The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below. Purchase the answer to view it
Nursing theories play a fundamental role in guiding nursing practice and promoting the development of the nursing profession. They provide a framework for nurses to understand and analyze nursing phenomena, and guide them in providing holistic care to individuals, families, and communities. There are various nursing theories available, ranging from grand theories to mid-range theories, each with its own unique focus and scope. In this assignment, we will discuss and evaluate the application of a nursing grand or mid-range theory.
To begin, it is important to understand the difference between grand theories and mid-range theories. Grand theories are broad in scope and address the fundamental concepts and principles of nursing. They provide a comprehensive understanding of nursing and are often abstract and conceptual. Mid-range theories, on the other hand, are more specific and focus on a particular aspect of nursing practice. They are often derived from grand theories and are more applicable to clinical practice.
One example of a nursing grand theory is the Adaptation Model developed by Sister Callista Roy. This theory focuses on the adaptation of individuals, families, and communities to environmental changes and stressors. According to Roy, the goal of nursing is to promote adaptation in four adaptive modes, namely physiological-physical, self-concept-group identity, role function, and interdependence modes. The theory emphasizes the assessment and promotion of adaptation in these modes to enhance the well-being of individuals and their ability to cope with life’s challenges.
The Adaptation Model can be applied to various nursing phenomena, such as the care of patients with chronic illnesses. For example, in caring for a patient with diabetes, the nurse can assess the patient’s physiological-physical mode, including their ability to manage blood glucose levels, adhere to medication and diet regimens, and engage in physical activity. The nurse can also assess the patient’s self-concept-group identity mode, by exploring their perceptions of their illness, its impact on their self-image, and their social support system. Based on these assessments, the nurse can develop interventions to promote adaptation in these modes, such as providing education on diabetes management, facilitating support group participation, and promoting self-care practices.
In addition to grand theories, mid-range theories also provide valuable guidance in nursing practice. One example of a mid-range theory is the Health Promotion Model developed by Nola Pender. This theory focuses on the promotion of health and prevention of illness by addressing the individual’s motivation, abilities, and environmental factors. According to Pender, health promotion is influenced by individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes. The theory emphasizes the significance of self-efficacy, perceived benefits and barriers, and social influences in shaping health behaviors.
The Health Promotion Model can be applied to various nursing phenomena, such as promoting healthy lifestyle behaviors in the prevention of coronary heart disease. For example, the nurse can assess the individual’s motivation to engage in healthy behaviors, their perceived self-efficacy in adopting these behaviors, and the perceived benefits and barriers that may influence their choices. Based on these assessments, the nurse can develop interventions to enhance health promotion, such as providing education on the benefits of regular exercise, facilitating access to healthy food options, and promoting social support for behavior change.
In conclusion, nursing theories, whether grand or mid-range, provide valuable guidance in nursing practice. They offer a framework for understanding and analyzing nursing phenomena, and guide nurses in providing holistic care. The Adaptation Model and the Health Promotion Model are examples of nursing theories that can be effectively applied in various nursing contexts. These theories help nurses assess and promote adaptation and health promotion, respectively, in individuals, families, and communities. By applying these theories, nurses can strive to improve the overall health and well-being of the populations they serve.