Course Outcomes Addressed by Assignment
Through this assignment, a student will demonstrate the ability to:
Synthesize knowledge and concepts from nursing and related disciplines as a foundation for advanced nursing roles. (PO #1)
Utilize critical inquiry and judgment to evaluate the design, implementation, and outcomes of strategies developed for learning and health care systems. (PO #4)
Exemplify professional values, scholarship, service, and global awareness that support professional and personal development. (PO#5)
Incorporate human caring and legal and ethical principles within the concepts of person, health, environment, and nursing for the benefit of society and the nursing profession. (PO #6)

Description of the Assignment:
The purpose of this assignment is to synthesize one strategy for the application of a specific nursing theory to resolving a problem or issue of nursing practice in nursing leadership, nursing education, nursing informatics, or health policy.

Content
1. Introduction to the paper includes a few general statements on the idea of nursing theory being applied to solve problems/issues in nursing practice, regardless of the specialty area of practice. For example, why would one pick a nursing theory to solve a practice problem? Would a grand, middle-range, or practice theory be best? Does the writer have any experience in using nursing theory this way? In addition, a brief one-paragraph summary of a specific nursing theory and information on the sections of the paper are provided. The selected nursing theory can be a grand theory, a middle-range theory, or a practice theory.
2. Description of the problem/issue for which strategies will be developed. The problem to be resolved must be in nursing leadership, nursing education, nursing informatics, or health policy. Scholarly evidence supporting the issue is included. The problem/issue could be local to ones specific practice setting. For example, the setting might be a nursing unit, a nursing-education program, an informatics department, or a health-policy unit of a consulting firm. The problem/issue needs to be something that a nursing theory can impact, whether it solves the actual problem/issue or enables people affected by the problem/issue to deal with it. It is best if the problem/issue is from real life ??" something the writer of the paper has dealt with or is currently engaged in.
Some examples (these are fictitious examples)
a. A nursing unit has experienced rapid turnover of professional staff, including several nurse managers. A new nurse manager from outside of the nursing unit is appointed.
b. Informatics nurse specialists face a lot of resistance from all healthcare professionals to implementation of a computer-based order entry program. The implementation date will not be changed.
c. A nurse educator is assigned to take over a large class of undergraduate nursing students, with a mix of young adults and adults returning for a second degree. The subject is difficult, students have not been doing well, and frustration and tempers are impeding group work.
d. A health-policy nurse specialist works for a consulting firm that lobbies on behalf of many healthcare professions. Within the specialists work unit, there is much debate over the pros and cons of various policies being proposed for attention in the coming year.
3. Applying concepts and principles from the selected theory, one strategy for resolving the identified issue is described in depth. Details on how the theory would be applied are included (consider: who, what, when, where, and how). Rationales for the strategy as well as evidence from scholarly literature are included. One ethical and/or legal aspect of the strategy is discussed. Expected outcome(s) from implementing the strategy are proposed.
4. Concluding statements include new knowledge about applying nursing theory gained by writing the paper
Format and Special Instructions
1. Paper length: 6 pages minimum; 10 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.
2. The textbook required for this course may not be used as a reference for this assignment.
3. A minimum of 3 scholarly references are used. References must be current ??" no older than 5 years, unless a valid rationale is provided. Consult with the course instructor about using an older source.
4. Title page, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual
5. Ideas and information from readings and other sources must be cited and cited correctly.
6. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual
Please use a Middle Range Theory or Practice Theory. Thank you (WOULD LIKE TO USE JOWRITER63)

Assignment 2 critiquing a middle range theory: group paper :

The purpose of this assignment is to explore the empirical support and applicability of selected nursing theories to the nursing practice, education, administration and/or research. A clinical scenario will be provided to the students. Each group of students will select and describe ONE middle range theory and its theorist(s) appropriate to the scenario. The scenario for assignment 3 is as follows
Jill Watson has worked in a telecommunication manufacturing company for 7 years. She has organized numerous health fairs, led countless health help sessions, regularly posted health information on central bulletin boards, and provided screening programs for many illnesses. However, many still smoke, are overweight, do not exercise, and have other negative lifestyle habits.
Studies have shown that providing health information is a necessary but not a sufficient condition to promote positive behavioral or lifestyle changes. You will select a middle range theory to help Jill understand how to facilitate positive lifestyles among her clients.
Each group will prepare a paper (maximum of 15 pages long) that includes, but is not limited to the following areas:

