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 and affective (Alligood, 2010). According to the nurse’s interpretation of the patient's behavior, therefore, the nurse need to assess the situation first to gain an understanding of the problem. 4. Deliberative Nursing Process-Reflective Inquiry views the patient and nurse as a functional unit that draws from each other. The nurse’s behavior affects the patient, and the patient's behavior affects the nurse. To better understand the patient the nurse must focus on the actuality of the problem instead of assuming what the problem may be. This part of the theory is deliberate because the nurse must separate their immediate observation, thoughts, and feelings from each other (Alligood, 2010). Orlando (Alligood, 2010) brings to our attention as nurses that we should not assume that we have corrected the patient’s problem without the patient verbalizing so. She challenges nurses to avoid thinking that their thoughts are correct, “Actions based on the nurse’s conclusion, without the patient participation, are often not helpful” (Alligood 2010, pg. 343). 5. Improvement-Resolution takes place after determining and meeting the needs. The nurse validates by confirming with the patient