Theoretical Framework of Nursing

Jaypee T. Sidon, R.N.

THEORY

A theory refers to a coherent group of general prepositions used as principles

of explanation

OrA set of statements or principles devised

to explain a group of facts or phenomena, especially one that has been repeatedly tested or is widely accepted and can be used to make

predictions about natural phenomena.

NURSING THEORY NURSING theory is the set of

concepts,definitions,relationships

and assumptions or prepositions

derived from nursing models or other disiplines and project a

purposive,systematic view of phenomena by designing

specific interrelationship among concepts

for the purpose of describing,explaining,predicting

or prescribing.

Lydia E. Hall

(1906 - 1969)

History

Lydia Hall began her prestigious career in nursing as a graduate of the York Hospital School of Nursing in York, Pennsylvania.

She earned B.S. and M.A. degrees from Teachers College, Columbia University, in New York.

Had faculty position at the York Hospital School of Nursing and Fordham Hospital School of Nursing

Became consultant in Nursing Education to the Nursing Faculty at the State University of New York, Upstate Medical Center. She also was an instructor of nursing education at Teachers College.

Born in New York City on September 21, 1906.

Career Interests: Public Health Nursing,

cardiovascular nursing, pediatric

cardiology and nursing of long term

illness.

Authored 21 publications and the bulk of the articles

and addresses regarding her nursing theory were published

in in the early to middle 1960s. .

she received the award for Distinguished Achievement

in Nursing Practice from

Columbia University.

In the 1967

Greatest Achievements:

Hall design and develop Loeb Center for Nursing at Montefiore Hospital in New York City and apply her theory to nursing practice. Opened at January 1963. A 80 bed capacity for persons aged 16 years or older who were no longer having acute biological disturbances. Patients were recommended by their physicians and had favourable potential for recovery and subsequent return to their community. Hall served as administrative director of the Loeb Center for Nursing for from its opening until her death in February 1969.

PRESENTATION OF THEORY

THE CARE

THE CORE

THE CURE

Care Circle

THE CARE

Care

Nurturing component of careIt is exclusive to nursing“Mothering”Provides teaching and learning

activitiesNurses goal is to “comfort” the

patientPatient may explore and share

feelings with nurse

Nurse is concerned with intimate bodily care

Nurse applies knowledge of natuaral and biological sciences

Nurse act as potential comforter

INTERPERSONAL RELATIONSHIP

EXPLORATION OF FEELINGS

CORE CIRCLE

THE CORE

Core

Patient care is based on social sciencesTherapeutic use of selfHelps patient learn their role is in the

healing processPatient is able to maintain who they arePatient able to develop a maturity level

when nurse listens to them and acts as sounding board

Patient able to make informed decisions

Emphasis on social,emotional,spiritual and intellectual needs

Patient makes more rapid progress towards recovery and rehabilitation INTERPERSONAL PROCESS

UNDERSTANDING THEMSELVES

PROBLEM FOCUSSING AND PROBLEM SOLVING

CURE CIRCLE

THE CURE

CureCare based on pathological and therapeutic

sciencesApplication of medical knowledge by

nursesNurse assisting the doctor in performing

tasksNurse is patient advocate in this areaNurse is a patient advocateNurses role changes from positive quality

to negative qualityMedical surgical and rehabilitative careCOPERATE WITH FAMILIES OR CARE GIVERS

Interaction All Three Aspects

THE CORE

THE CARE THE CURE

Emphasis placed on the importance of total person

Importance placed on all three aspects functioning together

All three aspects interact and change in size

HALLS THEORY AND NURSING PARADIGMS

INDIVIDUAL HEALTH ENVIRONMENT NURSING

Limitations:Hall’s theory of nursing has a limited generality.

The function of the nurse in preventive health care and health maintenance is not addressed nor is the nurses’ role in the community health, even though the model could be adapted.

Hall viewed the role of nurses as heavily involved in the care and core aspects of patient care.

The only communication technique Hall described in her theory as means to assist patient to self awareness was reflection.

SUMMARY

THEORYNURSING THEORYLYDIA HALLS THEORYCARECORECUREPARADIGMSLIMITATIONS

THANK YOU FOR LISTENING!!

THE END