Orlando's Theory Research Articles

APLIKASI TEORI IDA JEAN ORLANDO DALAM ASUHAN KEPERAWATAN PADA KASUS ANSIETAS

This study explores the application of Ida Jean Orlando's Theory in nursing care for anxiety cases. It focuses on the discipline of the nursing process, highlighting the nurse's responsibilities, understanding patient behavior, immediate reactions, nursing actions, and patient health progress. The results indicate that the theory provides a relevant framework for enhancing nurse-patient interactions with strengths in sensitivity to patient needs. However, some criticisms regarding the structure and interpretation of patient behavior need addressing. This study offers valuable insights for the development of more effective nursing practices in addressing anxiety cases.

Optimizing quality of care by integrating orem's self-care deficit theory with orlando's nursing process theory

This study proposes the integration of Dorothea Orem's Self-Care Deficit Theory with Ida Jean Orlando's Nursing Process Theory to enhance the quality of patient care. Orem's theory emphasizes the importance of self-care for maintaining health and well-being, suggesting that individuals actively participate in their care to address self-care deficits. Orlando's theory focuses on the nurse-patient interaction and the nurse's role in identifying and meeting patient needs through deliberate action. Orem's theory provides a structured approach for assessing patients' self-care abilities and identifying deficits, empowering patients to participate in their care. Orlando's theory complements this by emphasizing the nurse's observational skills and their capacity to perceive and address unmet patient needs. By combining these theories, nurses can systematically assess self-care deficits, engage patients in their care, and respond to patients' immediate concerns, leading to a more holistic and patient-centered approach. By optimizing the quality of care through the integration of these two influential theories, nurses can better understand patients' self-care requirements and provide tailored interventions that not only address deficits but also enhance the overall well-being of patients. This approach holds the potential to improve patient outcomes, enhance patient satisfaction, and contribute to the advancement of nursing theory and practice. Further research and practical application of this integrated framework are warranted to fully explore its impact on the quality of patient care.

Improving documentation of patient progress note through role empowerment of head nurse by Orlando theory approach

This study aimed to identify the effect of role empowerment of head nurse by Orlando theory approach on the implementation of progress note documentation. This study used pilot study approach in which the research process started from developing module of role empowerment of head nurse, implementing of role empowerment of head nurse on in patient ward and then followed by evaluating head nurse competencies through the use of observation sheet and patient progress note. Pre-experiment design with one group pretest-posttest without control was used to evaluate the effectiveness of the intervention, and 115 progress notes were selected through cluster sampling technique which then analyzed by Wilcoxon, Spearman and Kruskal-Wallis test. There was a significant quality improvement of the implementation of progress note recording following the intervention of head nurses' role empowerment by Orlando theory approach (p=0.0001; α=0.025). Nurse Staff competencies in documenting progress note were improved significantly through the role empowerment of head nurse by Orlando theory approach. Development of policy, supervision, evaluation, and monitoring by nurse manager are necessary, as well as organizing a workshop on the application of head nurse's role as manager and implementation of progress note documentation.

