This highlights the theory of Lydia Hall's Core, Care, Cure theory. With its definitions, strengths, weaknesses, metaparadigm, theory analysis, importance and application.
BIOGRAPHY
1927 1932 19421945
Born in New York
City on
September
21,1906 as Lydia
Eloise Williams
The eldest child of
Louis V. Williams
and Anna
Ketterman Williams
and was named
after her maternal
grandmother
Graduated at
York Hospital
School of Nursing
in Pennsylvania
Bachelors of Science
in Public Health
Nursing
Masters Degree
in teaching
Natural Sciences,
Columbia
University
Married to Reginal
A. Hall
Died February 27,
1969 of heart
disease in
Queens Hospital
of New York
3.
CAREER AND APPOINMENTS
1935-1940
Workat New
York Heart
Association
1941-1947
Staff nurse at
the Visiting
Nurses
Association of
New York
1950
Professor at
Teacher’s
College at
Columbia
1957-1962
Founder and
first Director of
Loeb Center
4.
AWARDS AND HONORS
Receivedthe
Teacher’s
College
Nursing
Education
Alumni
1967
Inducted into
the American
Nurses
Association
(ANA) Hall of
Fame
1984
Association
(TCNEAA)
Achievement
in Nursing
Practice Award
Nursing Hall of
Fame inductee
CORE
The Person
Therapeutic
use ofself
The Core of nursing focuses on the
recipient of care—who can be an individual,
family or community. The core of nursing
encompasses various fields of study, including
the biological, social and behavioral sciences
and humanities (Pearson, 2007). It is the
application of social sciences that focuses on
the personal knowing, therapeutic use of self
(Octaviano & Balita, 2008; Tomey & Alligood,
CARE
The Body
Intimate bodily
care
Hall’sCare pertains to the knowledge
and activities of nursing (Pearson, 2007).
The Body, from the inference of phenomena of
natural and biological sciences, concerns the
intimate bodily care (Tomey & Alligood, 2002).
Nursing is required when people are not
capable of performing intimate bodily care for
themselves (Parker, 2001). Nursing care is the
focus of the Care Model of Hall.
CURE
The
Disease
Seeing the patientand
family through medical
care
Cure involves the pathological and
therapeutic sciences, focusing on the patient
and family through the medical care (Tomey &
Alligood, 2002). Cure provides the treatment of
the disease by utilizing the nursing process in
conjunction with medicine (Pearson, 2007;
Parker, 2001). Cure is the medical side in the
care of patients.
13.
3
The three aspects
interact,and the
circles
representing them
change the size,
depending on the
patient’s total
course of progress.
2
The three aspects
of nursing should
not be viewed as
functioning
independently but
as interrelated.
ASSUMPTIONS
on and
essary
exist
atient
in the
team.
14.
STRENGTHS
Lydia Hall’s modelappears to
be completely and simply
logical. Her work may be
viewed as the philosophy of
nursing.
The three Cs (care, core, and
cure) in this theory were
unique. In all the model
circles, the nurse is present,
although the nurse’s focus is
on the care circle.
15.
WEAKNESSES
Lydia Hall’s modelis considered to be plain
and simple in its presentation. However,
the receptiveness and resilience necessary
for its utilization and function may not be
so simple for nurses whose personality,
educational preparation, and experience
have not prepared them to function with
minimal structure. This and the self-
imposed age and illness requirements
limit the generalizability.
The age requirement for applying her
theory 16 years of age and above limits
the theory since it cannot be disregarded
that nurses are faced with pediatric clients
now and then.
16.
METAPARADIGM
INDIVIDUAL
The individual humanwho 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. 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.
Nursing is identified as
participating in the care, core,
and cure aspects of patient
care.
NURSING
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. 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
17.
ACCEPTANCE BY THE
NURSINGCOMMUNITY
PRACTICE
EDUCATIO
N
RESEARC
H
Hall’s guiding philosophy
belief that during the
rehabilitation phase of an
illness experience,
professional nurses where
the best prepared to
foster the rehabilitation
process.
