IDA JEAN ORLANDO - Rachel Fox, RN, BSN - Home

IDA JEAN ORLANDO USE OF METAPARADIGM CONCEPTS IN THEORY Jillian Kohl Patricia Derenzy Christie Kleinert Larry Horchner Rachel Fox

INTRODUCTION Ida Jean Orlando, RN, Nursing Theorist  Born 1926

Nursing Education  New York Medical College

Focus:  The dynamic nurse-patient relationship

Major Publication: (1961)  The dynamic nurse-patient relationship: Function process and principals

METAPARADIGM CONCEPTS AS DEFINED BY ORLANDO  PERSON  Each patient is unique and individual in how they respond

 HEALTH  State free of physical and metal stress  Sense of well-being

 The patient-nurse relationship is dynamic and needs change as illness progress or improves  The actions and reactions of both the patient and nurse, influence the nurse-patient relationship

 Always varying on a continuum  Behaviors, attitudes and beliefs of patient play a role in state of health

METAPARADIGM CONCEPTS AS DEFINED BY ORLANDO  ENVIRONMENT  Involves factors beyond nurse control (other patients, necessary equipment, hospital protocols, presence of family members)  Nurse uses patient response to these factors to create a perception of patient needs  Nurse should assess the environment and seek external resources to make changes that can lessen patient stress

 NURSE  Uses the nursing process to discover patient needs and their response to nursing interventions  A profession that is constantly evolving based on nurse-patient responses  Consider physical and mental needs  Treat holistically

Application of Ida Jean Orlando’s theory to the improvement of contemporary health care and application to evidence based practice.

Local  In order to read patients and predict behaviors you need constant interaction (Nursing Theories, 2013)  This forces nurses to see their patient as the individual (Nursing Process, 2014)  Does the individual have access to grocery stores? Farmer’s Markets?  Does the individual live in a safe neighborhood conducive to a healthy living environment?  Facilitation of community and healthcare resources

Regional  We need to treat the whole before we can treat the individual  Cultural diversity awareness and education  Public transportation  Appropriately staffed health care settings

Global  We can look at the population as a whole and create a plan which will meet the needs of a majority of the population  Globally we can see concern for the planet, seeking to make the world a better place for those that follow  Access to food/clean water  Immunization  Disease epidemics

Evidence Based Practice  Nurses should not choose things for their patients, but educate them and support their decisions  Researchers must remember that each individual has their own set of moral values and beliefs molded by their environment as well as individual perceptions  Measuring outcomes

References  Black, B.P. (2014). Professional nursing: Concepts and challenges. St.Louis, MO: Saunders.  Nursing Process. (2014). Nursing Process. Retrieved from http://www.nursingprocess.org/  Nursing Theories. (2013). Orlando's Nursing Process Theory. Retrieved from http://currentnursing.com/nursing_theory/Orlando_nursing_pr ocess.html  Schmieding, N. (1984). Putting Orlando's Theory into Practice. The American Journal of Nursing, 84(6), 759-761. doi:10.2307/3463720  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. doi:10.1111/j.1365-2648.2008.04795.x

References Black, B.P. (2014). Professional nursing: Concepts and challenges. St.Louis, MO: Saunders. Ida Jean Orlando Nursing Theory. (2014). Retrieved from http:// nursingtheories.info/ida-jean-orlando-nursing-theory/ Learn more about Theory. (2008). Metaparadigm concepts. Retrieved from http://nursingtheories.blogspot.com/2008/07/close-encounterOrlando-dynamic-nurse.html Lizares, Aux. (2008, July 20). A close encounter: Orlando’s dynamic nurse-patient relationship. Retrieved from http:// nursingtheories.blogspot.com/2008/07/close-encounterorlandos-dynamic-nurse.html Nursing Theories. (2012). Orlando’s nursing process theory. Retrieved from currentnursing.com/ nursing_theoryOrlando_ nursing_process. html\ Nursingprocess.org. (2014). An in depth look into the nursing process. Retrieved from www.nursingprocess.org. Nursing Theory. (2013). Nursing process theory. Retrieved from www.nursing-theory.org/theories-and-models/ orlando-nursingprocess-discipline-theory.php. The Nursing Process. (2012). Orlando nursing. Retrieved from http:// currentnursing.com/nursingtheory/orlandonursingprocess.html