MIDDLE-RANGE THEORIES AND NURSING PRACTICE ISSUES

There are several different types of theories in nursing. Grand theories look at nursing from a broad perspective of human needs. In contrast, middle-range theories are narrower in focus, and look at specific aspects of the nursing profession. Due to their narrower scope, middle-range theories are more applicable for use in actual nursing practice.

High level middle-range theories can be quite complex (for example, Benner’s “Novice to Expert Theory” and Leininger’s “Theory of Culture Care Diversity and Universality”). Less complex middle-range theories include Mishel’s “Uncertainty in Illness Theory,” Kolcaba’s “Comfort Theory,” and Lenz and Pugh’s “Theory of Unpleasant Symptoms.” Some middle-range theories are even more specifically focused. For example, Beck’s “Postpartum Depression Theory” or Eakes et al.’s “Theory of Chronic Sorrow.”

For this Discussion, you will identify a practice or organization issue of importance to you. Then, you select two middle-range theories and apply them to address the practice or organization issue.

Note: The practice issue you select will also inform your work in Week 3 (and can potentially be utilized throughout the remainder of this course).

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare
Reflect on your nursing practice to identify issues of particular interest or concern to you and/or your organization.
Select one practice or organization issue on which to focus for this Discussion.
Review the Learning Resources for this week, focusing on specific middle-range theories that may apply to the practice or organization issue that you selected.
Select two middle-range theories that you believe are relevant and valuable in addressing the practice or organization issue you selected.
By Day 3 Of Week 2
Post the following:

Identify the practice or organization issue you selected. Explain why you chose it.
Describe the two middle-range theories that you selected. Explain why you chose them.
Explain how you would apply each middle-range theory to the practice or organization issue. Be specific and provide examples.
Note: Your posts should be substantial (500 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful post but cannot stand alone as the entire post.

Read a selection of your colleagues’ posts.

By Day 6 of Week 2
Respond to at least two of your colleagues, on different days, by suggesting at least one additional middle-range theory for each to consider. Support your recommendation with at least one scholarly resource illustrating why you think that middle-range theory might be relevant and valuable to the practice issue they selected.

Note: Your responses to colleagues should be substantial (250 words minimum), supported with scholarly evidence from your research and/or the Learning Resources, and properly cited using APA Style. Personal anecdotes are acceptable as part of a meaningful response but cannot stand alone as a response. Your responses should enrich the initial post by supporting and/or adding a fresh viewpoint and be constructive, enhancing the learning experience for all students.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments.

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