Effective communication with patients is essential to nursing. Failure to communicate well with a patient not only effects the nurse-patient relationship but also can interfere with patient outcomes (Kourkouta & Papathanasiou, 2014). Orlando believed that communication was essential to interactions in the patient-nurse relationship in order to understand their needs and provide effective care (Parker & Smith, 2010). Orlando’s theory was based on the fact that patients do not clearly present the nature of their distress (Schmieding, 1984). In order to determine the patient’s needs Orlando’s theory supports an interactive nurse-patient relationship that is individualized to the patient (Parker & Smith, 2010). Orlando was the first nursing …show more content…
During her time at Yale University, Orlando also became a research associate and principal project investigator of the National Institute of Mental Health (Parker & Smith, 2010). Her first study “Integration of Mental Health Concepts in a Basic Curriculum” was the nursing model used as the foundation for the curriculum of mental health and psychiatric nursing in Yale University (Current Nursing, 2013). Her first book The Dynamic Nurse-Patient Relationship: Function, Process and Principles (1961) was based on this research (Parker & Smith, 2010). Orlando also served as a clinical nurse consultant at McClean Hospital, Massachusetts (Current Nursing, 2013). In this role she studied nurses interactions with patients and coworkers and how these interactions affected nursing practice (Parker & Smith, 2010). McClean Hospital, based on these studies and her nursing model, developed and initiated a nursing education and training program (Parker & Smith, 2010). Her second book The Discipline and Teaching of Nursing Process (1972) was based on her evaluation of this program (Current Nursing, 2013). Orlando’s Nursing Process Discipline theory was created from her studies and observations between a nurse and a patient (Parker & Smith, 2010). The theory ultimately looks at the purpose and function of nursing. The theory is established based on
Nurses of the twenty-first century are expected to be equipped with multiple abilities to which they must apply to various circumstances. Through the nursing theories that have been developed over the years, nurses can further become well rounded in the ways in which they treat their patients. One theory in particular, pertains to the nurse-patient relationship and how vital it can be when caring for others. Ida J. Orlando constructed “The Dynamic Nurse-Patient Relationship” theory based on her own research in order to draw focus upon the nurse and patient interaction along with producing positive outcomes for patient improvement (Faust, p.14, 2002). Focusing on patient interaction and building a patient relationship can implement a more individualized care plan for specific patients. Furthermore, Orlando’s nursing theory can be useful in identifying patient anxiety and distress which can lead to better interaction between the patient and nurse. While assessing how Orlando’s theory can be applied to everyday patient care, it is also vital to understand the fundamentals that are a part of this dynamic theory of nursing practice.
Ida Jean Orlando's deliberative nursing process is a nursing theory that allows nurses to be
When patients are unable to meet their needs independently, they become distressed and encounter feelings of helplessness. Every patient is different and will exhibit needs that are individualized to them personally. This is where the nurse comes in. Their relationship to the patient must be built on trust and they need to know that patient well enough to determine what their needs are (Current Nursing, 2010). Orlando felt that nurses act independently on behalf of their patients. She believed that by using a nursing process, the nurse would be capable of meeting the patient’s immediate needs (Nurse Scribe, 2007).
The problem that will be addressed in this study is the disconnection between patients and their healthcare providers when they are seeking medical care. There seems to be a point within the interaction where communication is no longer effective between doctors and patients which then results in the patient’s mistrust. There is not enough evidence nor research to fully conclude why this may be occurring as past studies have not explored these topics. Questions like, “What did the patient or physician do during the interaction that made the communication ineffective?” need to be asked in order for care to be reflective and constantly improving. This concept needs to be approached from
In nursing practice, communication is essential, and good communication skills are paramount in the development of a therapeutic nurse/patient relationship. This aim of this essay is to discuss the importance of communication in nursing, demonstrating how effective communication facilitates a therapeutic
As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.
