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Deliberative Nursing Process
Orlando's theory was
developed in the late 1950s from observations she
recorded between a nurse and patient. Despite her
efforts, she was only able to categorize the records
as "good" or "bad" nursing. It then dawned on her that
both the formulations for "good" and "bad" nursing
were contained in the records. From these observations
she formulated the deliberative nursing process. The
role of the nurse is to find out and meet the
patient's immediate need for help. The patient's
presenting behavior may be a plea for help, however,
the help needed may not be what it appears to be.
Therefore, nurses need to use their perception,
thoughts about the perception, or the feeling
engendered from their thoughts to explore with
patients the meaning of their behavior. This process
helps the nurse find out the nature of the distress
and what help the patient needs. Orlando's theory
remains one the of the most effective practice
theories available.
(Extract
from:
Ida Jean Orlando's Nursing Process Theory Site by
Dr Norma Jean Schmieding. University of Rhode Island
College of Nursing)
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Books Available HERE from Amazon
Selected Publications:
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Orlando, I. J. (1961).
The dynamic nurse-patient relationship, function,
process and principles. New York: G. P. Putnam.
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Orlando, I.J. (1962).
Function, process and principles of professional
nursing practice. In Integration of mental health
concepts with the human relations professions.
Proceedings of a lecture series sponsored by the
Bank Street College of Education as a memorial to
Ruth Kolinsky. New York: Bank Street College of
Education. P. 87-106.
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Pelletier, I. O.
(Orlando). (1967). The patient's predicament and
nursing function. Psychiatric Opinion, 4(1), 25-30.
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Orlando, I. J. (1972).
The discipline and teaching of nursing process: An
evaluative study. New York: G. P. Putnam.
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Orlando, I. J. (1987).
Nursing in the 21st century: Alternate paths.
Journal of Advanced Nursing, 12, 405-412.
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Orlando, I. J., & Dugan,
A. B. (1989). Independent and dependent path: The
fundamental issue for the nursing profession.
Nursing and Health Care, 10(2), 77-80.
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