1. Briefly introduce the theorist(s), the theory, the clinical scenario, and explain why this theory is appropriate for or relevant to this clinical scenario (10%).
2. Describe the chosen evaluation model (criteria) which you will use to critique your theory, and rationale for choosing this evaluation model (15%).
3. Present your evaluation results
a. Describe the theory, including origin/history, key milestones and the development of the theory, the key concepts and their relationships in the theory(15%)
b. Create an innovative diagram, picture or other art format to illustrate the theory (5%).
c. Summarize or synthesize empirical evidence (2 research articles per student) that used or tested this theory (including instruments used to measure the key concepts in the theory). The empirical evidence will enhance your rational for choosing this theory for the scenario (15%)
d. Follow the evaluation model (criteria) to identify the strengths and limitations of the theory (15%).
e. Discuss the applicability and usefulness of the theory to the scenario and advanced nursing practice and provide a summary of key elements of the paper (15%)
f. Clear, concise, logic and scholarly writing, grammar, spelling and appropriate APA style, citations and references (10%)

Discussions Theoretical Foundations second half paper
Instructions to Writer: [Please see attached Source material(s)]
Answer Topics 1 and 2 for each Unit in the form of a paper. Use at least 300 words or more to answer each topic and corresponding sub-topics. Must also include a minimum of three peer-reviewed citations per topic. Citations must include outside sources and no more than one citation from assigned course readings may be used.
Topic 1: Grand Nursing Theory
Select one of the grand nursing theorists listed within the Unit 6 overview which is of interest to you and evaluate the information available about the model and the theorist to address the following questions:
1. What in the background of the theorist as a nursing scholar might have prompted her to develop the theory?
2. What are the central values and beliefs set forth by the theorist?
3. Which of the four metaparadigm concepts are included in the model?
4. Discuss the adequacy of the model. Did you think it was useful and in what area would you be more apt to use this model or theory in? Administration, education or practice?
Topic 2: The Future of Nursing
1. In response to the IOM report (The Future of Nursing Campaign for Action (2011). IOM Recommendations. Retrieved from http://thefutureofnursing.org/recommendations) explain how nursing theory can support the recommendations for the future of nursing.

Topic 1: Middle Range Theories
Select one of the Middle Range Nursing theories from Unit 7 overview and create a model case scenario, in which you will apply all or one of the following from the theory: concept, metaparadigm, and/or usefulness. Provide the background of the theorist and any concepts that developed from applying the theory to the model case scenario. Explain how you could apply this same theory into your advanced nursing role? After examining your model case scenario, what do you consider to be the strong or weak points to this theory?
Topic 2: Research and Practice
Explain why we need to continue to examine and promote the use of middle range theories in research and practice.

Topic 1: Ethical Dilemma
Think about an ethical dilemma you recently faced in your practice. Select a nursing theory that could have guided you in making a decision about the care of this patient. Explain whether the theory emphasizes the patient?s rights, goals and autonomy. Does it provide clear guidance for ethical decision-making in nursing? Does the theory emphasize ethical codes for practice? (Present your information according to HIPPA requirements)
Topic 2: Global Perspective
Select a nursing theory you consider relevant today. Explain from a global perspective how you would change this theory to better support the ethical and social issues [Examples such as bioterrorism, genocide?] nurses face in healthcare.
Topic 1: Theory Integration
Select a theory or model that might be valuable in your advanced nursing role or that interests you. Explain your response to the following questions:
1. What are your personal values and beliefs about nursing, health, environment, and patient care delivery?
2. What are the underlying assumptions, values, and beliefs of the particular theory or model that you have chosen?
3. Is this theory or model congruent with your own values and beliefs about nursing, nursing care, nursing environment, and health.
Topic 2: Global View
Select a global view [paternalistic, feminist, modernism, postmodernism] and explain how this identifies to your overall outlook of life.

Topic 1: Reflection
Review the course outcomes at the beginning of the course (also listed in the course Syllabus) and assess how you have met each outcome. Include in your Discussion how assignments and readings have contributed to your development as a nurse in an advanced role. Remember to share some of your thoughts related to specific websites you found of value in your discussion.
Topic 2: Assimilation
Currently, global communities of nursing scholars are sharing nursing theoretical works and contributing to the development of nursing knowledge. Evaluate the impact upon theory development for nursing now and in the future. How would you address staying current to healthcare issues in order to address future changes?









