lydia E Hall nursing theory for BSn and Post Rn.pptx

Nursing theories

1. Lydia E Hall Presented by : Misbah K hokhar Khadija Farhan A li

2. Objectives After this session the students will be able to : Discuss brief background of L ydia E Hall. Explain major concepts of her theory. Discuss assumptions of the theory. Describe nursing paradigm of the theory. Discuss some of the strength and weakness of her theory.

3. Background Lydia E Hall was born in new York city on September 21, 1906. Basic nursing education in 1927, bachelors in public health nursing in 1937. Received a masters degree in the teaching of natural life sciences from Columbia in 1942. First director of Loeb center for nursing. Nursing experience in clinical education, research and supervisor role.

4. Theory overview Theory developed in late 1960s Nursing care can be delivered in three interlocking levels. Three Cs of Lydia Hall Cure = disease Care =body Core = patient

5. Theory overview Halls theory has three components which are represented by three interconnected circles. The three circles are ; the core , the cure and the care. The size of each circle constantly varies and depends on the state of the patient. Defined nursing as care performed by the trained nurses.

6. Care focused on maintaining optimal health and quality life from birth to end of life. Caring is ongoing matrix of learning and teaching.

7. 3 Aspects Care : (intimate bodily care aspect of Nursing) suggests ‘hands on”, intimate bodily care of the patient . Cure : (medical care aspect of Nursing) These involves medication administration and treatments . Core : (therapeutic use of self- aspect of Nursing) Involves the therapeutic use of self in communicating with the patient.

8. Sub concepts The care: Nurturing component of care and is exclusive to nursing. Motherly care and comfort of patients. Provides teaching and learning activities. Nurses goal is to give care and comfort to the patients.

9. Patient may explore and share feelings with the nurse.

10. The core: Patient care is based on social sciences. Involves therapeutic use of self and is shared with other team members. By developing interpersonal relationships with patient, the nurse is able to help the patient verbally express feelings regarding the disease process and its effects.

11. Patient is able to gain self identity and further develop maturity. Patient is able to gain self-identity and further develop maturity. Patient is able to make conscious decision.

12. The cure : Cure is based on pathological and therapeutic sciences. Nurses assisting the doctors in performing different procedures. Nurse is patient advocate in this circle.

13. Examples: In the care phase, the nurse gives hands-on bodily care to the patient in relation to the activities of daily living such as toileting and bathing. In the cure phase , the nurse applies medical knowledge to treatment of the person. In the core phase, the nurse addresses the social and emotional needs of the patient for effective communication and a comfortable environment.

14. Assumptions: Hall’s Care, Cure, Core Theory assumptions are as follows: ( 1) The motivation and energy necessary for healing exist within the patient rather than in the healthcare team. ( 2) The three aspects of nursing should not be viewed as functioning independently but as interrelated and lastly , (3) The three aspects interact, and the circles representing them change the size, depending on the patient’s total course of progress.

15. Major Concepts of Care, Core, Cure : The following the major concepts of Lydia Hall’s Care, Core, Cure nursing theory, including their definitions. Individual: The individual human who is 16 years of age or older and past the acute stage of long-term illness focuses on nursing care in Hall’s work. The source of energy and motivation for healing is the individual care recipient, not the health care provider. Hall emphasizes the individual’s importance as unique, capable of growth and learning, and requiring a total person approach.

16. Health: Health can be inferred as a state of self-awareness with a conscious selection of optimal behaviors for that individual. Hall stresses the need to help the person explore the meaning of his or her behavior to identify and overcome problems through developing self-identity and maturity.

17. Society and Environment: The concept of society or environment is dealt with concerning the individual. Hall is credited with developing Loeb Center’s concept because she assumed that the hospital environment during treatment of acute illness creates a difficult psychological experience for the ill individual.

18. Loeb Center focuses on providing an environment that is conducive to self-development. In such a setting, the focus of the nurses’ action is the individual. Any actions taken concerning society or the environment are to assist the individual in attaining a personal goal.

19. Nursing: Nursing is identified as participating in the care, core, and cure aspects of patient care.

20. Strengths: The use of the terms care , core , and cure are unique to hall. Hall's work appears to be completely and simple logical. In all the circles of the model, the nurse is present, although focus of the nurse's role is on the care circle.

21. Weaknesses: acute stage patient are not included. only applicable to adult patient. Family mentioned only in cure circle. Only to those who are ill

22. APPLICATION: This theory is applicable in Assessment ,planning and implementation of the patient care In geriatric nursing In operation room In critical care unit

23. References: Alligood , M & tomey , A. (2010).Nursing theorists and their work, seveth edition ( no ed ). Maryland Heights : M osby Elsevier George , J.B Nursing Theories :The base for Professional Nursing Practice ; 2000