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Middle range theory in nursing practice
Middle range theory in nursing practice
Middle range theory in nursing practice
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Middle range theories are some of the important aspects when trying to bring into table issues concerning nursing. Majorly on areas where there is a population which does not have a voice. However, it substantially addresses specific issues under in a focus area in nursing practice, it has become efficiently broad and thus can be applied in many areas in many patients from different regions.
Short staffing
It is an important attribute which affects the overall care of the patient. It is thus a concern on the assessment of the risk of the liability in a situation of short staffing. When one is established, a reasonable exercise of reasonable professional judgment and priorities, as well as communication problem in nursing management, will ensue
The hypothesis which comes in to clarify the theory can be observed to be one that has uniformities and also social behaviors and social association as well as social change (Alkin, 2012).
It should be understood that the most famous definition in a statement comes in to be that a middle range theory will not be familiar to many as what Merton made a restriction on and specifically made a grand theory and piecemeal empiricism. There should be appreciated to the formulation of pessimistic middle range thinkers who additionally came up with major roles in the colorless, centric party. It is now known to be well as it wasn’t against the entire voting for (Merton).
A clear perspective of the middle range theory comes to a result of Merton. On one occasion it is realized that there is need to push for other thirty pages to be able to locate a short manifesto on the illumination of a general rationale to be considerable.
Application of theory in
It shows that an establishment of a proper caregiver has an effect of increasing the morale of the entire administration of nurses, specifically on management and effectiveness of the command. The theory makes provision of a better structure in ensuring the leaders are in a good care of nurses which the patients will be able to promote wholeness and permit the nurses to have a recapture of their actual job. When one uses this theory, the leaders can be able to give a moral and a better moral support which will be able to reach and address many practices in the organization as well as the patient care (Douglass,
In order to understand middle range theories, a practical knowledge of the definition should be achieved before attempting to applying to concepts or classifications to the models. Middle range theories are defined as, theories that are fundamentally individual while incorporating a controlled amount of assumptions furthermore, having a limited characteristic of reality. These concepts are defined and may be tested (McEwen & Wills, 2011 p. 35).
• However, to Sunstein, this view is exactly what he is argues against; wherein a high-level theory, a general theory of all law, has a domain over a large portion of law. So large, in fact, that the high-level theory is where all principles and outcomes should come from as absolutes. However, Posner must allow indeterminacy in particular cases; an ambiguity that is filled with low-level principles, that do not directly derive from the theory of wealth maximization. If this can be true, for particular cases, then it can be incompletely theorized and acceptable to Sunstein. But Posner, would hold that his economic approach, that uses wealth maximization, is necessary. An
Following the QSEN model, this problem is a concern that falls under the safety category. The Institute of Medicine defines safety as, “minimizes risk of harm to patients and providers through both system effectiveness and individual performance” (IOM, 2003). A nurse manager must address this problem because without nurses who are able to work, patients cannot be taken care of in a safe and effective way. As a nurse manager, it would be ...
The role of a Registered Nurse cannot be neglected in the provision of quality and safe care to patients and adopt procedures adequate for the condition of the patients because they work at the front line level; moreover, they have direct dealing with patients and integration of personal and professional skills is necessary. Therefore, there are certain attributes that are necessary to be present in a Registered Nurse for accurately performing various tasks. These include; Workload management, leadership qualities, interpersonal skills, control of practice, professional development, effective communication skills and organi zational loyalty (Daly & Carnwell 2003, pp. 158-167). These attributes hold significance in terms of obtaining positive outcome for not only the Registered Nurse but also the organization and the patient. Workload should be managed in such a way that the care process is not affected. Registered Nurse should have leadership qualities to help, motivate and inspire other nurses. Similarly, a Registered nurse should also enable and promote learning opportunities for other nurses. A Registered Nurse has responsibilities towards the subordinates, patients and most importantly to the organization. Effective communication skills can allow Registered nurses to establish a trusting relationship with patients identifying their problems and needs. The code of ethics and principles of practice must be followed and the practice of the nurse should be in the line of the organization’s working principles. The responsibility should be met as accountability factors must be considered significant in healthcare setting (Cornenwett, et al, 2007, pp.122-131; Bradshaw et al 2012, pp.13-14). ...
