DNP 815 Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing

DNP 815 Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing

DNP 815 Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing

According to Risjord (2019) a middle-range theory shows how the phenomenon is brought about by analyzing the phenomenon into parts and identifying their relationships. This means that to understand a middle-range theory what it tells us, how it might be tested, what interventions it might support we must identify: (a) the phenomenon modelled, (b) the elements of the model and their properties, and (c) the relationships it postulates .The author went on to posit that significant advantage of representing a middle-range theory as a model is that it highlights the ways that the model may be significantly tested. If the model is operationalized and reasonably precise, the relevant test would measure or otherwise observe whether the elements change in the way that the model predicts.

These concepts can be related and integrated with Orem’s theory of nursing of self-care in hypertensive patients. These theories and models are for behavioral change, counselling skills, patient advocacy, empowerment, professional knowledge, health education and support form the nursing system in hypertension care which the nurse brings into the encounter with the patient. The patient brings certain attitudes and beliefs, a view of health, need for autonomy, their own personality and traits, perceived vulnerability, hardiness, a sense of coherence, locus of control, self-efficacy, and social support and network into the encounter. All these factors affect behavior and thus the patients’ habits. (Drevenhorn, 2018). During these consultations these concepts are integrated with Orem’s theory of nursing of self-care, whereby nurses can apply the theories and models for behavioral change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, to support the patient. The  middle-range theory could be easily adopted to nursing research or practice in various but specific areas of focus. (Im E,2018). Because of inherent characteristics of middle-range theories that address specific phenomena or concepts, middle-range theories could easily provide directions for nursing research and practice.

 

References

 

Drevenhorn E. (2018). A Proposed Middle-Range Theory of Nursing in Hypertension Care. International journal of hypertension, 2018, 2858253. https://doi.org/10.1155/2018/2858253

 

Im E. O. (2018). Theory Development Strategies for Middle-Range Theories. ANS. Advances in nursing science, 41(3), 275–292. https://doi.org/10.1097/ANS.0000000000000215

 

Risjord M. (2019). Middle-range theories as models: New criteria for analysis and evaluation. Nursing philosophy : an international journal for healthcare professionals, 20(1), e12225. https://doi.org/10.1111/nup.12225

According to Risjord (2019) a middle-range theory shows how the phenomenon is brought about by analyzing the phenomenon into parts and identifying their relationships. This means that to understand a middle-range theory what it tells us, how it might be tested, what interventions it might support we must identify: (a) the phenomenon modelled, (b) the elements of the model and their properties, and (c) the relationships it postulates .The author went on to posit that significant advantage of representing a middle-range theory as a model is that it highlights the ways that the model may be significantly tested. If the model is operationalized and reasonably precise, the relevant test would measure or otherwise observe whether the elements change in the way that the model predicts.

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These concepts can be related and integrated with Orem’s theory of nursing of self-care in hypertensive patients.

DNP 815 Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing
DNP 815 Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing

These theories and models are for behavioral change, counselling skills, patient advocacy, empowerment, professional knowledge, health education and support form the nursing system in hypertension care which the nurse brings into the encounter with the patient. The patient brings certain attitudes and beliefs, a view of health, need for autonomy, their own personality and traits, perceived vulnerability, hardiness, a sense of coherence, locus of control, self-efficacy, and social support and network into the encounter. All these factors affect behavior and thus the patients’ habits. (Drevenhorn, 2018). During these consultations these concepts are integrated with Orem’s theory of nursing of self-care, whereby nurses can apply the theories and models for behavioral change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, to support the patient. The  middle-range theory could be easily adopted to nursing research or practice in various but specific areas of focus. (Im E,2018). Because of inherent characteristics of middle-range theories that address specific phenomena or concepts, middle-range theories could easily provide directions for nursing research and practice.

 

References

 

Drevenhorn E. (2018). A Proposed Middle-Range Theory of Nursing in Hypertension Care. International journal of hypertension, 2018, 2858253. https://doi.org/10.1155/2018/2858253

 

Im E. O. (2018). Theory Development Strategies for Middle-Range Theories. ANS. Advances in nursing science, 41(3), 275–292. https://doi.org/10.1097/ANS.0000000000000215

 

Risjord M. (2019). Middle-range theories as models: New criteria for analysis and evaluation. Nursing philosophy : an international journal for healthcare professionals, 20(1), e12225. https://doi.org/10.1111/nup.12225

Nursing in hypertension care comprises counseling about lifestyle changes, blood pressure measurement, and being a translator for the physician. My literature search in CINAHL using the terms middle range theory and nursing resulted in many articles from which I chose an article written by Drevenhorn, E. (2018) on A Proposed Middle-Range Theory of Nursing in Hypertension Care. This study aimed to determine the effectiveness of a nurse’s caring relationship according to Watson’s Caring Model of blood pressure and quality of life and Orem’s self-care deficit theory. According to Drevenhorn, E. (2018), there are not many guidelines available to nursing; therefore, the development of a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, improve the nursing of patients, and design studies for investigating nursing in hypertension care. Patients’ attitudes and beliefs toward health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network were presented. Use of counseling skills, patient advocacy, empowerment, professional knowledge, health education, and support of patients was discussed as the nursing application of theories and models for behavioral change.  Orem’s nursing theory was integrated with the concepts of consultation, including communication, shared decision-making, concordance, coping, adherence, and self-care Drevenhorn, E. (2018). The results support the middle-range hypothesis of self-care for chronic illness. Strategies and education to improve self-efficacy, health motivation and knowledge must be incorporated when designing self-care programs. Patients can participate in nursing interventions with their family members might facilitate improving self-care. Self-care was significantly correlated with learning, health motivation, self-efficacy, social support, and access to care. The studies showed that self-efficacy, health motivation, and knowledge influenced blood pressure. For patients, changing their lifestyle includes performing activities of daily living, including performing self-care.

Drevenhorn, E. (2018). A Proposed Middle-Range Theory of Nursing in Hypertension Care. International Journal of Hypertension, 1–11. https://doi-org.lopes.idm.oclc.org/10.1155/2018/2858253

As the struggle continues to reduce the readmission rates for heart failure patients, it was great to be able to use an article that highlights heart failure. My literature search in CINAHL using the terms middle range theory and nursing resulted an article written by da Silva et al, (2022), this article explains how Heart Failure has become a major health problem and has over 2millions cases diagnosed each year. A study done in Europe shared the main caused is lack of medication compliance, poor control of appropriate diet intake and infection. The article suggest that nursing theories were developed to aid in the understanding of nursing phenomenon.  Also, that middle age theories are founded from the construction of knowledge and practice strength. It defines middle age theory as focused concepts and gave Sister Callista Roy Adaptation Theory as an example. The objective was to develop a middle range theory that would address the lack of knowledge surrounding heart failure patients. One they were able to define the Adaptation model as an approach that looks at the person in an wholistic way, they say how it individualized the input, output, trigger and controls of the elements that cause heart failure. They concluded with the support of the theoretical approach to guiding nursing judgment required for knowledge gain. This knowledge will improve heart failures quality of life through individualized interventions.

da Silva, C. G., Santana de Araújo, S., Ramalho Vasconcelos Morais, S. C., & Farias de Queiroz Frazão, C. M. (2022). Impaired knowledge in individuals with heart failure: a middle range nursing theory. Revista Brasileira de Enfermagem75(2), 1–6. https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2020-0855