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D‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍iscussion – Week 7 Applying Middle Range Theories to Practice Last week you began exploring literature in support of specific practice problem. One step in the analysis of literature is examining the theoretical framework that guided the study. Middle range theories are frequently used to guide nursing research and it is likely that some of the articles you reviewed used a middle range theory. This week, you will examine how middle range theories bring to light concepts in health care and the DNP-prepared nurse’s role in developing and refining middle range theories for advancing nursing science and improving practice. To prepare: Reflect on the information presented in this week’s Learning Resources, focusing on the development and use of middle range theories in nursing practice and research. Search the Walden Library and other scholarly databases looking for examples of the development, analysis, or use of middle range theories in clinical practice. Determine current trends in the development and use of middle range theories in nursing practice and research. Consider how the development of new middle range theories advances nursing as a science. *****NOTE ASSIGNMENT:***** Please provide at least 2 – 3 references. ******By Day 3 post a cohesive response that addresses the following: —How does middle range theory illuminate concepts in health and health care delivery? —What do you see as your particular role in developing (or evaluating) middle range theories? Why might that be important to advancing nursing science and improving clinical practice? INTRODUCTION AND RESOURCES: Week 7: Middle Range Theories This week continues the examination of nursing theory with a focus on middle range theories. Middle range theories are frequently used in nursing research and as frameworks for evidence-based practice. This week, you will examine the applicability of middle range theories to practice and nursing research. You will also develop a research hypothesis for an evidence-based practice project using a middle range theory as a framework. Learning Objectives Students will: Analyze the application of middle range theories for determining the nature and significance of health and health care delivery phenomena Identify the influence of empiricism on quantitative research methodology Develop a research question using a selected middle range theory to resolve a practice problem Learning Resources Required Readings McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health. Chapter 10, “Introduction to Middle Range Nursing Theories” Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and us‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍e in research. Chapter 11, “Overview of Selected Middle Range Nursing Theories” Chapter 11 continues the examination of middle range theories and provides an in depth examination of a select set of theories. Gray, ., Grove, ., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier. Chapter 6, “Objectives, Questions, Variables, and Hypotheses” Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses. Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating research for evidence-based nursing (pp. 73-88). Philadelphia, PA: F. A. Davis. 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), 355-359. 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), 53-60. 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), 2249–2257. doi: This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes. 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), 42–52. Note: You will access this article from the Walden Library databases. Discussion: Applying Middle Range Theories to Practice Post your responses to the Discussion based on the course requirements. Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Initial postings must be 250–350 words (not including‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ references).

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