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ASSIGNMENT10Week7.docxWeek 7: Middle Range Theories
This week continues the examination of nursing theory with a focus on middle range theories. Middle range theories are frequently used in nursing research and as frameworks for evidence-based practice. This week, you will examine the applicability of middle range theories to practice and nursing research. You will also develop a research hypothesis for an evidence-based practice project using a middle range theory as a framework.
Learning Objectives
Students will:
Analyze the application of middle range theories for determining the nature and significance of health and health care delivery phenomena
Identify the influence of empiricism on quantitative research methodology
Develop a research question using a selected middle range theory to resolve a practice problem
Learning Resources
Required Readings
McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th 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 (pp. 73-88). Philadelphia, PA: F. A. Davis.
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.
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.
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
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.
Assignment 2: Middle Range or Interdisciplinary Theory Evaluation [Major Assessment 3]
As addressed this week, middle range theories are frequently used as a framework for exploring nursing practice problems. In addition, theories from other sciences, such as sociology and environmental science, have relevance for nursing practice. For the next few weeks you will explore the use of interdisciplinary theories in nursing.
This Assignment, due in Week 7, asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem.
Note: This Assigment will serve as your Major Assessment for this course.
To prepare:
Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources.
Select a clinical practice problem that can be addressed through an evidence-based practice project. Note: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Week 7 Assignment 1.
Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem.
Formulate a preliminary clinical/practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4.
You will continue working on this Assignment in Weeks 7, using material presented in those weeks to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question.
In a 8- to 10-page paper (including references):
1) Briefly describe your selected clinical practice problem.
3) Evaluate both theories using the evaluation criteria provided in the Learning Resources.
4) Determine which theory is most appropriate for addressing your clinical practice problem. Summarize why you selected the theory. Using the propositions of that theory, refine your clinical / practice research question.
