Thursday, December 13, 2018
'Middle Range Theory in Nursing Essay\r'
'The credibility of a profession is ungenerousd upon its ability to create and assume surmise. Nursing as a whole has not been at the forefront of theoretical interrogation macrocosm much more practical or active in nature. Unless nurses increase the value placed on investigate and the body of knowledge that establishes the legitimacy of their dedicate session then breast feeding ordain remain in a subordinate position in the medical checkup environment.\r\nTheorists anticipated that by conceptualizing models of breast feeding, practitioners would be able to baffle more autonomous in their clinical ratetings speckle increasing the visibility and authority of boot for as a discipline. It would therefore be anticipated that nurses creationness able to comprehend and use theory will continue to grow with more master full stop nurses and with the ontogeny of advanced practice nurses. Theoretical development is imperative as treat progresses into care management, pre scribing rights and specializer arenas traditionally held solely by physicians.\r\nCurrent embodiments such as the attractiveness Recognition Program generate encouraged theoretical research in nurse (McCrae, 2012) Definition Middle undulate theory as defined by Smith and Liehr (2008) is a set of tie in ideas associated with the defined reality of treat. These theories are essential at the level where research and nurse practice intersect. Nursing is a professional discipline and as such middle range theories are come apart of this structure.\r\nMiddle range theories and thusly the knowledge base of nursing is growing and theories are useful to both(prenominal) the nursing profession nut alike other(a) disciplines involved in the care of individuals and populations. On the execute of Abstraction, middle range theories are the middle staff; below the abstract philosophical rung of symbols and concepts, and above the empirical or concrete level or that which can be ob served. Current Trends In the evolving nursing profession, nursing theories have set the stage for nursing research and practice.\r\nThe current trends in nursing theories as celebrated by Im and Chang (2012) were categorized into six major groupings: (a) ââ¬Å"foci on specificsââ¬Â where the researchers rather than unless developing nursing theory focused their energies on details of the forward take to the woods and in exam associations among those concepts; (b) ââ¬Å"coexistence of various types of theoriesââ¬Â where it was set the most prevalent trend in nursing research was that particular theories were cited predominantly, where 257 articles were about grand theories, 84 were about middle range theory, 13 were tie in to situation-specific theory, etc. (c) ââ¬Å"close links to research ââ¬Å"where it was noted that most of the articles published in the last 10 years were based on tenfold areas of theorizing including research findings; (d) ââ¬Å" transnation al collaborative worksââ¬Â whereby much of the work reviewed was written by international authors coauthored by authors in the United States, where the US author was the senior author. This may be related to an increasing number of international nurse scholar exchanges in nursing academia; (e) ââ¬Å"integration to practiceââ¬Â where nurses attempt to integrate theory into practice in their clinical practice.\r\nOccasionally cardinal or more theories were combined to explain a particular practice setting phenomenon; and finally (f) ââ¬Å" discriminating evolutionââ¬Â where most of the research noted related to the four grand theories: Neumanââ¬â¢s system model, Oremââ¬â¢s self-care theory, Rogersââ¬â¢ history of unitary forgiving beings and Roysââ¬â¢ adaptation model. Im and Chang highborn it such because only those four selective theories had been further create with additional research in the past 10 years. They postulated that these particular theorie s were further prescribed because they are more closely linked to nursing practice.\r\nExamples An example of the ââ¬Å"coexistence of various types of theoriesââ¬Â is demonstrated by Andershed and Olssonââ¬â¢s (2009) research review of the existing middle range theory of caring by Kristen Swanson. Her theory was developed from separate experiential studies and has been used by multiple authors referring to her theory, applying it in practice or validating and testing the theory. The authors concluded that if people are guided through discussions about their experiences and ââ¬Å"feel understood, informed, provided for, validated and believed inââ¬Â (p. 609), they were die able to integrate ifficult events into their lives in a positive manner. The middle range intellectual capital theory conceptualizes nursing knowledge within health care organizations and how it relates to patient and organizational outcomes. This incorporates two concepts: nursing human capital and nursing structural capital. These are influenced by nurse staffing and employer support for continuing professional development. Magnet hospital nursing staff and nurse executives enumerate educational support to be necessary for higher(prenominal) quality patient care (Covell, 2008) Conclusion\r\nboilersuit it is important for the profession of nursing to formalize and turn out upon middle range theories as they relate to nursing to advance the profession and validate the embellished business offices being seen in todayââ¬â¢s nursing field. time building upon existing research is beneficial it is also important to conduct new research and expand the knowledge base for all nurses. As the role of the nurse is advanced so must the research that validates the nursing profession.\r\n'
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