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Nursing Theory

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Kathy Porsch

on 9 August 2014

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Transcript of Nursing Theory

GRAND
Theory

MICRO/PRACTICE
Theory

MIDDLE
Range
Theory

Nursing Theories
Three levels of nursing theories
Grand
Middle
Micro/Practice
Nursing
theories


Three levels of nursing theories
Based on levels of abstraction
General beliefs of theorists
Very abstract concepts
May be used as source for practice or middle range theories
Guides research programs
Composed of summative units
Functional view of nursing and health
Nature, mission, and goals of nursing
Specific directions for nursing practice
Produced by other methods.
Also called situation specific theories
Provide an in-depth understanding of a practice situation
Blueprints for action in a specific nursing practice
Limited to specific populations or a specific field of practice

Concrete enough to implement a particular concept but abstract enough to generalize
Address a limited number of variables in a particular situation
Empirically grounded
Focus on practical problems
Examples of Grand Theorists
Neuman's System Model
Orem's Self-Care Theory
Rogers' Theory of Unitary Human Beings
Roy's Adaptation Model
Middle Range Theorists
Theory of Mastery by Younger
Theory of Uncertainty by Mishel
Theory of Unpleasant Symptoms by Gift
Theory of Self-Efficacy by Resnick
Theory of Resilience by Haase
Transitions Theory by Meleis
Micro/Practice Theories
Im and Meleis' menopausal transition of Korean immigrant women
Midlife women's attitudes toward physical activity
Theory of heart failure self-care
School nurse empowerment-Making a difference: The role of the school nurse in the health of the childeren in schools
References
Broussard, L. (2007). Empowerment in school nursing practice: A grounded theory approach. The Journal of
School Nursing, 23(6), 322-328.
Im, E. (2005). Development of situation-specific theories: An integrative approach. Advances in Nursing Science,
28(2), 137-151.
Im, E., & Chang, S. J. (2012). Current trends in nursing theories. Journal of Nursing Scholarship, 44(2), 156-64.
Im, E., & Meleis, A. I. (1999). Situation-specific theories: Philosophical roots, properties, and approach. Advances in
Nursing Science, 22(2), 11-24.
Im, E., Stuifbergen, A. K., & Walker, L. (2010). A situation-specific theory of Midlife Women’s Attitudes Toward
Physical Activity (MAPA). Nursing Outlook, 58(1), 52-58. doi:10.1016/j.outlook.2009.07.001
Nolan, M., & Grant, G. (1992). Mid-range theory building and the nursing theory-practice gap: A respite care
case study. Journal of Advance Nursing, 17, 217-223.
Parker, M. E., & Smith, M. C. (2010). Nursing theories and nursing practice (3rd ed.). Philadelphia, PA: F.A. Davis.
Riegel, B., & Dickson, V. V. (2008). A situation-specific theory of heart failure self care. The Journal of
Cardiovascular Nursing, 23(3), 190-196. doi:10.1097/01.JCN.0000305091.35259.85

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