RESPONSE DISCUSSION

RESPONSE1NURS811.docx

Home >Nursing homework help >RESPONSE DISCUSSION

A middle-range theory is a theory that can be tested and therefor easier to apply to practice. Unlike grand theories or concrete theories, middle range theories are easier to understand (McEwin & Wills, 2019). Middle-range theories are seen as being the most useful for clinical practice because they are easier to comprehend and allow enabling interventions to be more feasible (Gray, Grove, & Sutherland, 2017). The purpose of this discussion post is to discuss the conceptual components of a middle range theory and explain how the components are observed and measured in practice.

Theory of Self-Care of Chronic Illness

The Theory of Self-Care of Chronic Illness explains the holistic view of self-care in the management of chronic illness (Riegel, Jaarsma, & Strömberg, 2012). It describes how important it is to incorporate patients in their own care in an effort to increase health outcomes. The conceptual components of the Theory of Self-Care of Chronic Illness are self-care maintenance, self-care monitoring, and self-care management (Riegal, Jaarsma, & Strömberg, 2012).

How the Components are Observed and Measured in Practice

The self-care of chronic illness inventory is a method used to observe and measure the components of self-care maintenance, self-care monitoring, and self-care management and it is seen as adequate in reliability and validity (Riegel et al., 2018). An example of how this is measured in practice is by using the Self-Care of Heart Failure Index (SCHFI). The Self-Care of Heart Failure Index “is a measure of self-care defined as a naturalistic decision making process involving the choice of behaviors that maintain physiologic stability (maintenance) and the response to symptoms when they occur (management)” (Riegel et al., 2009). Another example is Self-Care Inventory-revised (SCI-R). The Self-Care Inventory-revised is “a self-reported measure of perceived adherence to diabetes self-care recommendations, among adults with diabetes” (Weinger, 2005).

References

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.

McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia,

PA: Wolters Kluwer Health.

Riegel, B., Barbaranelli, C., Sethares, K. A., Daus, M., Moser, D. K., Miller, J. L.,

Jaarsma, T. (2018). Development and initial testing of the self-care of chronic illness inventory. Journal of Advanced Nursing, 74(10), 2465-2476. doi:10.1111/jan.13775

Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A Middle-Range Theory of Self-Care of

Chronic Illness. Advances in Nursing Science, 35(3), 194-204. doi:10.1097/ans.0b013e318261b1ba

Riegel, B., Lee, C. S., Dickson, V. V., & Carlson, B. (2009). An update on the self-care

of heart failure index. The Journal of cardiovascular nursing, 24(6), 485–497. https://doi.org/10.1097/JCN.0b013e3181b4baa0

Weinger, K., Butler, H. A., Welch, G. W., & Greca, A. M. (2005). Measuring Diabetes

Self-Care: A psychometric analysis of the Self-Care Inventory-revised with adults. Diabetes Care, 28(6), 1346-1352. doi:10.2337/diacare.28.6.1346