Introduction: In this paper, I will review philosophical frameworks and theories that influence my nursing practice. Also, I will demonstrate how I incorporate the theories into my practice by providing examples. The goal of my paper is to emphasize the statement that nursing is a “therapeutic, goal directed, interpersonal process between nurse and patient” but also with the patient’s care team which is why I chose the following theories (Jones, 1996, p. 877). For this paper, I have chosen to explore Peplau’s
The purpose of this paper is to provide an introduction, purpose, and rational for selecting a nursing theory. I will describe the theory by identifying the purpose, concepts/definitions, relationships/structure, and assumptions. I will use the Chinn & Kramer evaluation criteria to critique this chosen theory. Finally I will describe a plan for implementing the theory into my practice setting, identifying any barriers and challenges.
McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.
A nurse-patient relationship is the basic requirements in all practice settings. Its usage is to manage communication between an organization and a public while maintaining boundaries in the therapeutic relationship. Based on Peplau’s interpersonal theory, communication takes place in a nurse-client relationship where therapeutic process occurs involving complex factors such as environment, attitudes, practices, and beliefs in the dominant culture (seu.edu, 2015). The actions of each person in a nurse-patient relationship is measured on the collaboration of their thoughts, feelings, and experiences. Nurse’s work to attain, maintain, and restore the patient’s health until patient have fulfilled the health care needs. Patient must be guided and provided a well-respected environment until a better health and specific needs are fully considered in the relationship. In this kind of setting, nurse’s must create relationship with patients by communicating receptivity, assimilating the concepts of empathy, trust, genuineness, respect, and confidentiality into their interactions.
The nursing practise has continually evolved and can be described as autonomous due to the significant involvement of nurses in patient care. This then necessitates critical reflection as a way to continually develop and improve the nursing practise. The Gibbs' model, one of the reflection models, assists nurses in complying to the codes and guidelines of nursing practice. For example, developing action plans, evaluating patient outcomes, and thinking critically. This essay will describe an event involving nurses and explain the feelings it evoked. It will also provide an evaluation of the positives and negatives, analysis and enhancement of learning, and an action plan.
Nurses must assess a patient’s communication needs with respect to their age, gender, culture, developmental status and be able to modify their care related to these needs. This also is a consideration when communicating with those around us daily.
Patients are most likely to be wary of the idea of irridation therapy as it sounds more invasive and dangerous to the body than other procedures might. This is where the staff in a nuclear medicine department must properly educate the patient on what is taking place during the procedure, as well as how the procedure works. Communication skills are key for any healthcare provider to have, especially when the practice is done on a patient unfamiliar to the public. Patients must give consent and should feel comfortable before any procedure takes place as. It is important for the healthcare practitioner to know why the therapy is being done as they should assess the appropriateness of the treatment.
Any nurse would admit that preparation to becoming a nurse is a difficult task. Mostly because the practice of nursing consists of many things to follow in order be a great nurse for the patient. To make the preparation less difficult for nurses or nurse to be, Ida Jean Orlando contributed to the Discipline of the Nursing Process to further prepare those in nursing. The Discipline of Nursing Process is a theoretical approach to nursing that follows a nurse-to-patient relationship that would improve the patient’s behavior to seek beneficence and autonomy of the patient (Orlando, 1972). This provides nurses or upcoming nurse the strategies to deal with real life circumstances in nursing and improves the skills of the nurse to improve a patient care. This piece will focus on the theorist, Ida Jean Orlando, the meaning of the nursing process and the reason for the nursing process, any discrepancies that may be associated with nursing such as medical procedures and professional nurses, studies associated with the use of the nursing process and how the nursing process influence personally.
Nursing process discipline is a nursing theory developed by nursing theorist, Ida Jean Orlando. This theory, one of the first written about the nursing process, was written to help establish nursing as an independent function in providing health care for a patient. Through this independent nursing function, Orlando developed her theory on the concept of the nurse-patient interaction. During that interaction the nurse recognizes a patient behavior as an “… immediate need for help” (George, 2011, p. 165). This “immediate” need must be correctly identified by the nurse, so the nurse may provide care to relieve the need for help experienced by the patient. Orlando’s creation of the nursing process discipline helped to further establish