A Generalized Overview
Ida Jean Orlando has developed a consultative care process that allows nurses to formulate an effective care plan adapted to any situation. Ida Jean Orlando’s deliberative nursing process theory emphasizes the reciprocal relationship between patient and nurse. A “deliberative” process was presented as a guide for nurses to practice effectively (Rich & Butts, 2021). Orlando separated the nurse from medicine, where nurses determine nursing actions rather than being guided by physician instructions, organizational needs, and past personal experiences. The theory assumes that the nurse’s role is to identify and meet the patient’s immediate need for help. According to the theory, any patient’s behavior can be a cry for help.
Explanation, Control and Prediction
The theory suggests that when patients cannot cope with their needs, they are distressed by feelings of helplessness. Patients are unique and individual in the way they respond. Nurses offer motherhood and care similar to an adult taking care of and raising a child (Nursing Theories and Nursing Practice, 2019). People can be secretive or open about their needs, perceptions, thoughts, and feelings. The patient cannot state the nature and significance of the anxiety without the help of a nurse or them first establishing a helpful relationship with the patient. Thus, Orlando’s concept suggests that nursing involves establishing contact with the patient to provide competent care. The nurse is a separate significant link and not just obeys the doctor’s orders. Nurses are needed to respond to the earliest symptoms and the most hidden requests for help.
Improving the Outcome of Patient Care
Improving patient care in Orlando’s concept is achieved by improving communication between patients and nurses. Such a nurse can recognize all changes in the patient’s health status. Most importantly, with this approach, the moral anxiety of the patient is greatly reduced. The nurse helps to eliminate the feeling of helplessness through proper care and psychological rapprochement with the patient. The nurse becomes the most important link in the chain, which helps the patient not to become discouraged.
The Usage in Practice
I will draw from this approach the need to develop a strong psychological bond with the patient for my practice. It is also important for me to realize that I am a separate significant unit of the medical system, which does not just follow the doctor’s instructions. I will also apply this theory to recognize the patient’s help signals and help overcome feelings of helplessness.
References
Rich, K. L., & Butts, J. B. (2021). Philosophies and Theories for Advanced Nursing
Practice. Jones & Bartlett Learning.
Smith, M.S. (Ed.). (2019). Nursing Theories and Nursing Practice. F.A. Davis Company.