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PREPARED BY:
BERNIE P. MALABANAN, RN
MASTER OF ARTS IN NURSING STUDENT
FULL NAME: Ida Jean Orlando-Pelletier DATE BORN: August 12, 1926 DATE DIED: November 28, 2007
OTHER SIGNIFICANT INFORMATION Daughter of Italian Immigrants Grew up during the Depression Married To Robert Pelletier
DIPLOMA IN NURSING, 1947 NEW YORK MEDICAL COLLEGE FLOWER FIFTH AVENUE HOSPITAL SCHOOL OF
NURSING
BS PUBLIC HEALTH IN NURSING, 1951 ST. JOHN’S UNIVERSITY, BROOKLYN NEW YORK
MA IN MENTAL HEALTH CONSULTATION, 1954
COLUMBIA UNIVERSITY TEACHER’S COLLEGE
“Integration of Mental Health Concepts in Basic Curriculum” (PRINCIPAL INVESTIGATOR)
“Two Systems of Nursing in a Psychiatric Hospital” (PROJECT DIRECTOR)
“The Dynamic Nurse-patient Relationship: Function, Process, and Principles of Professional Nursing Practice”(1961)Published in 5 other languagesBasis of her Nursing Process Theory
“The Discipline and Teaching of Nursing Process”,(1972)
YALE SCHOOL OF NURSING, NEW HAVEN CONNECTICUT ASSOCIATE PROFESSOR RESEARCH ASSOCIATE DIRECTOR, GRADUATE PROGRAM IN MENTAL
HEALTH PSYCHIATRIC NURSING
HARVARD COMMUNITY HEALTH PLAN BOARD MEMBER
NATIONAL AND INTERNATIONAL CONSULTANT
Nurse-Patient relationship is reciprocal (action of one affects the other)
Important components of the nurse-patient interaction Patient participation Intelligent nurse deliberation
Nursing action is derived from the patient’s immediate experience and immediate needs for help
Nurses use an interactive process to resolve client’s helplessness
One’s actions should be based on rationale and not protocols
May be verbal or non-verbal Sets the nursing process in motion Must be considered an expression of a
need for help until its meaning to a particular patient behavior is understood
Helplessness results when clients cannot resolve their own need for help without others
Patient behavior stimulates a nurse-reaction, which is the start of the nursing process
Steps of an appropriate nurse reaction Behavior perception with use of senses Automatic thought formation Automatic feeling Sharing and validating accuracy of nurses
reactions Deliberation of reaction and patient input
TYPES OF NURSE’S ACTION1) Automatic –hasty; unprofessional2) Deliberative – professional nursing actions
Correct identification of a patient needs by validation of nurse’s reaction to patient behavior
Exploration of the meaning of the action with the patient and its relevance to meeting his need
Validation of the action’s effectiveness immediately after completing it
Absence of a stimuli unrelated to the patient’s need when action is taken
Nursing is distinct profession separate from other disciplines
Professional Nursing has a distinct function and product (outcome)
There is difference between lay and professional nursing
Nursing is aligned with medicine
Patient’s needs for help are unique
Patients have initial inability to communicate their needs for help
When patients cannot meet their own needs, they become distressed
The patient’s behavior is meaningful
Patients are able and willing to communicate verbally
The nurse’s reaction to each patient is unique
Nurses are responsible for helping patients avoid or alleviate distress
The nurse’s mind is the major tool for helping patients
The nurse’s use of automatic response prevents the responsibility of nursing from being fulfilled
A nurse’s practice is improved through self-reflection
The nurse-patient situation is a dynamic whole
The phenomenon of the nurse-patient encounter represents a major source of nursing knowledge
A deliberate nursing process has elements of continuous reflection as the nurse tries to understand the meaning to the patient of the behavior she observes and what he needs from her in order to be helped. Responses comprising this process are stimulated by the nurse’s unfolding awareness of the particulars of the individual situation.
It proposes a specific process of deliberative, intentional one-to-one interaction between the nurse and the patient to support optimal nursing care directed to address patient’s expressed need for help
TO NURSING RESEARCH Use of effective nurse-patient interaction as
a parameter in measurement of nurse efficiency and patient satisfaction
TO NURSING EDUCATIONThe model may be used as a good basis in
training the students to become effective in their nurse-client interactions and utilization of therapeutic communication
NURSING PRACTICE It may be used as one of the parameters
when doing nursing audit and quality assurance monitoring
Marriner-Tomey, Ann. Nursing Theorists and their Work. (1989). C.V. Mosby. St. Louis
Orlando, Ida Jean. The Dynamic Nurse-Patient Relationship: Function, Process and Principles. (1961). G.P. Putnam Sons. New York
Schimieding, Norma Jean. Ida Jean Orlando: A Nursing Process Theory. (1993). SAGE Publications. California
Sitzman, Kathleen and Eichelberger, Lisa Wright. Understanding the Work of Nurse Theorists: A Creative Beginning. (2004). Jones Bartlett Publishers. Canada