Ida Jean Orlando's Nursing Process Discipline
Orlando's work is a theory of the nursing process. The theory proposes that the focus of inquiry for professional nursing is the immediate experience of the person in a person-to-person contact, which is characterized by four items that reside within the individual and occur in the following automatic, sometimes instantaneous, sequence made up of an internal, nonobservable reaction to the contact and an observable action.
The reaction to the contact includes three items:
The action contains the fourth item:
The correct understanding of the person's immediate experience is obtained by exploring the meaning of the person's verbal and nonverbal behavior. Exploration of the meaning of the person's behavior is accomplished by use of the nursing process discipline, which has the following requirements:
The last two requirements are illustrated in this example:
The use of the process discipline is considered a disciplined professional response. This response is effective because when one individual in a person-to-person contact expresses and explores his or her own immediate reaction, the other individual in the contact is more able to do likewise.
The nursing process discipline guides effectiveness in all person-to-person contacts of the nursing system, including the nurse's contacts with patients (nurse-patient relationships), other nurse (line and staff relationships among nursing personnel), and other professional and nonprofessional people (other staff relationships).
This page was last modified on 6/1/02