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IDA Inggris

The document provides an overview of Ida Jean Orlando's nursing theory called the Dynamic Nurse-Patient Relationship. The theory emphasizes that nursing practice should be based on the needs of the patient and effective communication is essential to understand those needs. Orlando's theory views the nursing process as circular and reflexive rather than linear. It also holds that the nurse's perceptions, thoughts and feelings influence their understanding of a patient's behavior. Most importantly, the theory stresses that the relationship between the nurse and patient is extremely valuable.

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Ayu Budiani
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73 views3 pages

IDA Inggris

The document provides an overview of Ida Jean Orlando's nursing theory called the Dynamic Nurse-Patient Relationship. The theory emphasizes that nursing practice should be based on the needs of the patient and effective communication is essential to understand those needs. Orlando's theory views the nursing process as circular and reflexive rather than linear. It also holds that the nurse's perceptions, thoughts and feelings influence their understanding of a patient's behavior. Most importantly, the theory stresses that the relationship between the nurse and patient is extremely valuable.

Uploaded by

Ayu Budiani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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IDA JEAN ORLANDO

The essence of Orlando’s theory, the

Dynamic Nurse–Patient Relationship, reflects

her beliefs that practice should be based on

needs of the patient and that communication

with the patient is essential to understanding

needs and providing effective nursing care.

Following is an overview of the major components of Orlando’s work.

1. The nursing process includes identifying the

needs of patients, responses of the nurse,

and nursing action. The nursing process,

as envisioned and practiced by Orlando, is

not the linear model often taught today,

but is more reflexive and circular, and

occurs during encounters with patients.

2. Understanding the meaning of patient behavior is influenced by the nurse’s perceptions, thoughts,
and feelings. It may be validated through communication between The most important contribution of

Orlando’s theoretical work is what it says

about the values underpinning nursing practice. Inherent in this theory is a strong statement: What
transpires between the patient

and the nurse is of the highest value. The true

worth of her nursing theory is that it clearly

states what nursing is or should be today. Regardless of the changes in the health care
system, the human transaction between the

nurse and the patient in any setting holds the

greatest value, not only for nursing, but also for

society at large. Orlando’s theory can serve as

a philosophy as well as a theory, because it is the foundation upon which our profession

has been built. With all of the benefits that

modern technology and modern health care

bring—and there are many—we need to pause

and ask the question “What is at risk in health

care today”? The answer to that question may

lead to reconsideration of the value of Orlando’s theory as perhaps the critical link for

enhancing relationships between nursing and

patient today (Rittman, 1991)

Practice Applications.

Orlando’s theoretical work was based on

analysis of thousands of nurse–patient interactions to describe major attributes of the

relationship. Based on this work, her later

book provided direction for understanding

and using the nursing process (Orlando,1972). This has been known as the first theory

of nursing process and has been widely used

in nursing education and practice in the United States and across the globe. Orlando considered her
overall work to be a theoretical

framework for the practice of professional


nursing, emphasizing the essentiality of the

nurse–patient relationship. Orlando’s theoretical work reveals and bears witness to the

essence of nursing as a practice discipline.

Although there is little evidence in the

literature that Orlando’s theory has been

directly used in nursing practice, it is highly

probable that nurses familiar with her writing

used her work to guide or more fully understand their practice. During the 1960s, several

studies were published that explored nursing

practice issues. These works focused on

patients’ complaints of pain (Barron, 1966;

Bochnak, 1963), incidence of postoperative vomiting (Dumas & Leonard, 1963), patient

admission processes (Elms & Leonard, 1966),

nurses’ responses to expressed patient needs

(Gowan & Morris, 1964), and the effects of

patient assistance with planning nursing procedure administration (Tryson, 1963).

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