Mrs. Ida Jean Orlando-Pelletier is a first-generation American of Italian decent, and was born in 1926. She is a well know theorist in nursing as a result of two books she wrote. The first book being The Dynamic Nurse-Patient Relationship published in 1961, and The Discipline and Teaching of Nursing Process published in 1972[Schmieding]. In an interview with the University of Pennsylvania Mrs. Orlando-Pelletier stated that her parents were from the old cultural of Italian origin and their marriage was arranged by family members (Fawcett).
She grew up in the depression era, and her mother was a home maker. Ida Jean lived in the Boston area with her husband Robert Pelletier until her death in November 2007. She received her nursing diploma from New York Medical College. Her first job was at Shore Road Hospital in the maternity department. She didn’t stay long with the hospital because she felt that the patients were not being treated well and that there must be something better out there [YOUTUBE]. She then started a second job at another hospital and continued her education at St.
John’s University, Brooklyn, NY where she received her BS in Public Health Nursing, and her MA in mental health in nursing from Teachers College, Columbia University, NY [Schmieding]. Mrs. Orlando stated in an interview for the University of Pennsylvania that she couldn’t stand what was happening in nursing, it was so ridged and without freedom, less freedom to help people and that more importance was placed on just protocol. Mrs. Orlando felt that going back to school in public health she could learn more about helping people and not just following protocol [YOUTUBE].
After finishing her degree she became an Associate Professor at Yale School of Nursing where she was Director of the Graduate Program in Mental Health Psychiatric Nursing. While at Yale she was project investigator of a National Institute of Mental Health Concepts in Basic Nursing Curriculum. It was from this research that Orlando developed her theory which was The Dynamic Nurse-Patient Relationship [Schmieding]. The theory based book was developed in the late 1950s from observations in researching patient records’ between nurses and patients.
These observations came from a stack of medical records that she went thru and was able to sort by reading the notes from the caregiver. In the notes the outcome of patient care was place in stacks as good and bad. She was only able to categorize the records as “good” or “bad” nursing [Orlando]. There are six general propositions in this book that have influenced the nursing profession as we know it now. •Proposition 1: There is a relationship between the Patient’s presentation behavior and the presence of patient distress (an immediate need for help). Proposition 2: There is a relationship between a nurse’s use of Orlando’s distinct nursing function and the nurse’s ability to recognize the need for inquiry (deliberative nursing process) into the meaning of the patient’s presenting behavior. •Proposition 3: The more competent the nurse is in labeling her or his perceptions, thoughts, and feelings (immediate reaction), the more apt she or he is to find out (deliberative nursing process) the nature of the patient’s distress. •Proposition 4: If the nurse explores her or his immediate reaction with the patient the patient’s distress is lessened (improvement). Proposition 5: The nurse’s use of the deliberative nursing process will be less costly than the nurse’s use of automatic personal responses (a secondary concept of the theory). •Proposition 6: Patients experiencing repeated improvement as the result of deliberative nursing will have positive cumulative effects. [Orlando] As a result of Orlando’s research the nurses’ role in patient care changed from just doing what the doctors tell you to do and following protocol to a more active approach in patient care.
Orlando’s second book The Discipline and Teaching of Nursing Process published in 1972. She identifies nursing as “concerned with providing direct assistance to individuals in whatever setting they are found for the purpose of avoiding, relieving, diminishing, or curing the individual’s sense of helplessness” (Orlando, 1972, p. 22). She feels that nurses practice independently on behalf of their patients. The purpose of the nursing process (alternately called deliberative nursing process or nursing process discipline by Orlando) is to meet a patient’s immediate needs.
The nursing process begins with a patient behavior, either verbal or nonverbal, that indicates a need for help. This behavior results in a reaction from the nurse in which the nurse perceives a need, applies thought to the need, and produces a feeling about the need, such as concern or anxiety. The nurse then confirms her perception, thought, and feeling with the patient. Note that this description of the nursing process differs from subsequent uses of the term, in which the nursing process includes ssessment, diagnosis, planning, intervention, and evaluation [Orlando]. Again Mrs. Orlando work is still being implanted every day by nurses and can be utilized by any healthcare professional that wants the ability to give care to the highest standers. I chose Mrs. Orlando for my report because form the research that I have found her theorys is right on target to my own beliefs in what a nurse should be. That in order to become a good nurse you need to look past the patient or disease sitting in front of you.
Open your eyes and ears to all that is said or not said in order to give good rounded care. One thing I have found out already in this class is a lot of the textbooks we use are based on Mrs. Orlando theories. Works Cited Fawcett, Jacqueline. youtube. 20 November 2008. 28 May 2010 . Jean, Orlando-Pelletier Ida. The Dynamic Nurse-Patient Relationship. New York: G. P. Putnam, 1961. Orlando-Pelletier, Ida Jean. The Discipline and Teaching of Nursing Process. New York: G. P. Putnam, 1972. Schmieding, N. J. Ida Jean Orlando(Pelletier)Nursing Process Theory. 2002. 28 May 2010 .