Paradigm shifters in Nursing

1
Paradigm shifters in Nursing

• Tommy Hartono
• Chris Fernandez
• Danielle Lahaie

Jenna Callaway Kevin Weimer Tara Melborne-Cruz
and Cathie Rohleder.
2
Lydia Eloise Hall (1906-1969)

• Developed the Care, Core, and Cure Model
• Rehabilitation Nurse
• Encouraged open communication between nurse and
  patient
• Inducted to the ANA Hall of Fame in 1984

3
Care, Core, and Cure

• Caring is the essential framework of nursing and
  is the nurses primary function.
• Clients needs classified into three basic
  domains
• The body (Care)
• The person (Core)
• The illness (Cure)
• Improved awareness of the importance of disease
  management and improved quality of life

4
Care, Cure, and Core (cont)
The Care, Cure, Core Theory was developed in the
late 1960's. 

• Care
• Hands on care to patients (assistance in
  bathing, dressing, daily activities, etc)
• Produces an environment of comfort and trust
• Cure
• Physical assessments and care management plans
  for patients
• Teaching to increase patients understanding of
  disease process and to improve medication
  compliance
• Core
• Emphasized the emotional and social structure of
  the patients
• Therapeutic use of self and use of self
  reflection

Application
5
Sister Elizabeth Kenny (1880-1952)

• Considered a paradigm shifter for bringing
  awareness to alternative treatments and for
  helping form the new era of modern day
  rehabilitation medicine.
• Patented an improved field stretcher.
• Pioneered new treatments for polio by going
  against tradition of immobilizing the patient to
  passive exercise.

6
Cicely Saunders
(1918-2005)

• Known for her role in creating hospice palliative
  care
• Attended Nightingale Training School of London
• Nurse, Medical Social Worker, Physician
• Researched pain "as the body becomes weaker, so
  the spirit becomes stronger
• Gained Knighthood and became Dame Cicely
  Saunders

7
Nurse Practitioners Acquire Admitting Privileges

• Further blurring of lines between Physicians and
  Nurses
• Columbia Presbyterian Med. Center- NPs acquire
  admitting privileges
• President (Dr. William T. Spec) of Hospital
  calls this "a major paradigm shift

8
Mother Joseph (1823-1902)

• Important paradigm shifter right here, in the
  Pacific Northwest

• Initiated the Providence "ticket," a pioneer form
  of medical insurance, providing full hospital
  coverage for 10 per year.

9
Mother Joseph (cont)

• Remembered for work with children, the infirm and
  the mentally ill.
• 1859 - Formed the Sisters of Charity of the House
  of Providence in the Territory of Washington, one
  of the oldest existing corporations in
  Washington.
• She designed and/or supervised construction of
  more than 30 schools, orphanages and hospitals -
  including Olympias first hospital.