Ida Jean Orlando – Deliberative Nursing Process Theory

Function of Nursing

To discover and meet the patient’s immediate need for help.

Presenting Behavior

The patient’s verbal or non-verbal expression of distress.

Immediate Reaction

The nurse’s internal response to the patient’s behavior.

Nursing Process Discipline

The nurse validates perceptions with the patient before acting.

Improvement

Observable relief of patient distress following nursing intervention.

Assessment

Holistic data collection including subjective and objective cues.

Diagnosis

Clinical judgment based on assessment findings to identify the root cause of distress.

Planning

Goal-setting and intervention design in collaboration with the patient.

Implementation

Execution of the care plan based on validated needs.

Evaluation

Review of patient progress and effectiveness of care.

Automatic Response

Unquestioned action based on routine or assumption.

Deliberative Response

Thoughtful action based on validated patient cues and feedback.

Validation

The process of confirming the nurse’s interpretation with the patient.

Patient Distress

A state of helplessness or unmet need that requires nursing intervention.

Critical Thinking

The nurse’s use of reflection and reasoning to guide deliberate care.