Grand Theories and Middle-Range Theories Nursing theories are fundamental to the continued growth and evolution of the discipline of nursing
Nursing Theories: Grand Theories and Middle-Range Theories Nursing theories are fundamental to the continued growth and evolution of the discipline of nursing. In the process of knowledge generation, the development of nursing research, nursing theory, and practice do not take place in isolation, but are greatly interdependent. To strengthen the connection between theory and research, and theory and practice, emphasis is laid on developing and using theories to underpin nursing research and practice. A clear understanding of the purpose and evolution of theory, its major concepts, the relationship between these concepts, and the relevance of theory to education, research, and practice will help nursing professionals to use the theory as a framework for thought and examine nursing situations. Theory can serve as the framework to develop further research activities, which, in turn, can be directed to develop practice standards. This week will help you make the distinction between middle-range theories and grand theories. Examining research studies on Royï’s adaptation model, Leiningerï’s theory, and Penderï’s model from the CINAHL database will help you realize how the concepts of these theories find application in nursing practice. You will also get an opportunity to critique a theory of your choice. This week introduced you to grand theories and middle-range theories that serve to articulate the voice of nursing within healthcare. Here are the key points covered: Grand theories are comparatively more abstract than middle-range theories since they are at a higher level of abstraction. Compared to grand theories, middle-range theories are made up of limited number of concepts that lend themselves to empirical testing. All theories help to explain human health behavior. Sister Callista Royï’s adaptive model theory is built on the conceptual foundation of adaptation. It identifies the positive role that nursing plays in the promotion and enhancement of client adaptation to environments that facilitate the healing process. Leiningerï’s culture care theory is pertinent in the current multicultural healthcare environment where nurses are exposed to diverse cultures. Penderï’s health promotion and disease prevention theory can be called as a “direction setting exercise” for nursing professionals. It believes in fostering the spirit of health promotion and disease and risk reduction
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