List of Citations That May be used as Source Materials respectively:
McFarland, M. M., & Eipperle, M. K. (2008). Culture care theory: A proposed practice theory guide for nurse practitioners in primary care settings. Contemporary Nurse, 28, 48-63.
Nelson, J. W. (2011). Measuring caring ? The next frontier In understanding workforce performance and patient outcomes. Nursing Economic$, 29(4), 215-219.
Nicely, B., & DeLario, G. T. (2011).Virginia Henderson?s principles and practice of nursing applied to organ donation after brain death. Progress in Transplantation, 21(1), 72-77.
Society of Rogerian Scholars Retrieved from http://societyofrogerianscholars.org/
Martha Rogers: Nurses.info. Retrieved from http://www.nurses.info/nursing_theory_person_rogers_martha.htm
Roy Adaptation Model: Sister Callista Roy: Pearson Prentice Hall. Retrieved from http://wps.prenhall.com/chet_george_nurstheory_5/0,2535,88691-,00.html
The Roy Adaptation Model: Boston College: William F. Connell School of Nursing. Retrieved from http://www.bc.edu/schools/son/faculty/featured/theorist/Roy_Adaptation_Model.html
Andershed, B., & Olsson, K. (2009). Review of research related to Kristen Swanson's middle-range theory of caring. Scandinavian Journal of Caring Sciences, 23, 598-610.
Bettle, A. M. E., & Latimer, M. A. (2009). A case study examination of chronic sorrow in caring for an adolescent with a progressive neurodegenerative disease. Canadian Journal of Neuroscience Nursing, 31(4), 15-21.
Guadalupe, K. (2010). Understanding a meningioma diagnosis using Mishel's theory of uncertainty in illness. British Journal of Neuroscience Nursing, 6(2), 77-82.
McCarthy, V. L. (2011). A new look at successful aging: Exploring a mid-range nursing theory among older adults in a low-income retirement community. The Journal of Theory Construction & Testing, 15(1), 17-23.
Mefford, L. C., & Alligood, M. R. (2011).Testing a theory of health promotion for preterm infants based on Levine's Conservation Model of nursing. The Journal of Theory Construction & Testing, 15(2), 41-47.
Jean Watson. Retrieved from http://nursing-theory.org/nursing-theorists/Jean-Watson.php
Madeline M. Leininger, Foundress TCNS Retrieved from http://www.tcns.org/Foundress.html
Health as Expanding Consciousness: Margaret A. Newman Retrieved from http://currentnursing.com/nursing_theory/Newman_Health_As_Expanding_Consciousness.html
Fairchild, R. M. (2010). Practical ethical theory for nurses responding to complexity in care. Nursing Ethics, 17(3), 353-362.
Klaver, K., & Baart, A. (2011). Attentiveness in care: Towards a theoretical framework. Nursing Ethics,18(5) 686-693
Lundqvist, A., & Nilstun, T. (2009). Noddings?s caring ethics theory applied in a pediatric setting. Nursing Philosophy, 10, 113-123.
Noel, D. L. (2010).Occupational health nursing practice through the human caring lens. AAOHN Journal, 58(1), 17-26.
Paganini, M. S., & Egry, E. Y. (2011). The ethical component of professional competence in nursing: An analysis. Nursing Ethics, 18(4) 571-582.
Publication Manual of the American Psychological Association (2010). Chapters 8. (6th ed.).Washington, DC: American Psychological Association.
Noureddine, S. (2001). Development of the ethical dimension in nursing theory. International Journal of Nursing Practice, 7, 2-7.
Aranda, K., & Jones, A. (2010). Dignity in health-care: A critical exploration using feminism and theories of recognition. Nursing Inquiry, 17(3): 248-256.
Pitre, N. Y., & Myrick, F. (2007). A view of nursing epistemology through reciprocal interdependence: Towards a reflexive way of knowing. Nursing Philosophy, 8(2), 73-84.
Ramey, H. L., & Grubb, S. (2010). Modernism, postmodernism and (Evidence-Based) practice. Contemporary Family Therapy, 31, 75-86.
"Former UCSF Nursing Dean Margretta Styles Dies:? University of California San Francisco. Retrieved from http://www.ucsf.edu/news/2005/12/6434/former-ucsf-nursing-dean-margretta-styles-dies
Fawcett, J. (2003). Theory and practice: A discussion by William K. Cody. Nursing Science Quarterly, 16(3), 225-231. (Course Reserve in the Kaplan library)
Fawcett, J., & Russell, G. (2001). A conceptual model of nursing and health policy. Policy, Politics, & Nursing Practice, 2(2), 108-116. (Course Reserve in the Kaplan library)
Andrews, M. M. (2008).Global leadership in transcultural practice, education and research. Contemporary Nurse, 28,13?16.
Mcsherry, R., & Douglas, M. (2011). Innovation in nursing practice: A means to tackling the global challenges facing nurses, midwives and nurse leaders and managers in the future. Journal of Nursing Management, 19(2), 165-169.
Ruddy, M. (2007). Models and theories of nursing. Retrieved from http://faculty.ksu.edu.sa/73861/Documents/Models%20and%20Nursing%20Theories.pdf
Vandenberg, H. E. (2010). Culture theorizing past and present: Trends and challenges. Nursing Philosophy, 11, 238-249.