Elective Affinities: The Harvard School at Pisa at the End of the Eighties

Elective Affinities:The Harvard School at Pisa at the End of the Eighties Sergio Casali The first book I read on Vergil was G. B. Conte's Virgilio (1984). In 1988 I was about to face the entrance examination to the Scuola Normale of Pisa, and Conte was one of the examiners; afterwards, he was my tutor both at the Normale and at the University of Pisa. What impressed me most and had a profound influence on my reading of the Aeneid were his pages on the "polycentrism that fractures the epic norm into a series of relative truths, all with their special values and points of view," to borrow words from Putnam's very positive review of Conte's book (Putnam 1987: 790). "The coexistence of the worlds of Aeneas, Dido, Turnus, Mezentius, and Juturna springs from the fact that Vergil allows each of them an autonomous, personal raison d'être which the historico-epic norm had always denied" (Conte 1986: 157 = 1984: 71). [End Page 55] Conte's pages on the polycentrism of the Aeneid were soon followed by those of Oliver Lyne on Vergil's Further Voices (1987), a book that encountered much skepticism in Italy (see especially Traina 1990), but that I found exciting and revelatory: "Further voices intrude other materials and opinions, and these may be disturbing, even shocking. Further voices add to, comment upon, question, and occasionally subvert the implications of the epic voice" (1987: 2). (I also had the opportunity of meeting Lyne during my stay at Oxford as an exchange student in 1992, and we stayed in touch until his untimely death.) The notion that through little details or through intertextuality Vergil may subvert the Augustanism of his text cohered for me with the lessons I was learning from another professor at the University of Pisa, Francesco Orlando. Orlando had developed a Freudian theory of literature where literature is seen as a form of the socially instituzionalized "return of the repressed" (see Orlando 1973 and 1982). Orlando's model of literature as a compromise-formation—that is, a semiotic manifestation that makes room, simultaneously, for two opposite meanings, which stand in an irreconcilable relationship to one another—seemed to me to adapt particularly well to what Don Fowler termed "two-voices Anglo-American Harvard and Balliol pessimism" (1989: 235). Conversations with my friend Alessandro Schiesaro, who knew Orlando's theory much better than I, helped me to verify the appropriateness of referring Orlando's ideas to the Aeneid (Schiesaro 2003: 42–43; 2008). The professor of Latin philology at the Scuola Normale was Antonio La Penna (though he did not tutor the pupils of the school). He represents a typical Italian way of reading the Aeneid as "the poem of the vanquished." In this respect, his formulations about the "inexcusability of history" (1966: lxxxiv) may recall typical Harvard-School positions; but for La Penna Vergil never manifests any covert revolt against the Augustan order, in which he has absolute faith (2005: 320). To me this seemed, and seems, way too bland an approach. When I moved more decidedly from the study of Ovid to that of Vergil (under the guidance of Alessandro Barchiesi), it was with this background that I finally encountered the Harvard-School tradition of R. A. Brooks, Adam Parry, Wendell Clausen, Michael Putnam, and Richard Thomas. Considering the early influences I have sketched above (and that of Ovid himself is to be added), it is no surprise that I found in them kindred spirits and models to imitate. Putnam and Thomas I had [End Page 56] the luck of knowing personally; both their published works and their conversation have had the greatest influence on me. Sergio Casali University of Rome "Tor Vergata" Copyright © 2017 The Classical Association of the Atlantic States, Inc.

The effect of asymmetric large-scale dissipation on energy and potential enstrophy injection in two-layer quasi-geostrophic turbulence

AbstractIn the Nastrom–Gage spectrum of atmospheric turbulence, we observe a${k}^{\ensuremath{-} 3} $energy spectrum that transitions into a${k}^{\ensuremath{-} 5/ 3} $spectrum, with increasing wavenumber$k$. The transition occurs near a transition wavenumber${k}_{t} $, located near the Rossby deformation wavenumber${k}_{R} $. The Tung–Orlando theory interprets this spectrum as a double downscale cascade of potential enstrophy and energy, from large scales to small scales, in which the downscale potential enstrophy cascade coexists with the downscale energy cascade over the same length scale range. We show that, in a temperature-forced two-layer quasi-geostrophic model, the rates with which potential enstrophy and energy are injected place the transition wavenumber${k}_{t} $near${k}_{R} $. We also show that, if the potential energy dominates the kinetic energy in the forcing range, then the Ekman term suppresses the upscale cascading potential enstrophy more than it suppresses the upscale cascading energy, a behaviour contrary to what occurs in two-dimensional turbulence. As a result, the ratio$\eta / \varepsilon $of injected potential enstrophy over injected energy, in the downscale direction, decreases, thereby tending to decrease the transition wavenumber${k}_{t} $further. Using a random Gaussian forcing model, we reach the same conclusion, under the modelling assumption that the asymmetric Ekman term predominantly suppresses the bottom layer forcing, thereby disregarding a possible entanglement between the Ekman term and the nonlinear interlayer interaction. Based on these results, we argue that the Tung–Orlando theory can account for the approximate coincidence between${k}_{t} $and${k}_{R} $. We also identify certain open questions that require further investigation via numerical simulations.

Application of a model of social information processing to nursing theory: how nurses respond to patients

This paper is a report of a study to assess the applicability of a theoretical model of social information processing in expanding a nursing theory addressing how nurses respond to patients. Nursing communication affects patient outcomes such as anxiety, adherence to treatments and satisfaction with care. Orlando's theory of nursing process describes nurses' reactions to patients' behaviour as generating a perception, thought and feeling in the nurse and then action by the nurse. A model of social information processing describes the sequential steps in the cognitive processes used to respond to social cues and may be useful in describing the nursing process. Cognitive interviews were conducted in 2006 with a convenience sample of 5 nurses in the United States of America. The data were interpreted using the Crick and Dodge model of social information processing. Themes arising from cognitive interviews validated concepts of the nursing theory and the constructs of the model of social information processing. The interviews revealed that the support of peers was an additional construct involved in the development of communication skills, creation of a database and enhancement of self-efficacy. Models of social information processing enhance understanding of the process of how nurses respond to patients and further develop nursing theories further. In combination, the theories are useful in developing research into nurse-patient communication. Future research based on the expansion of nursing theory may identify effective and culturally appropriate nurse response patterns to specific patient interactions with implications for nursing care and patient outcomes.

