Dynamic Nurse-Patient Relationship
- A first generation American of Italian descent was born 1926
- First nursing theorists to write about the nursing process
- Received nursing diploma at New York Medical College
- Graduate of BS in public nursing at St. John’s University, New York
- MA in mental health nursing at Columbia University, New York
- Associate professor at Yale School of Nursing and Director of the Graduate Program in Mental Health Psychiatric Nursing.
- Project investigator of National Institute of Mental Health grant entitled: Integration of Mental Health Concepts in a Basic Nursing Curriculum.
- A board member of Harvard Community Health Plan, and serve as both a national and international consultant.
- Married to Robert Pelletier and lives in Boston area.
- She passed away on November 28, 2007.
Summary of the theory
Orlando published the “Dynamic Nurse-Patient Relationship” (1961).
Her purpose is to contribute to concern about the nurse-patient
relationship, the nurse’s professional role and identity, and the
knowledge development distinct to nursing.
Orlando’s nursing theory stresses the reciprocal relationship between
patient and nurse. What the nurse and the patient say and do affects
them both. Orlando views the professional function of nursing as finding
out and meeting the patient’s immediate need for help. This function is
fulfilled when the nurse finds out and meets a patient’s immediate need
for help. She was one of the first nursing leaders to identify and
emphasize the elements of nursing process and the critical importance of
the patient’s participation in the nursing process.
Concepts
Orlando states that human/person is an
individual in need. Unique individual behaving verbally and nonverbally.
Assumption is that individuals are at times able to meet their own
needs and at other times unable to do so. Thus, human/person cannot
survive alone we need each other to survive in our life’s. Orlando
assumes environment as a nursing situation
that occurs when there is a nurse-patient contact and that both nurse
and patient perceive, think, and feel. It says that nurses should
provide clean surroundings for their patients because it will affect the
health of the patient. And for her, nursing
is responsive to individuals who suffer or anticipate a sense of
helplessness. Nurses should know how to take care and understand the
needs of the patient. Health for her is a sense of adequacy or well-being.
APPRECIATION
I appreciate the work of Ida Jean Orlando-Pelletier “dynamic
nurse-patient relationship”. She clearly stated in her work that when
providing care, nursing action can be done either autonomic or
deliberative. She stated also in her theory that the role of a nurse is
to find out and meet the patient’s immediate need for help. Therefore,
nurses need to use their perceptions, thoughts about the perception or
the feeling engendered from their thoughts to explore with patients
behavior. In my nursing profession, Ida Jean Orlando-Pelletiers work is
very much appreciated, it gives me more knowledge about my nursing
profession on how I am going to be a more effective nurse. It gives me
an idea on how to deal with my patients and on how to treat them well.
For me, Orlando must have gone through a lot of experience for her to
write this very inspiring and knowledgeable book. I am really grateful
to her because she had imparted me through her theory the ideas I need
to become a nurse that would be responsible enough to deal and to help
those patients who suffer great pain and emotional pain as well. Orlando
opens my mind to see things more clearly, for Orlando’s theory focuses
on how a nurse should be broadminded and how to understand the needs of a
patient. She emphasizes that it is crucial for nurses to share their
thoughts, feelings and perceptions so they can determine whether their
inferences are the same with the patients needs. For sometimes, patients
patient’s experience distress or feeling of helplessness because they
have physical limitations and have a negative reactions to the
environment.
Orlando’s theory will always remain one of the most
effective practice that will help us especially to those new nurses like
me as we begin our journey in medical practice.
Bibliography
- NURSING THEORY (7th Edition) By: Martha Raile Alligood & Ann Marriner Tomey
- http://nursingtheories.blogspot.com/2008/07/close-encounter-orlandos-dynamic-nurse.html
