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Grand and middle range nursing theory
Relationship of theory to nursing practice
Why are middle-range theories useful in nursing practice
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Theory
According to Burns & Grove a theory is defined as a set of statements and concepts devised to explain a phenomenon, especially one that is widely accepted or repeatedly tested and can be used to predict and describe natural phenomenon. Nurses use theories in a clinical practice to explain nursing care, describe nursing care, to guide practice and to build a foundation for making clinical decisions. Nursing theories are primarily developed by nurses but other health care professionals provide input. Most nurses incorporate many theories instead of using one exclusively. Using multiple theories allow the nurse to choose the best one to fit a particular situation.
Concept
A concept describes and names an object, experience
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This is used to describe things that have four right angles and four equal sides. This concept organizes information into categories.
Relational Statements A relational statement clarifies the connection that exists between two or more concepts
(Burns & Grove, 2007). For example, one relational statement might propose that higher formal education is related to a higher income. Another relational statement might propose that a higher income is related to a higher self esteem. The theory is not tested in research, however, it’s the statement of theory that is tested. When testing a theory the truth have to be determined among each relational statement. In many studies all relational statements in a theory are required to be validated. Concept Map A concept map is graphical tools developed to explain and depict relationships between concepts (Burns & Grove, 2007). The map should include main points from the literature. The concept map includes all the major concepts in a framework or theory. The map includes concepts, usually enclosed by boxes or circles of some kind, and relationships between concepts are expressed by arrows linking the concepts. Each linkage shown by an arrow is a
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It can also help to manage ideas and create questions to focus on in the research. According to the text, mapping is useful in indentifying gaps in the logic of the theory and reveals incompleteness, errors, and inconsistencies (Burns & Grove,
2007).
Framework The framework is the structure that can support or hold the theory of a research study.
The framework makes the study stronger. One primary purpose is to explain the meaning, challenges and nature related to a phenomenon, so we can use the knowledge and understand to act in a more informed and effective way. Developing a framework to clearly express the logic on which the study is based is helpful to both the researcher and to readers of the published study
(Burns & Grove, 2007, p. 181). Framework has been used in quantitative studies as well as other areas such physiology and psychology.
Middle Range Theory/Practice Theory Middle range theories are closely related to research and clinical practice therefore, having a greater appeal to clinical researchers and clinicians. They are more narrow in scope than grand theories and are less abstract. In nursing, evidence based practice related to a
...concrete theories and empirical truths, no matter how factual, that we may attempt to use
... a theory should be able to explain a wide variety of things, not just only what it was intended to explain.
conceptualization of the term/concept, and it also helps to show that the concept is indeed
There are many definitions to theory. According to Akers (2009) “theories are tentative answers to the commonly asked questions about events and behavior” (Akers, (2009, p. 1). Theory is a set of interconnect statements that explain how two or more things are related in two casual fashions, based upon a confirmed hypotheses and established multiple times by disconnected groups of researchers.
Theory’s responsibility is to provide nurses with standards that reinforce practice, as well as, for future nursing understanding and delivery. Basically, it provides nursing professionals with a tested way of thought on how to handle certain situations with proven results. The importance of nursing theories to nursing research is the knowledge offered gives nurses the foundation for communicating with others and best practice. Middle range theory according to McEwen & Wills (2011, p 35) are theories that have concrete concepts, that are specific, incorporate a measured number of concepts and characteristics of the real world and are tested for accuracy.
The six standards of practice are very important. Under the first standard, assessment, the nurse evaluates health information related to the patient. This information could be a health issue such as asthma, or a psychological issue such as anxiety that is necessary knowledge needed before treatment can begin. Once this is accomplished the second standard, diagnosis, begins. Under this standard the nurse takes the information gained from the assessment and utilizes it to derive a diagnosis of the individual. The third standard, outcomes identification, has
Models can be tested, changed, or used to guide research or to provide a base for evaluation(Blais,2002).
Does the theory have broad application or is the application only confined within a narrow focus? This theory can be applied to all areas of nursing because all patients experience a form of uncertainty when health is not
Nurses engage in clinical reasoning in order to provide effective and consistent care. According to Kozier et al (2014) clinical reasoning is “the thought process used to assess a clients evolving situation and health concerns, gather data and make decisions to solve problems within a particular clinical context to achieve better client outcomes” (p. 408). Elstein and Bordage (as cited in Jones, et al, 2009) stated that “clinical reasoning as the way clinicians think about the
There are three types of nursing theories, when it comes patient well-being all three types
The map was developed by the CIPD in conjunction with professionals and organisations around the world and is made up of the following 3 sections:
There are many definitions to theory. According to Akers, “theories are tentative answers to the commonly asked questions about events and behavior.” Theory is a set of interconnected statements that explain how two or more things are related, based upon a confirmed hypotheses and established multiple times by disconnected groups of researchers.
Theory: A general statement about some parts of the world that fit together and how they work; an explanation of how two or more facts are related
The second standard in the nursing process is diagnosis. During this step, the registered nurse analyzes the assessment data to determine the diagnosis or issues (“American Nurses Association,” 2010). Analysis involves recognizing cues, sorting through and organizing or clustering the information, and determining patient strengths and unmet needs. These findings are compared with documented norms...
The claim being discussed here is that the only way a map or a way of representing things can be useful is if it simplifies the knowledge that the actual territory gives, that is, if it reduces the salient i...