DNP 815 Compare and contrast a minimum of two middle range theories and describe how one of these middle range theories could serve as a foundation for direct practice improvement

DNP 815 Compare and contrast a minimum of two middle range theories and describe how one of these middle range theories could serve as a foundation for direct practice improvement

DNP 815 Compare and contrast a minimum of two middle range theories and describe how one of these middle range theories could serve as a foundation for direct practice improvement

Descriptive theories are the first and most important level of theory development as they determine what will be perceived as the essence of the phenomenon under study. Descriptive theories describe, observe, and name concepts, properties, and dimensions but they don’t explain the interrelationships among concepts or propositions, and they don’t indicate how changes in one concept affect other concepts. There are two major types of descriptive theories. The first one is Naming Theories which describe the dimensions or characteristics of a phenomenon. The second type of descriptive theories is Classification Theories which describe dimensions or characteristics of a phenomenon that are structurally interrelated and are sometimes referred to as a typologies or taxonomies. Descriptive theories are generated and tested by descriptive or exploratory research.

Explanatory theories are the second level in theory development. They relate concepts to one another and describe and specify some of the associations or interrelations between and among the concept. This type of theories attempt to tell how or why the concepts are related and may deal with causality, correlations, and rules that regulate interactions.

Predictive theories intend to describe precise relationships between concepts and are the third level of theory development. Predictive theories are generated and tested by experimental research and are able to describe future outcomes

Prescriptive theories which are the highest level of theory development prescribe activities necessary to reach defined goals. In nursing, prescriptive theories address nursing therapeutics and predict the consequences of interventions. Prescriptive theories have three basic components: (1) specified goals or outcomes, (2) explicit activities to be taken to meet the goal, and (3) a survey list that articulates the conceptual basis of the theory.

Nursing theories are meant to stimulate and support knowledge development related to effectively exploring, predicating, describing, defining, and (sometimes) controlling nursing phenomena.

Kolcaba’s work is ground breaking in that she created a theory to facilitate deepened understanding of a common, yet critical concept that is often unexamined because it is considered a by-product of good nursing care rather than end in itself. The two publications listed below, which are electronically accessible in the major database, demonstrate Kolcaba’s theory in action:

March, A. & McCormack, D. (2009). Modifying Kolcaba’s Comfort Theory as an institution-wide approach. Holistic Nursing Practice, 23(1), 75-80. Doi:10.1097/HNP.0b013e3181a1105b.

The authors of this article discuss how slightly modifying Kolcaba’s Comfort Theory could facilitate its interdisciplinary use to support continuity of care within one institution.

Nursing theories are meant to stimulate and support knowledge development related to effectively exploring, predicating, describing, defining, and (sometimes) controlling nursing phenomena.

Kolcaba’s work is ground breaking in that she created a theory to facilitate deepened understanding of a common, yet critical concept that is often unexamined because it is considered a by-product of good nursing care rather than end in itself. The two publications listed below, which are electronically accessible in the major database, demonstrate Kolcaba’s theory in action:

March, A. & McCormack, D. (2009). Modifying Kolcaba’s Comfort Theory as an institution-wide approach. Holistic Nursing Practice, 23(1), 75-80. Doi:10.1097/HNP.0b013e3181a1105b.

The authors of this article discuss how slightly modifying Kolcaba’s Comfort Theory could facilitate its interdisciplinary use to support continuity of care within one institution.

Nursing theories are meant to stimulate and support knowledge development related to effectively exploring, predicating, describing, defining, and (sometimes) controlling nursing phenomena.

Kolcaba’s work is ground breaking in that she created a theory to facilitate deepened understanding of a common, yet critical concept that is often unexamined because it is considered a by-product of good nursing care rather than end in itself. The two publications listed below, which are electronically accessible in the major database, demonstrate Kolcaba’s theory in action:

March, A. & McCormack, D. (2009). Modifying Kolcaba’s Comfort Theory as an institution-wide approach. Holistic Nursing Practice, 23(1), 75-80. Doi:10.1097/HNP.0b013e3181a1105b.

The authors of this article discuss how slightly modifying Kolcaba’s Comfort Theory could facilitate its interdisciplinary use to support continuity of care within one institution.

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Mid-range nursing theories are less broader than grand nursing theories and present a worthwhile link between grand nursing theories and nursing practice. They offer ideas with a lesser degree of speculation and guided principles and nursing practice methodologies. The concepts of Middle-Range theories are less abstract and are more verifiable through testing. Theory can also be defined as a systematic set of statements in response to specific questions communicated in an organized manner. Theory is however, used to convey some observed facts while summarizing different evidences and proposing explanations while yielding testable hypothesis in presence of particular hypothesis and limitations. However, the two middle range theories used as foundation of direct practice improvement are social influence theory and stage theory. According to social influence theory the individual pay special attention towards the significance of shared beliefs and propositions, haring group norms and culture of the organization as the element to determine the professional attitude of an individual.

In direct practice improvement the significance of social influence theory can be considered in context to promoting

DNP 815 Compare and contrast a minimum of two middle range theories and describe how one of these middle range theories could serve as a foundation for direct practice improvement
DNP 815 Compare and contrast a minimum of two middle range theories and describe how one of these middle range theories could serve as a foundation for direct practice improvement

change while influencing group perceptions while promoting change in behavior. For this purpose the theorists have provided classified schemes for potential social influence intervention to practice and guideline for the distribution and application of ideas in accordance to the size and demand of the intervention while including educational outreach and opinion of the leaders (Risjord, 2018). On the other hand, the stage theory deals with change in behavior of an individual at a given point in time while leading the individual in linear progression towards change in behavior and accounting different stages of behavior in progression. For instance, the theory effectively explained the trans – theoretical and perception adoption processes. Another important aspect of the theory is the development of intervention in behavior of an individual which is very important thing in dealing different situations in direct practice improvement. It is further explored that interventions in conjunction to stage theories can be more workable as compared to non-stage theory interventions.

Hence, the comparison of social influence and stage theory presents that in direct practice improvement the most important thing is to bring change in behavior in demand of the situation. In nursing practice the positive change in behavior is the need of time to meet the demand of the patients and to provide the quality healthcare services. The adaptation in nursing practice as per the need of time helps in brining change in nursing research. The most influential aspect in this context can be the evidence based research work that can be effective in molding the nursing practice in addition to picking interventions best explained the fundamental need of the profession. For example, organization and dissemination of clear information and selection of intervention with clarity of applicability of the strategies can be observed effectively in context to reviewing the two theories (Mgbekem and Neji, 2018).

References

Lor, M., Backonja, U., & Lauver, D. R. (2017). How Could Nurse Researchers Apply Theory to Generate Knowledge More Efficiently?. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing49(5), 580–589. https://doi.org/10.1111/jnu.12316

Mgbekem,M. and Neji,O. (2018). Middle range theory evaluation: bridging the theory-practice gap. Global Journal of Pure and Applied Sciences, 249-254.

Risjord, M. (2018). Middle-range theories as models: New criteria for analysis and evaluation. Nursing Philosophy, 1-10.