Ida Orlando Theory Group Presentation Andrew Leduc, Janette Wenzel, Kristen Long, & Ronald Krzyzanowski

Introduction Ida Jean Orlando was born in 1926. Orlando is credited with the nursing process theory. She found that the nurse’s role is to “find out and meet the patient’s immediate need for help (Current Nursing, 2013).” Her process helps the nurse find out the nature of the distress and what help the patient needs.

Evidence Based Practice The theory is evidence based and has been utilized by nurses around the world to deliver effective care focusing on life saving needs of the patient Orlando’s theory of nursing provides the foundation for understanding communication in the nurse – patient relationship. Her theory has been used for further research and improvements in nursing care (Sheldon 2008). Orlando was the first documented nurse to create and develop her theories based on actual nurse-patient and nurse-student situations at Yale. She analyzed the records of 2,000 nurse-patient interactions and thus her theory was born. She believed it to be valid and began to implement it in her daily interactions with patients and students (Tomey & Alligood, 2006, p. 434). Orlando’s nursing theory has been applied to several modern research studies regarding the study of patients and focusing on their needs to make situations in medical settings for them better, such as those suffering from bipolar disorder and the creation of a safety contract (Tomey & Alligood, 2006, p. 443)

Metaparadigms Person Nurse An individual in need. Unique individual behaving verbally or nonverbally. Assumption is that individuals are at times able to meet their own needs and at other times unable to do so. For those that can communicate their impute is essential in their own care and must be taken into account when applying the nursing process and Orlando’s theories The nurse perceives the behavior through any one of her senses, the perception leads to automatic thought, the thought process produces an automatic feeling Nursing responses must be deliberate Use of this theory saves time and energy for the patient and the nurse (Black,2014)

Metaparadigms Environment Health Orlando does not provide a specific definition for environment in her theory, however she does state that a patient can react with anxiety or distress to any environmental element, whether it was therapeutic or not. This reaction can trigger a behavior which the nurse must recognize and meet to limit any resulting distress (Tomey & Alligood, 2006, p. 436). In Orlando's theory, health is replaced by a sense of helplessness as the initiator of a necessity for nursing. She stated “ that nursing deals with individuals who are in need of help” (Sheldon, 2008).

Contemporary Healthcare Environment Local Regional Global Orlando’s theory relates to my direct patient care as I interact with my patient to clarify his need for help and provide the appropriate action to resolve his need Each patient has different needs, outlooks, values and perspectives on their own health and what healthcare is. These differences are based on their culture, previous need for healthcare, environmental factors and many other variables. Nurses need to be tolerant and treat everyone the same, especially in areas of greater diversity. The theory can focus on the direct needs of a regional area. For example, if Sickle Cell Disease affects a regional area. Orlando’s Theory would look at the direct needs of that region and apply the nursing process. Orlando’s theory is applicable all over the world and is implemented in several international schools of nursing, particularly by nursing students Orlando specifies that nursing deals with individuals whenever there is need for help. Orlando’s Theory can be used at a global level during times of large scale environmental tragedy.

References Black, B.P. (2014). Professional Nursing: Concepts and Challenges ( 7th ed.). St. Louis, MS: Saunders —Current Nursing (2013 , September 9). Orlando’s Nursing Process Theory. Retrieved from: http://currentnursing.com/nursing_theory/Orlando_nursing_process.html Sheldon, L. K., & Ellington, L. (2008). Application of a model of social information processing to nursing theory: How nurses respond to patients. Journal of Advanced Nursing, 64(4), 388-398. Retrieved February 24, 2016. Toomey, A.M. & Alligood, M.R. (2006). Nursing theorists and their work (6th ed., pp. 431-447). St. Louis, Missouri: Mosby Elsevier