Responses Needed for A Nursing Theory

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Hello everyone.

As part of my major end of the term project for my class Theoretical Foundations in Nursing (Nrs 510), I am looking at a nursing theory in detail and providing an analysis. Part of the analysis involves describing the theory to both practicing nurses and a layperson, and recording feedback. So, I've chosen to outline the theory here and gather your responses to it. The responses need not be organized or formal; just anything, such as if it made sense to you, if you're familiar with it, do you use it, do you like it, etc.

The theorist I am working on is Ida Jean Orlando and her Nursing Process Theory. I chose this theory because I found it intriquing that she wrote her theory solely on patient-nurse observations. None of her works include a bibliography, because she worked off of no one and all is her original thought.

Orlando's theory was first really published in the early 1960's. Initially her work was entitled "The Dynamic Nurse-Patient Relationship" and has since been renamed "Nursing Process Theory."

Some major assumptions of her theory are:

1. Professional nursing has a distinct function and product (outcome). She believes it is this element that will make nursing a profession, that will enable nursing to have a unique knowledgebase that is measurable and justifyable. This function must remain constant despite pt age, gender, dx, etc.

2. Nursing is a distinct entity separate from other professions.

3. There is a difference b/t lay and professional nursing.

4. Nursing is aligned and in concert with medicine.

Orlando believed that inadequate patient care was caused by the profession's lack of a clearly articulated nursing function. According to Orlando, professional authority is derived from the profession's distinct function; therefore, without this distinctiveness nursing practice cannot be autonomous because it lacks authority.

Initial responses?

Hello evryone can you help me anwer my assignment.....What is the relevance of Myra Estrin levine to the ill person in the health care setting and to the well person in health promotion?:(

That is fascinating and as far as I'm concerned, it is THE basis for professional nursing. Unfortunately, I have found that many practicing nurses do not consider themselves professional nurses within their own knowledge base and instead see themselves merely as taskmasters. If more nurses understood that they had a distinct contribution to patient care beyond merely carrying out physician orders, I do believe that there would be improved patient care and more professional autonomy and respect.

I think nurses understand that very well. It is docs, mgrs, and admins who don't understand it.

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