I do the Power point section Part 1 & 2 and if you could do Part 3

Part 1: A PowerPoint non-narrated presentation (20-25 minutes or 20-25 slides) using the guidelines below to critique the middle range theory you selected in Module 6, Question 2.

Part 2: A 1-2 page handout in WORD (see the last criteria below).

Submit your PowerPoint presentation (label file with your name and name of theory) and your 1-2 page handout in WORD (label file with your name and name of the theory) to the dropbox as 2 separate documents. After I have reviewed them, I will upload them to Couse Content Module 8 where you can see all of them. You have a Module 8 Discussion Board where you can post your evaluation and comments about 2 of them.



Note: You cannot narrate this presentation because the sound files would be too large. You cannot use Adobe Presenter as I did because you would have to have the software and you would have to have faculty access to upload them. You wont be verbally making a presentation because this is an online class.



Part 3 ****Your Part Please do in 12 pt Times New Roman APA Format & note that: The proposed guidelines are based on Chinn and Kramer (2008). Thank you.

In this paper, you will use the middle range nursing theory that you used in your presentation and describe how it can be used in practice. This paper should be no more than10 pages long.



The focus of this paper is on the application of a middle range theory to nursing practice. A brief description of the components of the theory should be presented in this paper. However, since this should have been done in your presentation, the focus in the paper will be on application. The proposed guidelines are based on Chinn and Kramer (2008).



Please note that because this is a scholarly paper, it is always an expectation that you use the published literature (40 points of this paper). Theory web sites (nursingtheory.com) and textbooks are secondary sources about the theory, unless the writer is critiquing the theory. If you quote the theorist who says "many studies have been done", you have used a secondary resource. This paper requires you to use primary sources. You will lose substantive points in each area for the use of secondary resources. You must use your electronic library.

Section

Points

1. Components of the theory

Major concepts of theory

Philosophical basis/underpinnings; worldview

Conceptual model (if available)


10

2. Structural aspects of the theory (including but not limited to)

assumptions, theorems, propositions, etc.

relations of concepts and assumptions

clarity, simplicity, and ease of application of theory

consistency and adequacy of theory
10
3. Uses in Nursing

nursing practice

nursing education

nursing administration

nursing research

A literature review will provide the basis for this section. If this theory has not been used in these areas, address why this is so (based upon your understanding of the theory and what you have learned through your literature review).

40
4. Identify an area of your practice where this theory could be applicable.
The area may be used to theory test, theory generate, etc.

What is the question that the theory will help to answer?

Describe the area of interest in relationship to the theory/theoretical model.

Discuss the appropriateness of this theory in its applicability to the area of practice.

Discuss the use of theory in pursuing this area of interest. What are the steps /methods that you might use? Be specific (e.g., ??" discussing your area of practice as it relates to the concepts and/or parts of theory you are using).

Are there weaknesses in this theory that make it difficult to use in real situations? If so, please discuss
30
5. Evaluation of theory - your thoughts about the theory

How "user friendly" is the theory?

What are some of the difficulties you encountered or would you anticipate you might encounter in trying to use this theory?

What would make this theory more usable or applicable to practice, and why?
10
Total
100
A maximum of 5 points will be deducted for errors in APA. Since this is the second paper in this course, it is expected that there are no APA errors.

