Essay Title: 

The Dynamic Nurse-Patient Relationship by Ida Jean Orlando (Nursing Theorist)

March 27, 2016 | Author: | Posted in health and medicine, nursing

Patient-Centred Care in the Age of the Global Nursing Crisis

A Critical Look at Ida Orlando ‘s

Dynamic Nurse-Patient Relationship Theory

Ida Orlando ‘s theory on the dynamic nurse-patient relationship theory was developed in the 1950s from her observations on how nurses performed their duties on patient care . Taking into account both the positive and negative practices of nurses , Orlando ‘s analysis of the nurses ‘ actual actions and reactions shaped the theory on a patient-centered nursing process . The resulting theory is not only a guideline in proper nursing practice but also [banner_entry_middle]

a scathing critique on the mechanical way that most nurses discharged their responsibilities which reduced the patient into an object rather than being treated as a human being

The dynamic nurse-patient relationship theory which echoes the nursing process , therefore , sought to address both the tendency of nurses to undermine the patients ‘ capacity to articulate their condition and the pervasive notion that fulfilling the expectations of nursing functions – the expectations of doctors and nurse managers , that is – was the end goal of the nursing profession rather than the cumulative effect or contribution of these efforts in improving the patient ‘s condition

Thus , Orlando ‘s theory advocates for the validation of a nurse ‘s perception by the patient him /herself who supposedly knows and feels his /her needs more than the nurse , and for a concrete definition of effective nursing as well as a long-term direction for nursing efforts other than short term outcomes . The latter she deemed important because she observed that nurses were increasingly burdened with routine jobs and administration tasks that took more and more of their time away from giving genuine care to patients (Orlando , 1962

Four decades hence , the challenges to the nursing profession have increased the sharp decline in the number of nurses in the developed world has contributed to increased pressures on the existing nurse base The International Counsel of Nurses (ICN ) has expressed alarm over the effects of the disproportionate number of nurses vis-a-vis their clients , the foremost of which is the increased violence from the latter that the former experienced over unmet demands and expectations . It is in this light that a re-examination of Orlando ‘s theory has achieved greater significance for nurse professionals and the stakeholders of nursing

Concepts from the Nurse-Patient Interaction Theory

It was in 1968 that Ida Orlando defined the nurse-patient relationship as an outcome of the interaction between two individual processes of action – that of the nurse ‘s and patient ‘s – that will only happen when both sides makes available to the other the process of his or her actions (Orlando , 1968

Orlando criticized the dominant framework in nursing practice which excluded the felt needs of the patient in the formulation of nursing plans by showing how nurses were prevented from building mutually beneficial relationships with their patients not only by the variety and weight of tasks they were expected to perform in clinical settings but by the communication barriers which built a wall between the nurse… [banner_entry_footer]

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