Comparing Grand Theory And Middle Range Nursing Theory

Nursing theories greatly influence nursing practices and education. Grand theory and Middle Range theory are the two main subcategories that they fall under. While Grand Theory and Middle Range Theory strive to promote nursing knowledge and patient care, their breadth, abstraction, and practical applicability are very different. Risjord (2019) states that grand theories are broad, abstract frameworks that explain important nursing practice occurrences. Although they cover various nursing care topics, they might not be applicable in some clinical contexts. Two examples of theories that emphasize the fundamental needs of patients and their capacity for self-care are Virginia Henderson's Need Theory and Dorothea Orem's Self-Care Deficit Theory

This approach aids nurses in determining the necessary amount of support and creating suitable care plans to encourage patient autonomy. In contrast, Middle Range theories were created through empirical study to explain events in a particular area of nursing practice (Risjord, 2019). They are more precise and narrowly focused. They are useful for evidence-based practice because they are more open to testing and validation. One illustration of a Middle Range Theory is Katharine Kolcaba's Comfort Theory, which divides comfort into environmental, psychospiritual, and physical components with the goal of improving patient comfort while receiving medical attention. Imogene King's Goal Attainment Theory is another example of a Middle Range Theory highlighting the significance of nurse-patient interactions and group goal-setting. Nurses can better promote patient-centered care delivery by working with their patients to develop attainable goals. Therefore this study will explore Grand theory and Middle Range theory and their applicability in

This approach, which first became popular in the 1990s, emphasizes the need to improve holistic patient comfort by considering the patient's psychological, social, and environmental requirements in addition to their physical demands. Kolcaba asserts that gratifying the demand for comfort is a fundamental human need that improves overall wellbeing and health outcomes (Lin et al., 2023). The idea characterizes comfort as a dynamic and individualized condition defined as the instantaneous feeling of being strengthened through satisfying fundamental human needs. Identifying and assisting patients' comfort-seeking and health-seeking behaviors is critical work for nurse practitioners (NPs). According to the Comfort Theory, there are four different sorts of comfort: bodily, psychological/spiritual, social, and environmental (Ali, 2022). NPs can meet the physiological requirements of patients through medication management, wound care, and lifestyle advice, while the emotional and spiritual wellbeing of patients can be taken care of through compassionate communication and spiritual guidance. Promoting social comfort entails involving patients' families, connecting them with support networks, and offering them access to neighborhood services. Providing a cozy and secure healthcare atmosphere benefits the patient's general wellbeing. Kolcaba's Comfort Theory, which