Middle Range Theories Chapter 10

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Questions and Answers

What is the main focus of Chapter 10?

Application of Nursing Theories

Introduction to Middle Range Nursing Theories (correct)

Introduction to High Nursing Theories

Conclusion of Nursing Theories

What are middle range nursing theories?

Middle range nursing theories lie between grand nursing theories and practice theories. They are more specific, with fewer concepts and encompass a limited aspect of the real world.

Which of the following is NOT a concept of middle range theory?

Coping

Health Promotion

Quantum Theory (correct)

Grief

Where do middle range theories come from?

Middle range theories come from research, practice, literature reviews, conceptual models or grand theories, taxonomies, guidelines, and other disciplines. Signup and view all the answers

How are middle range theories categorized?

Middle range theories are categorized as 'high-middle', 'middle', and 'low-middle' based on their level of abstraction or degree of specificity. Signup and view all the answers

What is an example of high MRT?

Caring, transcendence, adaptation are examples of high MRT. Signup and view all the answers

What concepts typically comprise middle MRT?

Middle MRT generally includes constructs like uncertainty in illness, unpleasant symptoms, and peaceful end of life. Signup and view all the answers

What are examples of low MRT?

Examples include women's anger, acute pain management, and intervention for postsurgical pain. Signup and view all the answers

What are the major concepts of Leininger's theory of culture care diversity and universality?

Culture, culture care, differences, similarities, caring, emic vs. etic view, lay & professional system of healthcare. Signup and view all the answers

What model did Leininger use to discover culture care?

The Sunrise Enabler Model. Signup and view all the answers

What are the three decision and action modes to provide culturally congruent care?

<ol> <li>Culture care preservation and/or maintenance, 2) Culture care accommodation and/or negotiation, 3) Culture care restructuring and/or repatterning.</li> </ol> Signup and view all the answers

How does Leininger's theory help develop nursing practice?

It guides nurses to inquire about a patient's culture and individualize care based on their beliefs and values. Signup and view all the answers

What are the central concepts of Benner's theory?

Competence, skills acquisition, experience, clinical knowledge, and practical knowledge. Signup and view all the answers

What are Benner's five levels of proficiency?

Novice, advanced beginner, competent, proficient, and expert. Signup and view all the answers

Study Notes

Introduction to Middle Range Nursing Theories

Middle range nursing theories bridge the gap between grand nursing theories and practice theories.
They are more specific, with fewer concepts, and focus on limited aspects of real-world scenarios.
Concepts are concrete and can be empirically tested.

Characteristics of Middle Range Theory

Composed of two or more observable concepts and their relationships.
Concepts must be applicable across diverse settings.
Examples include: health promotion, comfort, coping, resilience, pain, self-transcendence, grief, fatigue, and transitions.

Sources of Middle Range Theories

Developed from research, practice, literature reviews, and grand theories.
Influenced by taxonomies, guidelines, and standards from various disciplines.

Categorization of Middle Range Theories

Classified into "high-middle", "middle", and "low-middle" based on their abstraction and specificity.
Differentiated from practice theories, offering a balance of generalization and operationalization.

High Middle Range Theories

Feature broad and fairly abstract concepts such as caring, transcendence, and culture.
Notable theorists include Benner and Leininger.

Middle Middle Range Theories

Rely on theoretically defined and fairly specific constructs like uncertainty in illness and chronic sorrow.
Examples include social support, self-help, resilience, and successful aging theories.

Low Middle Range Theories

These are highly defined and address specific concerns like women's anger and postsurgical pain.
Examples include theories related to becoming a mother and caregiver stress.

Leininger's Theory of Culture Care Diversity & Universality

Focuses on culture, cultural care aspects influencing health, diversity vs. universality, and caring.
Distinguishes between emic (within one culture) and etic (across cultures) perspectives.
Promotes culturally congruent nursing care.

Sunrise Enabler Model

Used to explore cultural care diversity and universality.
Assists nurses in conducting individualized cultural assessments.

Culturally Congruent Care Practices

Culture care preservation and maintenance.
Culture care accommodation and negotiation.
Culture care restructuring and repatterning.

Impact of Leininger's Theory on Practice

Encourages nurses to inquire about patients' cultural backgrounds.
Aids in individualizing care aligned with patient beliefs and values.
Promotes cultural education for improved nursing practices.

Central Concepts of Benner's Theory

Competence refers to successfully performing tasks.
Skills acquisition is necessary for achieving specific goals.
Experience enriches practical application of clinical knowledge.
Practical knowledge drives motivation to act effectively.

Benner's Levels of Proficiency

Novice: Beginners with no prior experience, require guidance to prioritize tasks.
Advanced Beginner: Demonstrates acceptable performance, begins to build experience.
Further details about Benner's proficiency levels would follow beyond the given information.

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Explore the concepts surrounding middle range nursing theories in this chapter. This quiz provides insights into the definitions and differences between grand and middle range theories. Enhance your understanding of nursing theories and their applications.