If paper is longer than 10 pages, grade will be based upon 10 pages (not including title page or references). IF your professor allows you to rewrite this paper, the grade begins at 85%. Papers without evidence of substantive work and a very good faith effort will not be allowed to be rewritten.

Use the following websites and book to answer the following questions in essay format.
http://www.aanp.org
http://nursingworld.org
http://www.aone.org
http://www.ncsbn.org
http://www.nln.org
http://www.nnsdo.org
http://www.aacn.nche.edu/Education/pdf/MasEssentials96.pdf
http://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf
http://aacn.nche.edu/education/pdf/BaccEssentials08.pdf
Books: Advanced Practice nursing: Evolution Roles for the Transformation of the Profession, isbn# 9781449665067
Theoretical Basis for Nursing isbn# 9781605473239
PLEASE STATE THE QUESTION (HIGHLIGHTED IN BOLD INK) THEN YOUR RESPOND FOLLOWS IN ESSAY FORMAT
QUESTIONS

1 Discuss several aspects of professional communication as it relates to the use of language in terms of form (e.g., clarity, accuracy) and content (culture and/or ethics). Cite the references you used to compose your response (from required reading), PUT YOUR REFERENCE BELOW YOUR RESPONSE.
2 what is the role of the Advanced Professional Nurse in creating an ethical practice environment? Being a Nurse Educator, Respond to this question based on my Advance Professional Nurse.
3 Discuss the value of nursing theory to the profession of nursing. Identify one way in which you could use nursing theory to improve your practice (present or future role). PROVIDE A REFERENCE FOR YOUR RESPONSE.
4 Read the AACN documents for essentials of baccalaureate versus master's education and identify the competencies that reflect use of theory and knowledge. Compare and contrast the competences for baccalaureate and master's level.
5 Explain in your own words, the difference between the three paradigms: human needs, interactive, and unitary process. Which of these best fits your philosophy of nursing?
6 Select one of the grand or middle-range nursing theories. How does the theory demonstrate evidence of the utilization of social, behavioral, or bioscience theories?
7All nursing theories are developed in space and time, and are not value free. Select one nursing theorist and explain the factors that influenced development of the theory (history, scientific paradigm, and personal experiences--mentoring, education, practice, other). PROVIDE REFERNCE(S) FOR YOUR RESPONSE.
8select 3 theorist and compare the definition of person/human being. comment regarding which definition best fits with your own thinking.
9 choose one of the middle-range theories. How could you use this theory to direct care in a nursing unit if you were the manager? Share your results
10choose one of the middle-range theories, What impact this theory most likely have on your individual practice? (a Nurse Educator I am pursuing), Give specific examples.
11 which among the learning theories provided you with new information? How would you apply this in your practice?
12comment on the usefulness of Benner's work in your present or future role (Nurse Educator, my future role). Provide several examples
13the influence of consequential ethics as an ethical framework (the greatest good for the greatest number) opposes the ethical principle of deontology (i.e., the rightness of an act itself determines what is right). Both of these impact the nursing profession. Modern social exchange theories are based on the principle of utility. Read the assumptions of social exchange theory and consider how these would affect the nurse-patient relationship, compared to how these impact the nurse within the health care environment. To what extent are all theories ethical? is social exchange theory compatible with the values of the nursing profession?
14comment on at least three reports posted by other CLC teams. Provide substantive comments that include a focus on the application of the theory as a framework for practice (general or specific, basic or advanced)

I am requesting username Bolavens to do this assignment. This work is Part 2, a continuation from Part 1 which is order number 2119635.

In Part 2, you will apply a middle-range theory to the problem described in the introduction (Part 1). Write this assignment . (5pages)

Describe the theory, starting with a short bio of the theorist along with the major influences that the theorist has contributed.

Describe the concepts and proposition of the theory. Provide an example from the literature as to how the theory has been applied.

Apply the theory to your practice problem, demonstrating the links to the elements of the problem and theory. In addition, make sure to describe how practice would change by incorporating the theory. It should be clear to the reader that this is an appropriate theory for the problem.

Prepare this assignment according to APA guidelines found in the APA style guide
This assignment must have the following:

1- Application of Middle-Range Theory to problem- Describe theory starting with short bio of theorist along with major influences. Describe concepts and propositions of the theory. Provide an example from the literature as to how theory is applied. Apply theory to practice problem demonstrating links to elements of the problem and theory. Describe how practice would change incorporating the theory. It should be clear to the reader that this is an appropriate theory for the problem.


