined in her theory; however, Orlando asserts that nurses assist patients in many different environments or settings. Even if the environment is designed for therapeutic purposes, it must be considered as a cause for a patient’s distress. The nurse-patient contact produces a nursing situation in any environment where it is present (Tomey, 2006).