Archive for month: August, 2020

Applying Middle Range Theories to Practice

Last week you began exploring literature in support of specific practice problem. One step in the analysis of literature is examining the theoretical framework that guided the study. Middle range theories are frequently used to guide nursing research and it is likely that some of the articles you reviewed used a middle range theory. This week, you will examine how middle range theories bring to light concepts in health care and the DNP-prepared nurse’s role in developing and refining middle range theories for advancing nursing science and improving practice.

To prepare:

• Reflect on the information presented in this week’s Learning Resources, focusing on the development and use of middle range theories in nursing practice and research.
• Search the Walden Library and other scholarly databases looking for examples of the development, analysis, or use of middle range theories in clinical practice.
• Determine current trends in the development and use of middle range theories in nursing practice and research.
• Consider how the development of new middle range theories advances nursing as a science.

By Tuesday 7/11/17, post 550 words essay in APA format with 3 references from the list below, that include the level one headings as numbered below:

post a cohesive response that addresses the following:

1)       How does middle range theory illuminate concepts in health and health care delivery?

2)       What do you see as your particular role in developing (or evaluating) middle range theories?

3)       Why might that be important to advancing nursing science and improving clinical practice?

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

• Chapter 10, “Introduction to Middle Range Nursing Theories”

 Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and use in research.

• Chapter 11, “Overview of Selected Middle Range Nursing Theories”

 Chapter 11 continues the examination of middle range theories and provides an in depth examination of a select set of theories.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

• Chapter 6, “Objectives, Questions, Variables, and Hypotheses”

 Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses.

Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis.

 Note: You will access this article from the Walden Library databases.

 This book chapter evaluates the use and significance of middle-range theories in nursing research and clinical practice.

DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359.

 Note: You will access this article from the Walden Library databases.

 This article describes how the Roy Adaptation Model (RAM) is used to guide nursing practice, research, and education in many different countries.

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.

 Note: You will access this article from the Walden Library databases.

 This article addresses the need to redesign health care delivery to better meet the needs of individuals with chronic illness and health problems.

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

 Note: You will access this article from the Walden Library databases.

 This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes.

Optional Resources

McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

 Note: You will access this article from the Walden Library databases.

Select a family to complete a family health assessment. (The family cannot be your own.)

Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:

1. Values, Health Perception
2. Nutrition
3. Sleep/Rest
4. Elimination
5. Activity/Exercise
6. Cognitive
7. Sensory-Perception
8. Self-Perception
9. Role Relationship
10. Sexuality
11. Coping

NOTE: Your list of questions must be submitted with your assignment as an attachment.

After interviewing the family, compile the data and analyze the responses. 

In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.

Identify two wellness problems based on your family assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin.

Purpose: Discussion

Thing to Remember:

•   Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

•   1 References, find resources that are 5 years or less

•   No errors with APA format 6th Edition

Discussion: 

Physician assistant’s verses Nurse Practitioners are both similar and different.  First thing is the viewpoints and attitudes towards healthcare, nurses take the nursing approach, where physician assistant’s take a medical style. (nursingjournal, 2017) “Nurse practitioners (NPs) work in a variety of settings. So do physician assistants (PAs). They can both be found in hospitals and clinics, from rural to urban practices. PAs care for a variety of conditions. So do NPs. They both treat illnesses, provide patient teaching and prescribe medications, often acting as the primary care provider.” (2011, January 09) Both professions are important and are needed to assist in the growing demand on health care.  They both have advantages and disadvantages.  NP’s are a little freer as in they can practice in their own clinic whereas PA’s need to have a medical doctor oversee their work. 

Nurse practitioners are considered part of the advance practice nursing core, but the difference between APN’s and NP’s is the path of specialty they go towards.  NP are often more of a general practitioner, where other APN’s specialize in areas such as mid-wife’s, or anesthesiology. “the clinical nurse specialist (CNS) role was created for the following reasons: (1) to provide direct care to patients with complex diseases or conditions; (2) to improve patient care by developing the clinical skills and judgement of staff nurses; and (3) to retain nurses who are experts in clinical practice.” (Hamric, 2014, p. 359) Many people if they do not feel like there is advancement in their job or profession will quit and move to another job, nursing is no different. Many nurses want to be recognized but do not necessarily want to go back to school to further their education.

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & OGrady, E. (2014). Advanced practice nursing: an integrative approach. St. Louis, MO: Elsevier/Saunders.

Http://nursejournal.org/, 2. N. (n.d.). Nurse Practitioner Vs. Physician Assistant. Retrieved June 22, 2017, from http://nursejournal.org/nurse-practitioner/np-vs-physician-assistants/

Nurse Practitioner vs. Physician Assistant. (2011, January 09). Retrieved June 22, 2017, from http://www.washingtonpost.com/wp-dyn/content/article/2011/01/07/AR2011010704936.html

After reading this week’s assigned chapters, think about your nursing philosophy. In your own words, discuss your philosophy of nursing. Reflect on the definition of the four concepts of the nursing meta-paradigm. Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?

Your paper should be 1–2 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. Cite at least one outside source using APA format.

For instance, if you were using your text as a resource, it would be listed like this on your reference list:

McEwen, M., & Wills, E. M. (2014). Theoretical basis for nursing (4th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.