2 On order # 2118776 that you have wrote. On a separate page, answer this question.
Give 2 concrete examples of how Roy's Adaptation theory would be integrated (e.g, assessment guide) and what patient outcomes could be measured as a result of implementing the theory. (1 page)

3 On a separate sheet, please answer this question
The influence of consequential ethics as an ethical framework (the greatest good for the greatest number) opposes the ethical principle of deontology (i.e., the rightness of an act itself determines what is right). Both of these impact the nursing profession. Modern social exchange theories are based on the principle of utility. Read the assumptions of social exchange theory and consider how these would affect the nurse-patient relationship, compare to how these impact the nurse within the health care environment. To what extend all theories ethical? is social exchange theory compatible with the values of the nursing profession? (1 page)

This paper must reflect on middle range theory as I believe to be most applicable or useful in 21st century nursing practice. A rationale for the type of theory I have choose must be included. The resources must support my position for the middle range theory.

Give a response to 1A and 1B on one page with one reference
1a What is the relevance of theory to practice
1b Describe the role of the DNP in narrowing the gap between theory and practice
And give a response to 1c that follows after references on a page no direct quotes
1A What is the relevance of theory to practice
Nursing theory is central to nursing practice. It is what helps to choose intervention. Kerlinger (1973) defined theory as a set of interrelated constructs, definitions, and propositions that present a systematic view of phenomena by specifying relations among variables, with the purpose of explaining and predicting the phenomena (as cited in Chism, 2010). Everything a nurse attempts to do is and or should be based on a grounded body of evidence that helps the nurse deliver the best possible care. That is where theory comes in. Theory can be used alongside decision making or integrated to teach decision making skills. The adult learning theory, reflective practice theory and problem based learning (Thompson & Stapley, 2011). Parse (1992) states that a nursing theory that assumes the existence of value for the patient regardless of any norms or expectations enables the nurse to practice in a holistic manner that does not attempt to change the patient or label him or her in any way (as cited in Cody, 2006). That is what nursing is all about, practicing holistically and doing what is best for the patient. That is what theory in nursing attempts to do.

1 B Describe the role of the DNP in narrowing the gap between theory and practice
The role of the DNP is to use the evidence that is gathered and constructed by theory which is in turn used to support their specific clinical practice (Zaccagnini & White, 2011). The DNP will essentially apply middle-range theories to practice, with the thought process being if one middle-ranged theory is learned and performed in practice, this will encourage the DNP to learn and acquire other mid-range theories (Magnan as cited by Chism, 2010). By doing this, it allows the DNP to practice with a greater knowledge base, and to effectively use theory in his or her practice. The AACN states that DNPs will use theories and concepts to detect and treat illness and improve health care delivery. They will also be able to describe the actions and advanced strategies to enhance, alleviate, and ameliorate health and health care delivery phenomena as appropriate; and evaluate outcomes (2006).

References

American Association of Colleges of Nursing. (2006). The Essentials of Doctoral Education
for Advanced Nursing Practice. Retrieved from http://www.aacn.nche.edu/dnp/pdf/essentials.pdf

Chism, L.A. (2010). The Doctor of Nursing Practice. Sudbury, MA: Jones and Bartlett Publishers.

Cody, W.K. (2006). Philosophical and theoretical perspectives. Sudbury, MA: Jones and Bartlett Publishers.

Thompson, C. & Stapley, S. (2011). Do educational interventions improve nurses clinical decision making and judgment? A systematic review. International Journal of Nursing Studies, 1-13. doi:10.1016/j.ijnurstu.2010.12.005

Zaccagnini, M. and White, K. (2011). The Doctor of Nursing Practice Essentials. Sudbury, MA: Jones and Bartlett Publishers.

