The Dynamic Nurse-Patient Relationship Essay Name of of Professor Abstract Nursing practice is revolutionized by nursing theories which are intended to improve the performance of nurses and response to patients’ health care needs…
This essay discusses 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. Introduction Ida Jean Orlando formulated her theoretical models of nursing in relation to her theory of dynamic nurse-patient relationship, and expanded them to involve the distinctive role of nursing in patient care. She examined the aspects that reinforced or hampered the incorporation of mental health doctrine in the curriculum of basic nursing. 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 (Orlando, 1961). 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. Orlando’s Nursing Model 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. Her theory is regarded to be an interactive model for it suggests a particular practice of planned, purposeful one-to-one nurse-patient relationship to reinforce the best nursing care intended to take care of a patient’s needs. The nursing process is activated by the behavior of the patient. The behavior of a patient, regardless how trivial, should be seen as a call for help. Patient behavior could be expressed verbally and nonverbally. When a patient needs something that cannot be met without the aid of another person, vulnerability or helplessness arises. If the behavior of a patient does not clearly express a precise description of the need, then setbacks in the relationship between the nurse and patient may occur and make it hard for the nurse to sufficiently deal with the need of the patient. A better understanding, appreciation, or resolution of incapable patient behavior becomes a main concern for the nurse for the condition will probably deteriorate sooner or later and make sufficient care, or the delivery of required assistance or support, more and more problematic. The response, decision, and behavior of the nurse are aimed at alleviating unproductive patient behavior and satisfy urgent needs as well. Patient behavior triggers a nurse response, which is the beginning of the nursing process. Proper or correct nurse response is composed ...
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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).
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.
on patients and their outcomes due to the notable role that they play in many life and death situations where surgical intervention becomes a necessity. However, even surgical nurses follow many of these same paradigms and theorizations as ward nurses do as both have to be
Ida Jean Orlando formulated her theoretical models of nursing in relation to her theory of dynamic nurse-patient relationship and expanded them to involve the distinctive role of nursing in patient care. She examined the aspects that reinforced or hampered the incorporation of mental health doctrine in the curriculum of basic nursing.
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