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Middle Range Nursing Theory

424 Words2 Pages

Middle Range Theory Concepts in Health and Health Care Delivery The theory is important in the nursing profession, and it differentiates according to philosophy, perspective, and scope. Nursing uses conceptual frameworks to guide practice. The middle range is more focused and concrete. It is used to explain precisely or predict a phenomenon. Middle range theory is more amenable to in clinical research and has few concepts used to generate the hypothesis. (McEwen, M. & Wills, E.M. (2014).). Pender used Middle range theory to introduce the health promotion model(HPM). They used personal, biological, psychological and cultural aspects to provide care in clinical settings. (Penda, 1975). Middle range theories will provide growth and development …show more content…

Fawcett and Garrity (2009) explain that use of the evidenced-based practice in clinical practices is not a new phenomenon in health care delivery. DNPs reduce the research-to-practice gap. They have understandings on the use of research findings in clinical settings to provide quality of care to patients (Vincent et al., 2010). DNP nurse searches for strategies to produce a good outcome in care delivery models using concepts from quality improvement, psychosocial and cultural ideas. The DNP scholarly project, identifies, evaluates care delivery models and the need for change. In My role as a DNP practice scholar, I will address the critical skills essential for translating the evidence-based care into practice with the aim of improving systems of care within the clinical setting (Vincent, Johnson, Velasquez, & Rigney, 2010). Besides, the practice competencies and research I will use the nursing skills to measure the outcomes of the affected population as well as communities. I will apply both clinical investigation and theory with affected individuals and families and implement nursing strategies to improve patient outcomes in nursing homes. I will achieve this by focusing on evidence-based practice, evaluation of results from nursing practices, and focusing on quality improvement (Vincent et al., 2010). As a DNP practice scholar, I will conduct research as a means of creating new knowledge within the nursing home clinical settings. The new knowledge can be applied to improving standards of practice (Vincent et al.,

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The term six research theory course, NURS 495, emphasized the importance of nurse leadership and how nurses can influence positive changes in health care delivery to patients with chronic illness. It also explored the contradictions that exist in nursing practice and encouraged the students to develop a critical and pragmatic approach to client care. The co-requisite clinical course, NURS 499, integrated nursing theory and current best practice on an acute care nursing unit at Medicine Hat Regional Hospital. In this consolidated learning analysis, I will explore a nursing practice event that will illustrate the major issues surrounding the treatment of competing mental health comorbidities in a patient with hoarding behaviors.

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Middle Range Theories, a book written by Sandra Peterson and Timothy Bredow (2013), describes the SNPPM model as a middle range theory. Middle range theories address specific phenomena and are more limited in scope, in comparison to grand theories. They are defined as “relatively concrete concepts that are operationally defined and can be empirically tested. They are less abstract than grand theory and more abstract than empirical generalizations or micro theory” (Elo & Kaariainen, 2013). The SNPPM is middle range because it tries to answer questions surrounding the nurse practitioner.

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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.

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403 Words | 2 Pages

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