University of Phoenix Material
Nursing Theorist Grid
1. Theorist Selected: Ida Orlando
Description of key points of the theory: Orlando's Deliberative Nursing Process has a framework that consists of five concepts.
1. Professional Nursing Function is the organizing principle- The patient is the focal point in nursing. The nurse must find out and meet the immediate need the patient.
2. Patient's presenting behavior- problematic situation. When the patient's equilibrium is offset he/she exhibits behaviors that draw the nurses' attention.
3. Immediate reaction- Internal Response is a proactive response that causes the nurse to have an automatic response that is cognitive ...view middle of the document...
Theory’s historical background:
After receiving a grant from the government in the 1950s, Orlando began to research and interview what nurses considered "good" and "bad" nursing. For three years she recorded and observed data of interactions between the nurse and patient (Alligood, 2010). After looking over 2000 records, she was able to identify "what made good and bad nursing happen” (Alligood, 2010, p. 337). Orlando stated "In the records judged as good the nurse's focus was on the patient's immediate verbal and nonverbal behavior from the beginning until the end of contact; whereas in those judged bad, the nurse's focus was on prescribed activity or something that had nothing to do with the patient's behavior" (Alligood, 2010, page 238). Through active listening, the nurse was able to discern the patient's distress and aid in an intervention. From this study, she was able to validate her theory. Other scholars and researchers have used this theory to provide similar results; this semi-abstract theory is considered by some to be a middle-range theory (Alligood, 2010). It is named The Nursing Process Theory.
Orlando's study illustrates that nurses must be receptive to the patient's behavior and assess the situation before providing assumption-based interventions.
Complete the following grid based on the selected theorist information.
Define each term according to the selected theorist.
Explain how the selected theorist’s approach to each element of the metaparadigm applies to the following:
• Nursing practice
• Nursing education
• Nursing research
|Term |Definition |Applied to Nursing |Applied to Nursing |Applied to Nursing Research |
| | |Practice |Education | |
|Person |Orlando believes that the |The nurse assesses the |When applying the person to|The definition of person applies to research|
| |patient is a whole being that|patient to understand and|nursing education, it was |as a dynamic dealing between nurse and |
| |may exhibit behaviors that |meet the patient's need. |determined that student |patient. The nurse’s focus is on the need |
| |are verbal, non-verbal, |The nurse relies on the |nurses need more education |for the patient. In a research paper by |
| |physical/behavioral or any |patient cue of |about address the client's |Sheldon and Ellington (2008), the |
| |combination. |satisfaction before |immediate needs. The |deliberative nursing process is studied |
| | |assuming their needs are |students in this research, |among many other...