Module 10:

NANCY ROPER-WINIFRED LOGAN-ALISON TIERNEY'S

MODEL OF NURSING BASED ON ACTIVITIES OF
LIVING
&
LYDIA HALL’S CARE, CURE, CORE THEORY OF
NURSING
LEARNING TARGETS

Upon completion of this lesson, the nursing student can:

● Acknowledge the background and credentials of these nursing theorists;
● Identify the major concepts with their definitions as utilized in their respective theory;
● List down their specific theoretical assertions or assumptions;
● Highlight their major contributions in the nursing field;
● Enumerate the major assumptions enclosed within their theory;
● Describe each of these theories in view of the four metaparadigms;
● Apply the significance of these theories in the nursing education, research, and practice; and,
● Recognize the application of these theories in nursing today and in the clinical setting.
NANCY ROPER-WINIFRED LOGAN-ALISON TIERNEY'S
MODEL OF NURSING BASED ON ACTIVITIES OF LIVING
 NANCY ROPER-WINIFRED LOGAN-ALISON TIERNEY'S
MODEL OF NURSING BASED ON ACTIVITIES OF LIVING

✔ This model incorporates a life span approach wherein the characteristics of

the person are considered with respect to prior development, current level of
development, and likely future development.
12 ACTIVITIES OF LIVING
1. Maintaining a safe environment 7. Personal cleansing and
dressing
2. Breathing 8. Maintaining body
temperature
3. Communication 9. Working and playing
4. Mobilizing 10. Sleeping
5. Eating and Drinking 11. Expressing sexuality
6. Eliminating 12. Dying
• The model has been a significant guide towards
advancing nursing practice, research, and
education in that it places great emphasis on the
nurse’s ability to perform continuous patient
assessment, provide assistance in the
performance of activities of living and
individualizing patient care.
Major Concepts & Definitions:
1. Individuality of living

2. The activities of living

3. Life Span

4. The dependence –interdependence continuum

APPLICATION OF THE THEORY

• The Theory of the Elements of Nursing: A Model Based on a Model of

Living emphasizes the importance of developmental assessment and of
individualizing patient care.

• No two patients can have similar reactions to a particular disease

condition or illness state because of the concept of individuality of living.
LYDIA HALL

LIFE STORY:
✔ Born in New York City September 21, 1906

✔ Graduated from York Hospital School of Nursing in Pennsylvania

✔ Bachelor of Science & Master of Arts from Teachers College, Columbia University

✔ Died February 27, 1969 of heart disease in Queens Hospital of New York

LYDIA HALL’S CARE, CURE, CORE THEORY OF NURSING

INTERESTS & RESEARCH FOCUS:
✔ Interested in rehabilitative nursing and the role that the professional nurse played and the

patient’s recovery and welfare (Alligood & Tomey 2010)

✔ She became the founder and first director of the Loeb Center for Nursing and Rehabilitation at

the Montefiore Medical Center in Bronx, New York

Theory Description
✔ As Hall says; “To look at and listen to self is often too difficult
without the help of a significant figure (nurturer) who has learned
how to hold up a mirror and sounding board to invite the behavior
to look and listen to himself. If he accepts the invitation, he will
explore the concerns in his acts and as he listens to his exploration
through the reflection of the nurse, he may uncover in sequence his
difficulties, the problem area, his problem, and eventually the threat
which is dictating his out-of-control behavior.”
Theory Assumptions

• The motivation and energy

necessary for healing exist
within the patient, rather
than in the healthcare
team.
Major Concepts & Definitions:
• Nursing theory in line with Lydia Hall is nothing short of
revolutionary.

• In the 1960s, she put down in her own simple words, her
thoughts about nursing.

• She did not consider herself a nurse theorist but instead talked
about her transparent thoughts and remarkable ideas of
nursing care as she learned it over the years.
SUBCONCEPTS
 How Do Nurses Relate?
• She proposed many ideas of professional practice,
such as the nursing process

• Improvement of nurses to meet the needs of the

patient with better professional nursing care
 Application of the Theory
• Nurses are able to carry out nursing interventions independently,
dependently, or interdependently.

• The core aspect of the theory maintains that it is our responsibility to make
sure that the patient receives the highest level of care possible from all
concerned health professions.

• The role of the nurse is in the collaboration, coordination, and cooperation

with other members of the health care team on matters that pertain to the
patient’s welfare.
 Reference
Alligood, M. (2018). Nursing theories and their work
(9th ed.). Singapore: Elsevier.