ApplicationofTheory NR501

1964 WordsAug 9, 20158 Pages
Application of Theory within Leadership: Retaining Nurses through Orlando’s Model Chamberlain College of Nursing NR501: Theoretical Basis of Advanced Nursing Practice Application of Theory within Leadership: Retaining Nurses through Orlando’s Model “Theory-based nursing practice has demonstrated a capacity to structure professional care, unify and simplify communication, save time, clarify decision-making, and reduce nurse staff turnover saving thousands of dollars” (Alligood, 2011, p. 982). Although theory is present in my workplace, it is rarely discussed. This is a shame because it is apparent that theory is essential to the nursing profession and should be at the forefront. Nursing theory helps define and verify…show more content…
Relational skills are considered the most important skill in leadership and transformational leadership embodies this (Curtis et al., 2011). Yet, a nursing theory is needed to provide a vision. Ida J. Orlando’s model for nursing practice is a relational theory that can translate into nursing leadership and promote nurse retention. In her theory of deliberative nursing process, she describes the interaction between nurse and patient. Communication between nurse and patient is described in three concepts: the ‘Patient Behavior’, the ‘Nurse’s Reaction,’ and the ‘Nurse’s Activity’ (Sheldon & Ellington, 2008). The patient sends a cue in the form of behavior (Patient Behavior) and the nurse responds to the behavior (Nurse’s Reaction). ‘Nurse’s Activity’ is categorized into two stages: non-observable and observable. The nurse’s thoughts, perceptions, or feelings related to behavior are non-observable and the final action or response to the ‘Patient Behavior’ is observable (Sheldon & Ellington, 2008). Orlando labels ‘Nurse Activity’ as automatic or deliberative, allowing the nurse to identify the patient’s needs and then help the patient (Sheldon & Ellington, 2008). In patient care, this theory asks nurses to identify their perceptions, feelings, and thoughts as a basis for nursing actions. Orlando then takes it a step further by advocating that the nurse explore their assumptions with the patient to identify

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