Orlando's Deliberative Nursing Process

Orlando's Deliberative Nursing Process

• Patients become patients when they cannot meet their own needs due to limitations.
• Nurses help patients meet their needs by interpreting distress.
• Orlando's theory has 13 assumptions about the nurse- patient relationship.
• Patients may be unaware of their distress; they need help.
• The nurse-patient relationship is dynamic and influenced by both.
• The nurse is concerned with meeting the patient's unmet needs.

Major Concepts in Orlando's Deliberative Nursing Process

• Three core concepts: person, health, and nursing.
• Focuses on the individual nature of each patient.
• The nurse-patient relationship is dynamic.

Ida Jean Orlando

• Internationally recognized psychiatric health nurse, theorist, and researcher.
• Developed the "Deliberative Nursing Process Theory".
• Theory focused on creating adaptable nursing care plans.
• Earning a Masters in 1954, Orlando began teaching at Yale University.
• Developed her theory using a grant from the National Institute of Mental Health.
• Published "The Dynamic Nurse-Patient Relationship" in 1961.
• Her theory focused on interpreting patient distress and meeting their needs.
• The Deliberative Nursing Process includes five stages: assessment, diagnosis, planning, implementation, and evaluation (ADPIE).

Sister Callista Roy & Adaptation Model of Nursing

• Developed the Adaptation Model of Nursing.
• Received her Bachelor of Arts in Nursing in 1963 and Master's in Nursing in 1966.
• Earned a Masters in Sociology in 1973 and a Doctorate in Sociology in 1977.
• Her work is recognized internationally, having presented in over 36 countries.
• She was awarded the American Academy of Nursing’s Living Legend Award in 2007.
• She is currently a professor at Boston College’s Connell School of Nursing.
• She developed the basic concepts of her model while a graduate student at the University of California.
• In 1968, she began operationalizing her model at Mount Saint Mary's College.
• She was a professor at Mount Saint Mary’s College and the University of Portland.
• In 1991, she founded the Boston Based Adaptation Research in Nursing Society (BBARNS), later renamed the Roy Adaptation Association.

Major Concepts in Roy’s Adaptation Model

• Environment: categorized stimuli as focal, contextual, and residual.
• Focal: primary issue facing the patient requiring immediate attention.
• Contextual: secondary factors that contribute to the focal stimuli.
• Residual: additional factors impacting adaptation, but with less clear effects.
• Health: defined as the ability to cope with environmental stimuli.
• Nursing: defined as facilitating adaptation for individuals and groups.
• Adaptation: the process of managing environmental stimuli through conscious awareness and choice.
• Person as an Adaptive System: The individual is a system that interacts with the environment (biological, psychological, and social).

Internal Processes in Roy’s Adaptation Model

• Regulator: physiological coping mechanism.
• Cognator: mental coping mechanism.

Adaptive Responses in Roy’s Adaptation Model

• Physiological Mode: physical responses to stimuli.
• Self-Concept Mode: perception of self, self-esteem, and body image.
• Role Function Mode: roles in society and their impact on adaptation.
• Interdependence Mode: relationships and support systems that influence adaptation.

Levels of Adaptation in Roy’s Adaptation Model

• Integrated Process: stable processes that meet environmental needs.
• Compensatory Process: processes working to meet environmental needs.
• Compromised Process: Inadequate responses to environmental challenges.

Roy's Six-Step Nursing Process

• 1. Assess the patient’s behaviors manifested in the four adaptive modes.
• 2. Analyze the assessment data to identify the adaptive modes.
• 3. Set goals based on the patient's needs and abilities.
• 4. Develop interventions to promote adaptation.
• 5. Implement interventions.
• 6. Evaluate the effectiveness of interventions and modify as needed.

Explore the key elements of Orlando's Deliberative Nursing Process and its emphasis on the nurse-patient relationship. This quiz covers the core concepts of the theory, focusing on how nurses help patients meet their unmet needs. Dive into the dynamics of patient care guided by Orlando's principles.