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Orlando’s Theory of the Deliberative Nursing Process

Contributor: Jacqueline Fawcett
September 8, 2018

View FITNE Video Interview of Ida Jean Orlando Pelletier
by Jacqueline Fawcett

Author – Ida Jean Orlando Pelletier, RN, BS, MA

Year First Published – 1961
Major Concepts






A middle range predictive theory

Brief Description

“Orlando’s work . . . focuses exclusively on the interpersonal process between people and is directed toward facilitating identification of the nature of patients’ distress and their immediate needs for help by means of a deliberative nursing process.” The goal of nursing is to help the patient toward improvement. (Fawcett, J., & DeSanto-Madeya, S. (2013). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories (3rd ed., p 362). Philadelphia, PA: F. A. Davis.)

Primary Sources

Orlando, I. J. (1961). The dynamic nurse patient relationship. Function, process and principles. New York, NY: G. P. Putnam’s Sons. [Reprinted 1990. New York: National League for Nursing.]

A personal note: Dr. Jacqueline Fawcett used this textbook while an undergraduate student at Boston University School of Nursing (1960-1964), when considerable emphasis was placed on nurse-patient relationships through several semesters of required interpersonal relationships seminars.

Orlando, I. J. (1962). Function, process and principles of professional nursing practice. In Integration of mental health concepts with the human relations professions (pp. 87–106). New York, NY: Bank Street College of Education.

Orlando, I. J. (1972). The discipline and teaching of nursing process. New York, NY: G .P. Putnam’s Sons.

Orlando, I.J. & Dugan, A.B. (1989). Independent and dependent paths: The fundamental issue for the nursing profession. Nursing and Health Care, 10, 76–80.

Pelletier, I. O. (1963). Behind the theory of nursing practice. [Interview with Ida
Orlando Pelletier by the staff of the American Journal of Nursing.] American Journal of Nursing, 63(8), 54.

Pelletier, I. O. (1967). The patient’s predicament and nursing function. Psychiatric Opinion, 4(1), 25–30.


Ida Jean Orlando Pelletier (1926-2007)



(From and Peden, A. R., Stalla, J., Rittman, M., & Gullett, D. L. (2015). Nurse-patient relationship theories: Part Three: Ida Jean Orlando’s dynamic nurse-patient-relationship. In M. Smith & M. E. Parker (Eds.). Nursing theories and nursing practice (3rd ed., pp. 82-86). Philadelphia, PA: F. A. Davis.)

1988 Video Interview of Ida Jean Orlando Pelletier by Jacqueline Fawcett

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