An Interactionist's Approach to Perioperative Nursing

Abstract

Most nurse-patient interactions in the OR are of short duration; therefore, formulating appropriate care plans for accurate patient assessments is paramount. Observations of a patient's behavior without a deliberative exploration to disclose the behavioral meanings can lead to erroneous nursing diagnoses and interventions. A perioperative nurse who uses the theoretical approach developed by Ida Jean Orlando, RN, MA, will be able to identify the patient's covert needs, thereby providing timely, therapeutic nursing interventions. The article presents a perioperative clinical situation analyzed through Orlando's interactional framework, demonstrating the theory's beneficial impact on patient outcomes.

Trust and Nursing

“…Through her 4 phases of health: (1) orientation, (2) identification, (3) exploitation, and (4) resolution, Hildegard Peplau's Interpersonal Theory encouraged nurses to leverage the interpersonal nature of nursing care to empower patient recognition of their individual capacity to cope with the goal of prevention and an improved state of health 6. Ida Jean Orlando's Nursing Process Theory also focuses on nursing's close interpersonal relationship with patients by creating a framework for deliberatively developing and evaluating nursing observations and patient partnerships while facilitating the regular and purposeful exchange of perceptions, thoughts, and feelings 7. Marilyn Ray's Theory of Bureaucratic Caring expands on foundational theories and incorporates consideration for explicate and implicate orders, the interplay of political, economic, legal, technological, educational, and sociocultural parts in the organization (the explicate order) and spiritual-ethical caring (the implicate order) that shape the agency and effectiveness of nurses and care practices.…”