Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing. Select one of the articles in which the development of a middle range theory is the major focus of the paper. Share the article citation and describe how the theory was developed. REPLY TO DISCUSSION

Conduct a literature search in the Cumulative Index of Nursing and Allied Health Literature (CINAHL) using the terms middle range theory, mid-range theory, and nursing. Select one of the articles in which the development of a middle range theory is the major focus of the paper. Share the article citation and describe how the theory was developed. REPLY TO DISCUSSION

According to Risjord (2019) a middle-range theory shows how the phenomenon is brought about by analyzing the phenomenon into parts and identifying their relationships. This means that to understand a middle-range theory what it tells us, how it might be tested, what interventions it might support we must identify: (a) the phenomenon modelled, (b) the elements of the model and their properties, and (c) the relationships it postulates .The author went on to posit that significant advantage of representing a middle-range theory as a model is that it highlights the ways that the model may be significantly tested. If the model is operationalized and reasonably precise, the relevant test would measure or otherwise observe whether the elements change in the way that the model predicts.

These concepts can be related and integrated with Orem’s theory of nursing of self-care in hypertensive patients. These theories and models are for behavioral change, counselling skills, patient advocacy, empowerment, professional knowledge, health education and support form the nursing system in hypertension care which the nurse brings into the encounter with the patient. The patient brings certain attitudes and beliefs, a view of health, need for autonomy, their own personality and traits, perceived vulnerability, hardiness, a sense of coherence, locus of control, self-efficacy, and social support and network into the encounter. All these factors affect behavior and thus the patients’ habits. (Drevenhorn, 2018). During these consultations these concepts are integrated with Orem’s theory of nursing of self-care, whereby nurses can apply the theories and models for behavioral change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, to support the patient. The  middle-range theory could be easily adopted to nursing research or practice in various but specific areas of focus. (Im E,2018). Because of inherent characteristics of middle-range theories that address specific phenomena or concepts, middle-range theories could easily provide directions for nursing research and practice.

References

Drevenhorn E. (2018). A Proposed Middle-Range Theory of Nursing in Hypertension Care. International journal of hypertension, 2018, 2858253. https://doi.org/10.1155/2018/2858253