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Health, Medicine, Nursing
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Middle Range or Interdisciplinary Theory Evaluation (Term Paper Sample)

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this paper focuses on the complexities that surround brain trauma injury nursing to demonstrate the indispensability of middle-range theories in nursing practice, especially when best patient outcomes are the primary target.

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Middle Range or Interdisciplinary Theory Evaluation
Name
Institution
Middle Range or Interdisciplinary Theory Evaluation
Introduction
Brain trauma injury remains to be a crucial health concern when it comes to clinical practice. Nurses face significant challenges caring for patients who have suffered from traumatic injury. Such patients present with a challenging problem considering its sensitivity. Nurses entrusted with the mandate of caring for such patients need to exercise extreme caution to see to it that they realize the best outcomes despite the sensitive nature of their patients’ condition. Notably, because the brain is involved, it is essential that the nurse in-charge employs the most appropriate measures guided by approved theories to help in dealing with the problem. The adverse effects linked to traumatic injury necessitate the need to adopt an appropriate form of treatment to attain the best patient outcomes (Goodwin & Candela, 2013). Various approaches can be adopted by the nurses to deal with the issue. These approaches have to be adopted under the auspices of approved nursing theories to deal with the clinical practice problem effectively (Butts, Bandhauer, & Rich, 2013). Therefore, this paper focuses on the complexities that surround brain trauma injury nursing to demonstrate the indispensability of middle-range theories in nursing practice, especially when best patient outcomes are the primary target.
Summary of the Selected Theories
The adoption of theories, especially middle-range theories such as the comfort theory, in nursing practice has been instrumental in significantly improving the provision of care to patients. The theory was developed by Katharine Kolcaba in the 1990s, and focuses on health practice. It reiterates the need to ensure that the individual patient’s needs are met. Kolcaba provides an example of a patient who has just undergone surgery and is experiencing pain ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1016/j.nedt.2012.07.013", "ISBN" : "0260-6917", "ISSN" : "02606917", "PMID" : "22901371", "abstract" : "The aim of this qualitative study was to explore if newly practicing nurses benefited from learning holistic comfort theory during their baccalaureate education, and to provide a conceptual framework to support the transition from school to practice. The study was conducted among graduates of an accelerated baccalaureate nursing program where holistic comfort theory was embedded as a learner-centered philosophy across the curriculum. A phenomenological process using van Manen's qualitative methodology in education involving semi-structured interviews and thematic analysis was used. The nurses recalled what holistic comfort meant to them in school, and described the lived experience of assimilating holistic comfort into their attitudes and behaviors in practice. Themes were established and a conceptual framework was developed to better understand the nurses' lived experiences. Results showed that holistic comfort was experienced as a constructive approach to transcend unavoidable difficulties during the transition from school to practice. Participants described meaningful learning and acquisition of self-strengthening behaviors using holistic comfort theory. Holistic comfort principles were credited for easing nurses into the realities of work and advocating for best patient outcomes. Patient safety and pride in patient care were incidental positive outcomes. The study offers new insights about applying holistic comfort to prepare nurses for the realities of practice. \u00a9 2012 Elsevier Ltd.", "author" : [ { "dropping-particle" : "", "family" : "Goodwin", "given" : "Miki", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Candela", "given" : "Lori", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "Nurse Education Today", "id" : "ITEM-1", "issue" : "6", "issued" : { "date-parts" : [ [ "2013" ] ] }, "page" : "614-619", "title" : "Outcomes of newly practicing nurses who applied principles of holistic comfort theory during the transition from school to practice: A qualitative study", "type" : "article-journal", "volume" : "33" }, "uris" : [ "/documents/?uuid=423726cb-7b15-48bd-b9ec-427986138be0" ] } ], "mendeley" : { "formattedCitation" : "(Goodwin & Candela, 2013)", "plainTextFormattedCitation" : "(Goodwin & Candela, 2013)", "previouslyFormattedCitation" : "(Goodwin & Candela, 