Orlando's deliberative nursing process theory: a practice application in an extended care facility.

Ida J. Orlando was one of the first nursing theorists to write about the nursing process based on her own research. Her Deliberative Nursing Process Theory focuses on the interaction between the nurse and patient, perception validation, and the use of the nursing process to produce positive outcomes or patient improvement. Orlando's key focus was to define the function of nursing. This author's purpose is to acquaint nurses with Orlando's theory and to encourage the use of the deliberative process to bring about patient improvement. This article provides an analysis of Orlando's theory and a demonstration of its successful use in clinical practice in an extended care setting.

Analysis of Orlando theory applied in the Brasiliens' nursing magazins

A aplicabilidade de uma teoria de enfermagem permite explicitar os propósitos, contextos, variáveis, explicações teóricas, evidência empírica e a utilização de novas abordagens na prática de enfermagem que determinam a natureza dos seus elementos descritivos. Assim, após identificar em artigos científicos de periódicos brasileiros de enfermagem que utilizaram a teoria de Orlando, buscou-se à luz do Modelo de Chinn e Krammer, verificar sua aplicabilidade. Estudo do tipo descritivo e exploratório. Explorou-se em Banco de dados, via on-line, os periódicos brasileiros de circulação nacional A e B, encontrando um artigo que foi tratado qualitativamente, e analisado em 5 categorias para extrair a essência dos elementos indicados pelo modelo de análise escolhido. As inferências incidiram sobre o conteúdo, permitindo reunir um rico material sobre a aplicabilidade da teoria de Orlando otimizada pela assistência de enfermagem prestada em uma situação específica a clientes que enfrentam cancelamento de cirurgia.

Barriers to effective screening for domestic violence by registered nurses in the emergency department.

Triage nurses in the emergency department are in a unique position to screen for domestic violence. This study, using Orlando's theory with a focus on two of her five major concepts, identifies barriers that prevent effective screening for domestic violence. A quantitative survey was distributed to 101 registered nurses employed in a large emergency department. Results identified three major barriers and a relationship between age and inservice attendance on domestic violence. Education on abuse and resources should be essential in nursing school curricula. Policy development and review should be part of an annual, mandatory inservice for all emergency nurses.

Action process of nurse administrators to problematic situations based on Orlando's theory

This study used Orlando's theory to investigate the action process of nurse administrators to realistic hypothetical situations presented to them by their staff. Ninety subjects recorded their thoughts, feelings and actions in response to six problematic situations. Findings indicated the administrators' first thought was seldom about their staff's reaction to the situation. Most experienced negative feelings about the staff member or about other people associated with the situation which were not expressed. The majority of administrators would handle the situation alone or tell the nurse what to do; less than half would ask their staff a question. The conclusion was that subjects did not consider situations as problematic.

Problematic situations in nursing: analysis of Orlando's theory based on Dewey's theory of inquiry.

Orlando's theory, proposed as a framework to use in problematic situations, was analysed using Dewey's theory of inquiry. This analysis revealed that Orlando's concepts are remarkably similar to those of Dewey. Each used an organizing principle that was derived from the meaning of experience and both view investigation as a serial process using facts and ideas to determine the problem and its solution. Several areas in Orlando's work could be enhanced and extended through the formulations of Dewey. The analysis supports the use of Orlando's theory in problematic situations.

Analysing managerial responses in face-to-face contacts.

Executive nurse managers, as well as other nurse managers, spend much time responding verbally to people. Whether or not their responses are effective in these situations remains an unexplored area in nursing administration. The author describes a research-based framework to analyse managerial actions. Five types of actions, three non-exploratory and two exploratory, were identified through previous research using Orlando's theory as the framework. Subsequent research suggests nurses prefer that their managers use exploratory action. The article contains discussion on how specific types of actions facilitate or thwart problem identification.

Putting Orlando's Theory into Practice

Putting Orlando's Theory into Practice