Lydia Eloise Hall Nursing Theory

   "Care,Core, Cure Model"

Biography

             Lydia Eloise Hall, nursing theorist of the Care, Cure, Core model of nursing was born in New York City on September 21, 1906 and grew up in Pennsylvania. 

 Education:

Lydia Hall graduated at York Hospital School of Nursing on1927, Bachelors in Public Health Nursing on 1932, and earns a Master of Arts degree in 1942 at Teacher’s College, Columbia University. 

 More About Lydia Hall:

She was an innovator, motivator, and mentor to nurses in all phases of their careers, and advocate for the chronically ill patient. She promoted involvement of the community in health-care issues. She derived from her knowledge of psychiatry and nursing experiences in the Lobe Center the framework she used in formulating her theory of nursing. These experiences might have given her insight in on the distinct roles of nurses in providing care for the patients and how the nurses can be of utmost importance in caring for these patients.

 

Assumptions:

Core, Care and Cure Model

• The client is composed of the ff. overlapping parts: person (core), pathological state and treatment (cure) and body (care).
• Introduced the model of Nursing: What Is It? Focusing on the notion that centers around three components of Care, Core and Cure.
• Care represents nurturer and is exclusive to nursing. Core involves the therapeutic use of self and emphasizes the use of reflection. Cure focuses on nursing related to the physician’s orders. Core and cure are shared with the other health care providers.
• The major purpose of care is to achieve an interpersonal relationship with the individual that will facilitate the development of the core.

 Awards And Recognition:

She held a bachelor of science degree in public health nursing and a master of arts degree from Teachers College. In 1967, she received the Teachers College Nursing Education Alumni Association Achievement in Nursing Practice Award.

 Publications:

Lydia Eloise Hall 1906-1969

Core, Care, and Cure Model

Hall, L. E. (1963). Center for nursing.

Nursing Outlook, 11

(11)

,

804-806.Henderson, C. (1964). Can nursing care hasten recovery?

American Journal of Nursing,64 

(6), 80-83.Isler, C. (1964). New concepts in nursing theory: More care as the patient improves.

RN,27 

(6), 58-70

  

Concepts:  

The "Core, Care, and Cure" Theory was developed in the late 1960's.  She postulated that individuals could be conceptualized in three separate domains: the body (care), the illness, (cure), and the person (core).

Hall believed patients should receive care ONLY from professional nurses. Nursing involves interacting with a patient in a complex process of teaching and learning. Hall was not pleased with the concept of team nursing--she said that "any career that is defined around the work that has to be done, and how it is divided to get it done, is a "trade" (rather than a profession).

Nursing functions in all three of the circles (core, care, and cure) but shares them to different degrees with other disciplines. For example, the nurse's function in the cure circle is limited to helping patients/families deal with the measures instituted by the physician. She felt that the care circle was exclusive to nursing. The core circle was shared with social workers, psychologists, clergy, etc.

Person

• Client is composed of body, pathology, and person. People set their own goals and are capable of learning and growing.

Environment

• Should facilitate achievement of the client’s personal goals.

Health

• Development of a mature self-identity that assists in the conscious selection of actions that facilitate growth.

Nursing

• Caring is the nurse’s primary function. Professional nursing is most important during the recuperative period. 

Assumptions:

• Nursing is participation in care, core and cure aspects of patient care, where CARE is the sole function of nurses, whereas the CORE and CURE are shared with other members of the health team.
• The major purpose of care is to achieve an interpersonal relationship with the individual that will facilitate the development of the core.

Theoretical Assertion: 

Lydia Hall (1906-1969), as described by Parker, argued for the value of professional nursing to the patient's welfare. She was convinced that patient outcomes are improved by direct care as given by the professional nurse. She stood against the turning over of care when a patient is stabilized to practical nurses and argued against the concept of team nursing. She saw nursing as interacting with the person, called "the core," the body, called "the care," and the disease, called "the cure."

Application:

Nursing functions in all three of the circles (core, care, and cure) but shares them to different degrees with other disciplines. For example, the nurse's function in the cure circle is limited to helping patients/families deal with the measures instituted by the physician. She felt that the care circle was exclusive to nursing. The core circle was shared with social workers, psychologists, clergy, etc.

Created by: Charlie Sun.