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For Lecture - Middle Range Theorists

· Week 14

As we progress through the latter part of our course and exploration of additional nursing theorists. I do not know if anyone has noticed that the concepts have a closer correlation with the issues that are applicable to current practice.

Think about the duties that you are currently performing, advanced technology, and relevant concepts that we currently encounter. This week as we progress though our Middle Range Theories, we are going to look at the Barrett’s Theory of Power as Knowing Participation in Change, Smith’s Theory of Unitary Caring, and Swanson’s Theory of Caring. What comes to mind when we think of these theoretical viewpoints in nursing?

Section VI: Middle Range Theories

Chapter 29 – Barrett’s Theory of Power as Knowing Participation in Change

In brief this theory proposes, is the capacity to participate knowingly in the nature of change characterizing the continuous mutual process of people and their world. The observable, measurable dimensions of power are awareness, choices, freedom to act intentionally, and involvement in creating change (Barrett, 1983).

How does one engage in transformation? What does it involve?

Major assumptions of Barrett’s Theory of Power as Knowing Participation in Change include:

(1) power is a phenomenon that exists in the universe; (2) human beings are born with power; (3) no one can give power to another, and no one can take power away; and (4) human beings have free will and can knowingly participate in creating change (Smith & Parker, 2015).

Chapter 30 – Marlaine Smith’s Theory of Unitary Caring

Unitary Caring Science offers a personal-professional path of authenticity, bringing universals of Love, Energy, Spirit, Infinity of Purpose, and Meaning back into nurse’s lives and their life’s work. Unitary Caring Science serves as a continuing, evolving message to the next generation of nurse scholars.

How can we apply this concept to the practice environment of todays nursing?

An analysis of the caring literature revealed that caring was a multidimensional concept that assumed multiple meanings depending on the framework within which it was situated or the lens from which it was viewed (Smith & Parker, 2015).

Chapter 31 – Kristen Swanson’s Theory of Caring

Swanson's caring theory outlines five caring processes: knowing, being with, doing for, enabling, and maintaining belief. Nurse educators can utilize these caring processes to teach nursing students by cultivating meaningful, healing relationships.

Spending time with your patients, what will you gather from them as a nursing professional? What collaborative initiatives come to mind?

Smith and Parker (2015) states, when a provider takes the time to know, be with, do for, enable, and maintain belief in the other, the recipient feels a sense of wholeness - that is they feel understood, valued, safe and comforted, capable, and hopeful for the future. I believe caring and healing is possible whenever a provider acts with the recipient’s best interests (pp. 530-531).