The Grand Theory Of Care And Its Using In Patient Care - Essay Example

 The Grand Theory Of Care And Its Using In Patient Care Introduction A number of nursing theories have been developed to guide the entire nursing practice and guide the action of nurses in different conditions within the workplace. From jean Watson to Lydia Hall, a number of theorists have participated and continue to participate in the development of theories that guide the entire profession of nursing. In this paper, a literature of review of the grand theory of care, cure and core developed by Lydia Hall will be done. This theory was made up of three interconnected circles that included the core, care and cure values and principles applied in patient care and treatment. In the core circle is the patient who is under the nursing care and receiving treatments within the treatment center. Due to her independence and liberty, the core sets his or her personal goals and thus behaves in line with such goals. Literature review According to McCrae (227), patients are made of different overlapping parts that are brought together into one common aspect by the attitude, skills and experience of nurses. The personality of the patient defined the approach adopted by the nurses in caring for them as attitude play an important role in the process of caring for patients generally. The pathologic state determined the treatment approach adopted and the number of healthcare professionals engaged in the process of providing the same (McCrae 225). McCrae also attributed proper services such as bathing, toileting, moving, dressing and undressing among others are all included in the caring role of nurses to this theory. Whenever the core is not in a place to provide care to them, it is incumbent upon the nurses to provide the same through closeness and interpersonal relationship that eliminates the feeling of loneliness. McCrae (222), approaches the 3C theory from its three major concepts which are care, core and cure whose interaction ensure that a patient’s medical state is improved. As has been noted, the nurses must endeavor to improve the care process for the overlapping to be complete and the theory to work fully. Apart from the care part of the theory, there are also the core and the cure that are needed and applied in the process of caring for the patient and improving their physical and mental states. The cure element of the theory is multidisciplinary and shared among different health professionals within the care center. Bjork (2336) states that despite the comfort provided by the nurse through the care circle, the psychological and physical being of the same person is enhanced to aptly respond to medication and the treatment provided. However, the provision of intimate bodily care cannot be provided by anyone as has always been the perception based on Hall’s statement and warning when he noted that a distinction must be made between trade and profession (Bjørk 2337). During the application of this aspect of the theory, Bjork credits nurturing to the modification done to eliminate the overlap that affects its essence in practice. In this situation, the nurse assists the doctors and the physicians to take care of the patient through the provision of care and during the treatment process. In this aspect of the theory, the nurse can also assist the patient follow the medical, surgical and rehabilitative instructions and medication. Due to the changes in the healthcare profession, Bjørk (2337) argues that the nursing profession is currently witnessing a change towards a more medical care based practice as opposed to mere care provision. As part of the core aspect of the theory, Wu & Volker (2730) attributes the development of proper and working relationship with the patient is adapted to an alternative therapeutic approach. In this area, emphasis is placed on the benefits of using social, emotional, spiritual and intellectual relationship to get closer to the patient and understand their needs. The knowledge that was instrumental in the development of this aspect is more social science based as opposed to nursing application as understanding the inner needs of the patient can be helpful in eliminating the physical pain and increase the chances of therapeutic success (Idrees 23). Based on interpersonal aspect of core, getting a patient to understand himself or herself is essential in the process of developing psychological treatment and eliminating the physical pain. As a result, Hall proposed the concept of nursing with the patient instead of nursing the patient, a process that requires the understanding the patient’s core (Idrees 23). To remain relevant and essential in hospitals and service provision process, Idrees (23) states that nurses must integrate the three elements of this theory and understand their distinct position in the face of the emerging medical challenges and pressures. For example, a cancer patient in a cancer nursing home has the right to the 3C developed by Hall and a nurse must understand his/her care role before having access to the same patient. While the oncologists and the physicians will provide the cure portion of the 3C, the nurse services will be needed during this time to enable her understand the role she will play during the care stage. According to Im & Ju Chang (158), the grand theory of care, core and cure by Hill was developed with a number of underlying assumptions and generalizations, which have enabled it to be applied across the nursing profession. In this interrelationship, nursing is the primary role of nurses while the remaining two are shared with other members of the healthcare professional team. . Second, care is developed in order to achieve a certain level of interpersonal relationship, which forms the elemental core of patient care and treatment. Through the development of a relationship with the patient, nurses have an opportunity to implement a non-science base therapeutic approach influenced by the core that is developed. As a result, the final assumption made on this theory is that the process of caring for a patient is multidisciplinary with the nurses having a core role of providing care while collaborating with other members of the facility to provide core and cure. According to Hill, person is the client or the patient that the fraternity is expected to provide care and cure for (Im & Ju Chang 158). The client has different elements that must be addressed during his stay in the facility which include the body, the pathology and the person. Different professional within the hospital setup including the nurses, surgeons and general physicians addresses pathology. According to Hall, nurses must understand the goals and desires of the patients as people are fond of setting them up in the process of treatment. Summary As a patient with a medical condition, full recovery remain the primary goal and an environment must be provided that enables this to be achieved. Hall argues that the cure and care are the elements of the environment that are essential in enabling patients achieve their goals. As a caregiver, the nurse must understand the needs of the patient and the special situation that the patient faces based on the core element. An environment must thus be created that enhances the patient’s wellbeing and responsiveness to the therapeutic approach adopted. As a nurse, Hall’s theory will be critical in enabling me to meet the needs of the clients by interlocking the three elements of the theory. Understanding the needs of the patient and the environment of treatment will be instrumental in the provision of care, understanding the patient’s core and applying my knowledge during cure. However, a number of challenges due to the changing economic situations that may affect its success negatively have affected the application of Hall’s theory in modern day nursing practice. Works Cited Bjørk, Ida. From theoretical model to practical use: an example of knowledge translation. Journal of Advanced Nursing, 69.10(2013), 2336-2347. doi:10.1111/jan.12091 Idrees, Sobia. Clinical Application of Nursing Theory into Practice. Journal on Nursing, 4.1(2014), 23. Im, Eun-Ok & Ju Chang. Current Trends in Nursing Theories. Journal of Nursing Scholarship, 44.2(2012), 156-164. doi:10.1111/j.1547-5069.2012.01440.x McCrae, Nial. Whither Nursing Models? The value of nursing theory in the context of evidence-based practice and multidisciplinary health care. Journal of Advanced Nursing, 68.1(2012), 222-229. doi:10.1111/j.1365-2648.2011.05821.x Wu, Hun & Volker, Deborah. The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing, 65.12(2009), 2719-2732. doi:10.1111/j.1365-2648.2009.05157.x Read More