Hall’s theory supports the model of
primary care nursing and delineates
definite ideas on the professional
nursing practice and education in terms
of screening, monitoring and evaluating
The findings of several
studies in nurse-led units
lend further support to the
benefit of the structure to
the patient outcomes,
including prevention of
complication.
18.
THEORY ANALYSIS
CLARITY
SIMPLICITY
ACCESSIBILITY
GENERALIT
Y
The termsHall used in her study
are define precisely. The concept of
the theory is consistent with
nursing philosophy and the
terminologist of the theory are
congruent all throughout.
There are few concept, and
relational statements flow logically
from the definition. The model
clearly demonstrates the aspects
care, core and cure and the manner
in which these elements
interrelated.
The model continues to evolve
through planned programs of
research. Continued empirical
research, especially intervention
and evidence-based studies.
In this theory, acute stage patients
are not included and it is only
appreciable to adult patients. The
individual must pass an acute stage
of illness to successfully apply her
theory, in conclusion the theory
relates only to those who are ill.
IMPORTANCE
The concepts ofnurses
being accountable and
responsible for their own
practice and pertinent and
applicable with focus on
personalized nursing care
rather than merely routine
care.
CONCLUSION
Lydia Hall usedher knowledge of
psychiatry and nursing experiences in the
Loeb Center as a framework for formulating
the Care, Core, and Cure Theory. Her model
contains three independent but
interconnected circles. The three circles are
the core, the care, and the cure.
The core is the patient. The cure
refers to the medical and nursing
interventions, and the care is the nurturing
provided by nurses. Nursing functions in all
three of the circles but shares them to
28.
CASE STUDY
Mrs. Thompsonpresented
with a history of heart failure,
diabetes, and chronic pain.
Additionally, she was coping with
the recent loss of her spouse,
leading to heightened emotional
distress and exacerbation of her
medical conditions. Mrs.
Thompson's complex health status
required a nuanced approach to
address both her physical and
emotional well-being.
29.
APPLICATION O F
Thenursing team, following the principles of
the 3C's model, initiated a holistic care plan for Mrs.
Thompson. Care was provided by acknowledging and
addressing her emotional needs related to grief and
loss. Therapeutic communication techniques were
employed to create a supportive environment,
allowing Mrs. Thompson to express her feelings and
concerns. The nursing staff also collaborated with
mental health professionals to provide additional
emotional support and counseling. Care extended
beyond the traditional medical model to encompass
the nurturing dimensions of Mrs. Thompson's overall
well-being.
CARE
30.
APPLICATION O F
Concurrently,the medical team
focused on the Cure component of the 3C's
model. Evidence-based medical
interventions were employed to manage
Mrs. Thompson's heart failure and
diabetes. Medications were adjusted, and a
comprehensive treatment plan was
developed to address her chronic pain. The
Cure aspect emphasized the importance of
medical and therapeutic interventions to
stabilize Mrs. Thompson's physiological
conditions.
CURE
31.
APPLICATION O F
RecognizingMrs. Thompson as an
individual with unique experiences, values, and
preferences, the nursing team incorporated the
Core aspect of the 3C's model into her care
plan. They engaged in shared decision-making,
considering Mrs. Thompson's input in the
development of her care goals. Cultural
competence was maintained throughout,
ensuring that the care provided respected her
individual beliefs and background. The Core
aspect of the model facilitated a patient-
centered approach that empowered Mrs.
CORE
32.
The application ofLydia Hall's 3C's
model in Mrs. Thompson's case resulted
in positive outcomes. Her emotional well-
being improved as she felt supported and
heard, leading to a more collaborative
engagement in her medical care.
Physiologically, Mrs. Thompson's
conditions stabilized with the coordinated
efforts of the nursing and medical teams.
The holistic approach, encompassing
Care, Cure, and Core, contributed to a
more balanced and harmonious state for
OUTCOMES
REFLECTION
and
33.
CONCLUSION
Mrs. Thompson's case
exemplifiesthe effectiveness of Lydia
Hall's 3C's model in addressing the
complex needs of patients. By
recognizing the interplay of
emotional, medical, and individual
factors, the nursing team provided a
holistic and patient-centered
approach to care. This case study
underscores the enduring relevance
of the 3C's model in guiding nurses to
restore harmony and well-being in the