2013)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Goodwin & Candela, 2013). Under the circumstances, it is essential that the patient is given pain relievers to help in the management of the condition. The theory further illustrates that the patient must be made to feel comfortable at any given moment that they are receiving treatment ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1016/j.apnr.2014.02.004", "ISBN" : "0897-1897", "ISSN" : "08971897", "PMID" : "24637106", "abstract" : "Nursing approaches to care as based on Katharine Kolcaba's (2003) middle range nursing theory of comfort are discussed in reference to patients' suffering from symptoms related to the discomfort from cardiac syndromes. The specific intervention of \"quiet time\" is described for its potential use within this population as a comfort measure that addresses Kolcaba's four contexts of comfort: physical, psychospiritual, environmental and sociocultural. Without realizing it, many nurses may practice within Kolcaba's theoretical framework to promote patient comfort. Explicit applications of comfort theory can benefit nursing practice. Using comfort theory in research can provide evidence for quiet time intervention with cardiac patients. ?? 2014 Elsevier Inc. All rights reserved.", "author" : [ { "dropping-particle" : "", "family" : "Krinsky", "given" : "Robin", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Murillo", "given" : "Illouise", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Johnson", "given" : "Janet", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "Applied Nursing Research", "id" : "ITEM-1", "issue" : "2", "issued" : { "date-parts" : [ [ "2014" ] ] }, "page" : "147-150", "title" : "A practical application of Katharine Kolcaba's comfort theory to cardiac patients", "type" : "article-journal", "volume" : "27" }, "uris" : [ "/documents/?uuid=62b18b9e-01d2-4a4a-84e2-b7c2ac20fbd1" ] } ], "mendeley" : { "formattedCitation" : "(Krinsky, Murillo, & Johnson, 2014)", "plainTextFormattedCitation" : "(Krinsky, Murillo, & Johnson, 2014)", "previouslyFormattedCitation" : "(Krinsky, Murillo, & Johnson, 2014)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Krinsky, Murillo, & Johnson, 2014). Chances are that the patient will be in a better position to attain improved outcomes. Also, the theory indicates the need to aim at achieving contentment when providing care to the patients ADDIN CSL_CITATION { "citationItems" : [ { "id" : "ITEM-1", "itemData" : { "DOI" : "10.1016/j.apnr.2014.02.004", "ISBN" : "0897-1897", "ISSN" : "08971897", "PMID" : "24637106", "abstract" : "Nursing approaches to care as based on Katharine Kolcaba's (2003) middle range nursing theory of comfort are discussed in reference to patients' suffering from symptoms related to the discomfort from cardiac syndromes. The specific intervention of \"quiet time\" is described for its potential use within this population as a comfort measure that addresses Kolcaba's four contexts of comfort: physical, psychospiritual, environmental and sociocultural. Without realizing it, many nurses may practice within Kolcaba's theoretical framework to promote patient comfort. Explicit applications of comfort theory can benefit nursing practice. Using comfort theory in research can provide evidence for quiet time intervention with cardiac patients. ?? 2014 Elsevier Inc. All rights reserved.", "author" : [ { "dropping-particle" : "", "family" : "Krinsky", "given" : "Robin", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Murillo", "given" : "Illouise", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" }, { "dropping-particle" : "", "family" : "Johnson", "given" : "Janet", "non-dropping-particle" : "", "parse-names" : false, "suffix" : "" } ], "container-title" : "Applied Nursing Research", "id" : "ITEM-1", "issue" : "2", "issued" : { "date-parts" : [ [ "2014" ] ] }, "page" : "147-150", "title" : "A practical application of Katharine Kolcaba's comfort theory to cardiac patients", "type" : "article-journal", "volume" : "27" }, "uris" : [ "/documents/?uuid=62b18b9e-01d2-4a4a-84e2-b7c2ac20fbd1" ] } ], "mendeley" : { "formattedCitation" : "(Krinsky, Murillo, & Johnson, 2014)", "plainTextFormattedCitation" : "(Krinsky, Murillo, & Johnson, 2014)", "previouslyFormattedCitation" : "(Krinsky, Murillo, & Johnson, 2014)" }, "properties" : { "noteIndex" : 0 }, "schema" : "https://github.com/citation-style-language/schema/raw/master/csl-citation.json" }(Krinsky, Murillo, & Johnson, 2014). It is, thus, essential to determine the perception of patients after addressing the problem facing them.
The quality caring model is another middle-range theory whose underlying idea endears it to this paper, as it identifies the need to apply the best form of care to attain effective patient outcomes. The theory was proposed by Joanne Duffy. The theory sprouted out of the need to remind nurses of their fundamental r...
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