Assignment 2: Middle Range or Interdisciplinary Theory Evaluation
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 asks you to evaluatetwomiddle 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 Assignment will serve as your Major Assessment for this course.
To prepare:
Write a 10- to 12-page paper (including references) in APA format and a minimum of 8 references or more using material presented in the list of required readings to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question (refer to the sample paper attached as Assignment example). Include the level one headings as numbered below:
1) Introduction with a purpose statement (e.g. The purpose of this paper is)
2) Briefly describe your selected clinical practice problem.
3) Summarize thetwoselected theories. Both may be middle range theories or interdisciplinary theories or you may select one from each category.
4) Evaluate both theories using the evaluation criteria provided in the Learning Resources.
5) 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.
6) conclusion
MY PRACTICE PROBLEM IS AS FOLLOWED:
P: Patients suffering from Type 2 Diabetes Mellitus
I: Who are involved in diabetic self-care programs
C: Compared to those who do not participate in self-care programs
O: Are more likely to achieve improved glycemic control
THE THEORIES USED FOR THIS MODEL ARE:
Dorothea Orem Self-Care Theory and The Self-Efficacity in nursing Theory by Lenz & Shortridge-Baggett or the Health Promotion Model by Pender Murdaugh & Parson (Pick 2)
Required Readings
McEwin M. & Wills E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia PA: Wolters Kluwer Health.
Chapter 10 begins the exploration of middle range theories and discusses their development refinement and use in research.
Chapter 11 continues the examination of middle range theories and provides an in-depth examination of a select set of theories
Chapter 15 Theories from the Biomedical Sciences
Chapter 15 highlights some of the most commonly used theories and principles from the biomedical sciences and illustrates how they are applied to studies conducted by nurses and in nursing practice.
Chapter 16 Theories Models and Frameworks from Administration and Management
Chapter 16 presents leadership and management theories utilized in advanced nursing practice.
Chapter 18 Application of Theory in Nursing Practice
Chapter 18 examines the relationship between theory and nursing practice. It discusses how evidence-based practice provides an opportunity to utilize research and theory to improve patient outcomes health care and nursing practice.
Gray J.R. Grove S.K. & Sutherland S. (2017). Burns and Groves the practice of nursing research: Appraisal synthesis and generation of evidence (8th ed.). St. Louis MO: Saunders Elsevier.
Chapter 6 guides nurses through the process of identifying research objectives developing research questions and creating research hypotheses.
Review Chapter 2 Evolution of Research in Building Evidence-Based Nursing Practice
Chapter 19 Evidence Synthesis and Strategies for Evidence-Based Practice
This section of Chapter 19 examines the implementation of the best research evidence to practice.
Fawcett J. & Garity J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia Pennsylvania: F. A. Davis.
Note: You will access this article from the Walden Library databases.
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) 355359.
Note: You will access this article from the Walden Library databases.
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) 5360.
Note: You will access this article from the Walden Library databases.
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) 22492257. doi:10.1111/j.1365-2648.2009.05108.x
Note: You will access this article from the Walden Library databases.
This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes.
Amella E. J. & Aselage M. B. (2010). An evolutionary analysis of mealtime difficulties in older adults with dementia. Journal of Clinical Nursing 19(1/2) 3341. doi:10.1111/j.1365-2702.2009.02969.x
Note: You will access this article from the Walden Library databases.
This article presents findings from a meta-analysis of 48 research studies that examined mealtime difficulties in older adults with dementia.
Frazier L. Wung S. Sparks E. & Eastwood C. (2009). Cardiovascular nursing on human genomics: What do cardiovascular nurses need to know about congestive heart failure? Progress in Cardiovascular Nursing 24(3) 8085.
Note: You will access this article from the Walden Library databases.
This article discusses current genetics research on the main causes of heart failure.
Mahon S. M. (2009). Cancer Genomics: Cancer genomics: Advocating for competent care for families. Clinical Journal of Oncology Nursing 13(4) 3733 76.
Note: You will access this article from the Walden Library databases.
This article advocates for nurses to stay abreast of the rapid changes in cancer prevention research and its application to clinical practice.
Mayer K. H. Venkatesh K. K. (2010). Antiretroviral therapy as HIV prevention: Status and prospects. American Journal of Public Health 100(10) 18671 876. doi: 10.2105/AJPH.2009.184796
Note: You will access this article from the Walden Library databases.
This article provides an in-depth examination of potential HIV transmission prevention.
Pestka E. L. Burbank K. F. & Junglen L. M. (2010). Improving nursing practice with genomics. Nursing Management 41(3) 4044. doi: 10.1097/01.NUMA.0000369499.99852.c3
Note: You will access this article from the Walden Library databases.
This article provides an overview of genomics and how nurses can apply it in practice.
Yao L. & Algase D. (2008). Emotional intervention strategies for dementia-related behavior: A theory synthesis. The Journal of Neuroscience Nursing 40(2) 106115.
Note: You will access this article from the Walden Library databases.
This article discusses a new model that was developed from empirical and theoretical evidence to examine intervention strategies for patients with dementia.
Fineout-Overholt E. Williamson K. Gallagher-Ford L. Melnyk B. & Stillwell S. (2011). Following the evidence: Planning for sustainable change. The American Journal Of Nursing 111(1) 5460.
This article outlines the efforts made as a result of evidence-based practice to develop rapid response teams and reduce unplanned ICU admissions.
Kleinpell R. (2010). Evidence-based review and discussion points. American Journal of Critical Care 19(6) 530531.
This report provides a review of an evidence-based study conducted on patients with aneurismal subarachnoid hemorrhage and analyzes the validity and quality of the research.
Koh H. (2010). A 2020 vision for healthy people. The New England Journal Of Medicine 362(18) 16531656.
This article identifies emerging public health priorities and helps to align health-promotion resources strategies and research.
Moore Z. (2010). Bridging the theory-practice gap in pressure ulcer prevention. British Journal of Nursing 19(15) S15S18.
This article discusses the largely preventable problem of pressure ulcers and the importance of nurses being well-informed of current prevention strategies.
Musker K. (2011). Nursing theory-based independent nursing practice: A personal experience of closing the theory-practice gap. Advances In Nursing Science 34(1) 6777.
This article discusses how personal and professional knowledge can be used in concert with health theories to positively influence nursing practice.
Roby D. Kominski G. & Pourat N. (2008). Assessing the barriers to engaging challenging populations in disease management programs: The Medicaid experience. Disease Management & Health Outcomes 16(6) 421428.
This article explores the barriers associated with chronic illness care and other factors faced by disease management programs for Medicaid populations.
Sobczak J. (2009). Managing high-acuity-depressed adults in primary care. Journal of the American Academy of Nurse Practitioners 21(7) 362370. doi: 10.1111/j.1745-7599.2009.00422.x
This article discusses a method found which positively impacts patient outcomes used with highly-acuity-depressed patients.
Thorne S. (2009). The role of qualitative research within an evidence-based context: Can metasynthesis be the answer? International Journal of Nursing Studies 46(4) 569575. doi: 10.1016/j.ijnurstu.2008.05.001
The article explores the use of qualitative research methodology with the current evidence-based practice movement.
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) 4252.
Calzone K. A. Cashion A. Feetham S. Jenkins J. Prows C. A. Williams J. K. & Wung S. (2010). Nurses transforming health care using genetics and genomics. Nursing Outlook 58(1) 2635. doi: 10.1016/j.outlook.2009.05.001
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) 4252.