How Middle-Range Nursing Theories Inform Practice Sample Essay
How Middle-Range Nursing Theories Inform Practice Sample Essay
How Middle-Range Nursing Theories Inform Practice
A nursing theory isa set of concepts, definitions, and assumptions derived from nursing models(Masters, 2014, p. 11). Nursing theories serve the purposes of conceptually guiding and making nursing practice more effective and efficient(Fawcett & Desanto-Madeya, 2015). Sitzman and Eichelberger classified all nursing theories into nursing philosophies, practical theories, and middle-range theories (Sitzman & Eichelberger, 2015, p. 4).The latter uselower-level of abstraction and practical concepts (Smith & Liehr, 2013). Middle-range nursing theories are simple, directand describe a particular aspect of reality. Also, middle-range theories can be empirically tested and verified by clinical observation(s). Mid-range nursing theories describe, clarify and/or predict a clinical phenomenon (Smith & Liehr, 2013). How Middle-Range Nursing Theories Inform Practice Sample Essay
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Today, evidence-based medicine is the standard in the majority of clinical organizations, although so-called “alternative medicine” is still practiced. In relation to nursing, evidence-based practice rests on the explicit requirement of combining empirical research, clinical practice and patient preferences to inform and guide nursing practice(Mackey & Bassendowski, 2017). Thus, it emphasizes the use of highest-quality clinical data and discounts subjective judgements.
Today, the use of middle-range nursing theories informs nursing practice by serving four primary functions: (1) descriptive – by identifying properties and components of a phenomenon(e.g.:the middle-range Symptoms Management Theory (SMT) describes the symptom experience, symptom management strategies and expected outcomes of an illness), (2) explanatory – by explaining the relationships between properties and components of a phenomenon (SMT explains causal symptoms etiology, treatments approaches and expected effects of treatments in relation to the symptoms experience), (3) predictive – by providing an assessment of a likelihood of a clinical phenomenon or condition (SMT uses clearly defined and objectively measured indicators of treatment progress/results), and (4) prescriptive – by addressing therapeutics and consequences of nursing interventions (SMT involves the individual aspects of symptom management, i.e.what, where, why, how much, to whom, and how, which guide the nursing practitioner in selecting appropriate intervention/care strategies). How Middle-Range Nursing Theories Inform Practice Sample Essay
References
Fawcett, J., & Desanto-Madeya, S. (2015). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories. Philadelphia, PA: FA Davis Company.
Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(1), 51-55. doi: 10.1016/j.profnurs.2016.05.009
Masters, K. (2014). Nursing theories: A Framework for professional practice (2nd ed.). Burlington, MA: Jones & Bartlett Learning.
Sitzman, K., & Eichelberger, L. (2015). Understanding the work of nurse theorists: A creative beginning (3rd ed.). Burlington, MA: Jones & Bartlett
Smith, M., & Liehr, P. (2013). Middle range theory for nursing (3rd ed.). New York, NY: Springer. How Middle-Range Nursing Theories Inform Practice Sample Essay
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