An essay "The Dynamic Nurse-Patient Relationship" reports that Orlando’s nursing model, the dynamic nurse-patient relationship, and analyzes how this theory can be applied to nursing practice at the individual, family/group, and community/population levels…
She developed the dynamic nurse-patient relationship model to provide nursing practitioners a model of efficient nursing practice. She investigated nursing patient care on medical-surgical settings, not individuals with psychiatric disorders in psychiatric facilities. She recognized three aspects of nursing practice: the uniqueness and creation of nursing knowledge, the professional role of nurses, and the relationship between nurse and patient. A nursing context comprises the patient’s behavior, the nurse’s response, and all that does not alleviate the patient’s suffering. Patient distress is associated with the failure of the person to satisfy or express his/her needs. The dynamic nurse-patient relationship is derived from the assumption that the relationship between the nurse and patient is mutual, which means that the behavior or decision of one influence the other. Orlando (1961) argues that the nursing role is different from the medical role and that the response of nurses is based on the urgent needs, demands, and experience of the patient. Basically speaking, the theory claims that nursing is one-of-a-kind and autonomous because it focuses on the need of an individual for help or support, actual or probable, in an urgent condition. The manner by which nurses relieve this vulnerability is reciprocal and is performed in a closely controlled or profession way that requires education and expertise. Orlando (1961) argues that one’s behavior or response must be derived from reason, not set of rules. ...
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Thus, the goal of any nurse patient interaction should be to improve the patient’s quality of life by either enabling the patients to adapt to their current health status or to assist them in restoring their prior normal health status (Gamez, 2009). There are several determinants of the therapeutic relationship between a nurse and the patient.
CNO (2004) asserted that the “essence of professional nursing is the therapeutic relationship with the patient” (p. 12). Therapeutic nurse patient relationship is “a planned, time bound and goal oriented connection between a registered nurse and a patient, and sometimes the patient’s family for the purpose of meeting the healthcare needs of the client” (NANB, 2011).
Ida Jean Orlando is considered as one of the key thinkers who radically transformed the nursing profession. Her dynamic nurse-patient relationship has changed the way the nursing profession views the nature and impact of nurses’ response to patients’ needs on health and illness.
Assessment is the initial crucial stage in the nursing process which aims to solicit relevant information regarding the patients current health condition, through an overview of historical; data, including factors that could be contributory to the health status the patients are presently in.
This need not be the case always, though there are instances when a nurse comes in as a patient to a hospital, there could be unpleasantness and difficulties. Keeping this in mind, current study is conducted to find the truth and issues behind this assumption.
Unfortunately, much of the research in nursing has been descriptive and poorly linked to theory, and studies continue to be undertaken without cognizance of any theoretical alliance. Research is a tool of science and its function is enquiry. The product of science is theory and these theories go to make up the working parts of our body of knowledge for practice.
They also began developing nursing theory as a foundation for nursing practice and education. This endeavor has presented nurses with the motivation to examine nursing's heritage, its goals and the values upon which nursing is based.
This paper is intended to highlight the contribution of one of these nursing scholars, Ida Jean Orlando, who presented his theory with the title of "Deliberative Nursing Process Model".
Ida Jean Orlando determined that there were three steps in the nursing process. These steps after much observation of patients, nurses and medical records became a major concept in her theory, The Dynamic Nurse-Patient Relationship which she coined in 1972. Her theory is seen somewhat differently by different researchers and theororists.
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