Lydia Hall<br />Basic nursing education in 1972<br />Bachelors in Public Health Nursing in 1973<br />Masters in teaching Natural Sciences in 1942<br />First director of Loeb Center for Nursing<br />Nursing experience in clinical, education, research and supervisor role<br />Nursing Philosophy based on patient care<br />
Theory Overview<br />Theory developed in late 1960’s<br />Nursing care can be delivered on three interlocking levels<br />
Theory continued<br />Patient care only from trained nurses<br />Defines nursing as care performed by a professional<br />Care focused on individuals, families and communities<br />Care focused on maintaining optimal health and quality life from birth to end of life<br />
Care <br />Nurturing component of care and is exclusive to nursing <br />“mothering” (care and comfort of the person)<br />Provides teaching and learning activities<br />Nurses goal is to give “care” and “comfort” to the patient<br />Nurse provides bodily care for the patient<br />Patient may explore and share feelings with the nurse<br />When functioning in the care circle, the nurse applies knowledge of the natural and biological sciences.<br />The patient views the nurse as a potential comforter, one who provides care and comfort through the laying of hands.<br />
Core <br />Patient care is based on social sciences<br />Involves the use of therapeutic use of self, and is shared with other members of the team<br />By developing an interpersonal relationship with the patient, the nurse is able to help the patient verbally express feelings regarding the disease process and its effects.<br />Patient is able to gain self-identity and further develop maturity.<br />Patient is able to make conscious decisions<br />
Cure <br />Care based on pathological and therapeutic sciences<br />Nurse helps patient through the medical, surgical and rehabilitative prescriptions made by the physician<br /> The cure aspect is different from the care circle because many of the nurse’s actions take on a negative quality of avoidance of pain rather than a positive quality of comforting.<br />Nurses role changes to positive quality to negative quality. <br />
Interaction of All Three Aspects<br />Emphasis placed on the importance of total person.<br />Importance placed on all three aspects functioning together<br />All three aspects interact and change in size<br />Size of the circles represents the degree to which the patient is progressing.<br />
Hall’s Nursing’s MetaparadigmIndividual<br />Human who is 16 years older and past the acute stage of long-term illness is the focus of nursing care in Hall’s work.<br />Hall emphasizes the importance of an individual as unique, capable of growth and learning, and requiring a total person approach.<br />
Health <br />Inferred to be a state of self-awareness with conscious selection of behaviors.<br />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.<br />
Nursing<br />Identified as consisting participation in the care, core, and cure aspects of patient care.<br />Care is the sole function of nurses.<br />Major purpose of care is to achieve an interpersonal relationship with the individual.<br />
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