Post 1

Brunette B

Middle Range Theory Illuminates Concepts in Health and Health Care Delivery

  The middle-range theory develops as the practical theory that provides an abstract perspective based on literature and science, which provides a relevant approach than the grand theory (McEwin, & Wills, 2019). The middle-range theory focuses on purposes for examining a particular phenomenon, therefore, illuminating nursing conceptual by creating the research that analyzes specific variables (Fawcett & Garity, 2009). It changes the clinical setting to best practice by examining continuous nursing education, utilization research to process significant provide quality care to patients (Jacelon et al., 2011). Middle-range theory aids in developing a specific and relevant concern with the health situation; therefore, enhancing theory regarding specific nursing matters considerably present the potential to increase advanced nursing knowledge meaningful to the clinical environment (Fawcett & Garity, 2009).

Role with Middle Range Theories and Importance to Advancing Nursing

 The middle-range theory guides information to the advantage of collecting on improving the nursing discipline that theoretically applies significance research theory to increase understanding of the specific disease or situation within the nursing profession to improve people’s lives (Fawcett & Garity, 2009). According to McEwin, & Wills (2019), middle-range theory systems’ properties are simple and straightforward, which provides room for additional research study. 

My goal as a Doctor of Nursing Practice student is to be able to efficiently address current and future health care issues, provide quality care to patients, and implement research methods to improve patients’ health. It is essential as a doctorate-level student to examine sufficient and substantial research study focusing on patient well-being and generate theory that concentrates on straightforward design to influence and transform people’s lives (Jacelon et al.,2011). The middle-range theory helps with a simplification of the research theory for nursing practice. The middle-range theory is crucial for evidence-based clinical judgment to practice through a scientific approach, examination of theory laws, nursing concepts, and nursing practice approach (McEwin & Wills, 2019).

References:

Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating research for evidence-based nursing (pp. 73-88). Philadelphia, PA: F. A. Davis.

Jacelon, C., Furman, E., Rea, A., Macdonald, B., & Donoghue, L. (2011). Creating a professional practice model for postacute care: adapting the Chronic Care Model for long-term care. Journal of Gerontological Nursing, 37(3), 53-60.

McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health.

POST 2

Dori M

Middle Range Theory Illuminates’ Concepts in Health and Health Care Delivery

               Middle range theory is a crucial part in the entire healthcare system and for the developmental of nursing research. Middle range theories have the potential to guide nursing interventions and change conditions of a situation to enhance nursing care (Melanie & McEwen, 2019, p. 209). A major role of middle range theory is to define or refine the substantive components of nursing science (Melanie & McEwen, 2019, p. 209). Middle range theories guide nurses to provide Evidenced based practice (EBP) while evaluating patient outcomes. Murrock and Higgins (2009) stated around the world, healthcare professionals use evidence-based guidelines to determine appropriate interventions expected to improve health outcomes. EBP is the gold standard in the healthcare system; as a result of that ongoing research, evaluations of patient outcomes are necessary. Middle range theory plays an important role in nursing care; it enables healthcare providers to provide care based on EBP, understanding the rationales, thinking critically and promote rooms for researches for the better patient outcomes.  

Professional Role and Participation in Improving Clinical Practice

               As a healthcare provider, Nurse Practitioner (NP) and currently perusing Doctor of Nursing Practice (DNP) degree; It is my ultimate goal to provide EBP care throughout my practice and engaged in researchers in order to provide safe, quality and holistic care direct and indirect to patients and to the healthcare system in general. Evaluating and utilizing middle range theory is essential; this will enable and guide me as a healthcare professional to the right path now and in the future to come. Middle range theory is vital for the ongoing development of the nursing professional (McEwin & Wills, 2019, p. 225). Middle range theories focus primarily on client problems and likely outcomes as well as the effects of nursing interventions on client outcomes (McEwin & Wills, 2014, p. 2019).  There are several types of middle range theories that empower nurses to provide holistic care to patients. These middle range theories guide the nurses to provide care in different aspects in life such as physiologically, culturally, emotionally, Psychotically, spiritually, promote health and diseases preventions in to patients. As we discussed in the previous  weeks from McEwen and Wills (2019) there are several middle range theories which includes Pender’s Health Promotion Model, Synergy Model, Leininger’s cultural care diversity and universality theory, Benner’s model of skills acquisition in nursing, Kolcaba’s theory of comfort middle range and many more. These middle range theories are critical in nursing and patient care, I utilize middle range theories in my practice daily with positive outcomes. Understanding the development of concepts and middle range theories is a great step in to more advanced in the practice and research as well. A supported by the authors sources used to generate middle range theory include literature reviews, qualitative research, filed studies, conceptual models, taxonomies of nursing diagnoses and interventions, clinical practice guidelines, theories from other disciplines, and statistics analysis of empirical data. 

                                                                       References

McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer 

                   Health.

Murrock C.J. & Higgins P.A. (2009). The theory of music, mood and movement to improve health 

       outcomes. Journal of Advanced Nursing 65 (10), 2249–2257.doi: 10.1111/j.1365-2648.2009.05108.x

EXAMPLE REPLY 

A creation of a middle-range theory, with music as an intervention, was focused upon to increase physical activity and improve health outcomes. Reviewing the theory, it showed that pain and agitation are decreased through music’s emphasis upon psychological responses. Music is seen as a science and art, attaining five components of rhythm, melody, pitch, harmony, and interval (Murrock & Higgins, 2009, p. 2250). In evaluation of the middle-range theory, it presented social significance within those individuals that require further interventions for pain and agitation by providing mood and movement. It appeared to be a reasonable theory by how it modified the internal and external environments, which was noted to be a nurse’s responsibility. Additionally, music interrupted the stress response and encourages social interaction (Fawcett & Garity, 2009; Murrock & Higgins, 2009). There seemed to be concise explanations that showed findings of a “safe, cost-effective, non-invasive” approach (Murrock & Higgins, 2009, p. 2252). Presentation of the theoretical model, as a figure visual, provided a thorough insight to show what is being correlated. This visual component resembled the depiction of a simple concept map. With review of the last component of the middle-range theory, being testability, do you feel it met the evaluation aspect within this article (Fawcett & Garity, 2009)?

References

Fawcett, J. & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating research for

evidence-based nursing (pp. 73-88). Philadelphia, PA: F.A. Davis.

Murrock, C.J., & Higgins, P.A. (2009). The theory of music, mood and movement to improve health

outcomes. Journal of Advanced Nursing, 65(1), 2249-2257. Doi: 10.1111/j.1365-2648.2009.05108.x

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