The progress of nursing theories reflects the development of nursing science. Theories go beyond describing professional abilities, and aim for a synthesis which in turn becomes a reference to practitioners. This interplay between theory and practice currently mirrors specific features of our profession: its focus on the individual, the behavior, and the importance of the experiences, considered in a universal way. In consequence, the biological, psychosocial, cultural and spiritual connections of the human beings are the focus of the nursing discipline. This paper offers a nursing view, analyzing main concepts of the professional nursing roles.
In the history of nursing we have come a long way and this is because of the nurses before us. They wanted to learn, lead, teach and make a difference in the care of patients. There are 4 main nurse theorists in the second part of our text book. I am going show how they are alike and different from one another. What makes each one of them unique and the differences they played in the development of each nursing philosophy.
Theories in the 1980’s had much to do with transition, conditions, attainment and uncertainty. All of which are incorporated into nursing
Staffing issues amongst the nursing profession has been a major concern. Safety of both nurse and patient is important. There is a strong correlation between having an adequate nursing staff and patient safety outcomes. The rise in the acuity of patients and shorter hospital stays has been linked to errors, nurse burnout, and patients sometimes feeling neglected. Patient satisfaction has become the major focus point since the change of our health care system today. Being able to find an optimal nurse- to- patient ratio has been an ongoing struggle in mostly all health care facilities. This paper will answer the PICO question, how is quality of care and patient safety affected in regards to nursing staffing and nurse patient ratios?
Paradigm is a sum of a person’s belief as well as the understandings of any facts and experience that he/she comes across. In nursing science, the paradigm addresses the most abstract set of central concepts include: the person, environment, health, and nurse perception towards a patient. For the nurse, paradigm creates a nursing frame work that “provides comprehensive perspective for nursing practice” (Alligood, 2014, p.45). Nursing theories are developed from this frame work and these theories are the guiding structures of nursing practice, postulate the focus for the delivery of nursing care, critical thinking, and decision making. These theories may develop from “a philosophy, a nursing model, a more abstract nursing theory, or a framework from another discipline” (Alligood, 2014, p.43).
& Willis, E. M. explains the middle-range theories were first introduced in sociology in 1960’s then were offered in nursing in 1974 focusing on emerging disciplines because they were available to introduce through research in compare to grand theories. Middle-range nursing theory was established fifteen years later, and is reinforced by repeated criticism of the summary of grand theories and their difficulties in use to research and practice. The reason of middle-range theory is to define, clarify, and predict occurrences that easer to apply in practical situations, and potentially to direct nursing interventions, change circumstances of situations to improve the care and potentially best outcome. Focus on middle-range theory is supported by theoretical framework for research studies, tested by research and use in practice, and scientific end product expressing nursing knowledge. (McEwen, M. & Willis, E. M.,
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
Throughout nursing history, theories have paved the way for the nursing practice and profession. Theory is a proven explanation of events that guide actions (McEwen, 2011). Before nursing theory, nursing was grouped with medicine and wasn’t considered its own profession (McEwen, 2011).
Especially the patient. When cutting back on staff nurses it is imperative that the consequences are fully understood. In the end, a patient’s life is on the line. As discussed, a nurse’s role goes beyond the medical aspect, developing a relationship with the patient is vital when delivering care. A nurse-patient relationship cannot be provided when there are a bulk workload and long hours with no break period. Having a nurse staff with an adequate number of nurses is imperative to guarantees that all patients needs are met. To ensure that there are minimal errors to no errors made when delivering care, a nursing staff must have a sufficient number of nurses. Additionally, to make sure a hospital's fines are limited pertaining to patient care, an adequate number of nurses. Nurses are a key component in healthcare, however, their duties as nurses cannot be
Nursing theory is the foundation in which the nursing profession stands on. Nurses learn about nursing theories and determine which theory or theories is a best fit. Those theories guide their profession, and nurses study to put those theories into practice. Doing so ensures the welfare of the patients, and the integrity of the profession is protected as well.
Compared with medical professionals, nurses appear to be reluctant to rely on professional rationales for their actions, preferring to use managerial justifications and implementing ‘top down’ approach to care. (Adamson, 2013). When a gap in nursing care is perceived, theory is often used to improve these outcomes. Theory provides an overall vision and understanding of the profession of nursing by offering guidance. Not only in nursing, but theory can be applied to any profession as it serves as a tool for guidance of practice. The legitimacy of a profession is based on its ability to generate and apply theory (McCrae, 2012). Without nursing theory, nursing would be a profession guided by by medicine and physicians. Theory guides nurses by shaping its professional boundaries and helps nurses make decisions on current and potential patient needs.