Give a 1 page response to 1c on one page no direct quotes 1 reference included
1 C Orems Theory of Self-Care Deficit
On a pulmonary unit the nurse must often teach patients with tracheostomies and ventilators how to communicate. Family members are often taught how to clean and care for tracheostomies when patients are discharged home with them. Many times patients are taught how to do nebulizer treatments and maintain oxygen therapy at home. Weakened patients are taught how to rebuild muscle strength in their arms and legs. Orems theory of self-care deficit is used numerous times throughout the day on this unit and has proven to be an asset to pulmonary nursing.
Clarity
Orems theory of self-care deficit was formulated to teach patients how to care for themselves. The purpose for the theory is to enable patients to become more autonomous. The theory is based on the philosophy that all patients want to care for themselves. It is the responsibility of the nurse to identify deficits and define appropriate interventions. Through providing knowledge and tools the patient will be able to engage in self-care. Simmons (2009) believes the nurses goal should be to assist patients in becoming self-sufficient so they will be able to lead a more fulfilling life.
Simplicity
Banfield (2002) suggests in able to understand a theory the theoretical foundation should be known. The assumption of Orems theory is that a patient with a limitation or deficit that interferes with daily self-care requires assistance and maintenance in managing daily activities. This theory provides a structure and direction for nursing care on the belief that people have the capacity and want to care for themselves. Patients with deficits are in need of nursing strategies to assist them in becoming self-sufficient in managing deficits.
Generality
Orems theory is broadly used in nursing practice every day in a variety of situations. Most nurses are familiar with this theory and feel comfortable utilizing it. The nurse understands her role in providing assistance in helping the patient to achieve goals of daily living. Orems theory is one of the most applied and easily understood theories in nursing practice.
Accessibility
Orems theory is accessible through empirical, ethical, personal, aesthetic, and sociopolitical theories (Fawcett, 2002). This theory is accessible to nurses in a variety of settings and can aid patients throughout many stages of illness (Simmons, 2009). Much of Orems theory is common knowledge to the nurse. Upon assessment the nurse can identify needs and develop a plan of care specific to the patient. This theory is easily accessible and frequently used in nursing practice.
Significance
Orems self-care concepts enhance utilization of the self-care deficit in nursing theory, and serves as a guide in situations involving those who need health restoration. This theory provides guidance specific to the patient whether the patient is capable of self-care or needs compensation. The structure of Orems theory can take on many different forms throughout treatment and provides a specific plan of treatment that change with the patient. Kumar (2007) believes that the ability to provide self-care is empowering and enhances the quality of life.

References
Banfield, B. (2002). Philosophic position on nature of human beings foundational to Orems
Self-care deficit nursing theory, (pp.33-40). Retrieved from http://tinyurl.com/3vapswy

Chinn, P.L., Kramer, M.K. (2008). Integrated theory and knowledge development in nursing.
St. Louis, MO. Mosby Publisher.

Cody, W.K. (2006). Philosophical and theoretical perspectives. Sudbury, MA. Jones and
Bartlett Publishers.

Fawcett, J. (2002). Orems self-care deficit nursing theory: Actual and potential sources for
evidence-based practice. Self-Care, Dependent Care, and Nursing, (pp. 12016). University of
Massachusetts. Retrieved from http://tinyurl.com/3vapswy

Kumar, P. (2009). Application of Orems self-care deficit theory and standardized nursing
Languages in a case study of a woman with diabetes. International Journal of Nursing
Terminologies and Classification, 18(3). Retrieved from http://tinyurl.com/3vapswy

Simmons, L. (2009). Dorthea Orems self-care theory as related to nursing practice in
hemodialysis. Nephrology Nursing, 36(4). Retrieved from http://tinyurl.com/3vapswy

White, K.W., Zaccagnini, M.E. (2011). The doctor of nursing practice essentials: A new model
For advanced practice nursing. Sudbury, MA. Jones and Bartlett Publishers.

Importance of Theory:/DO NOT SUBMIT TO TURNITIN..
Purpose:
The purpose of this assignment is to a) identify a nursing theory, b) analyze the importance of the selected theory to the nursing profession, c) summarize key concepts and relationships among the concepts of the selected nursing theory, d) present views of the selected theory on areas of specialization, and e) communicate ideas in a clear, succinct and scholarly manner.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
? (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)
? (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7,10)
? (CO#4) Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4, 7)

Due Date:
Total Points Possible: 100
REQUIREMENTS:
Description of the Assignment
In this 5-6 page paper (not including the title or reference pages in the page count), the introduction contains a few statements about nursing theory in general, identification of
one nursing theory to be used in this paper, and the sections of the paper. The selected nursing theory can be from any of the three types of theories:
? grand theory (e.g., Roy adaptation model),
? middle-range theory (e.g., Benner?s model of skill acquisition),or
? practice theory (e.g., Im?s theory on the pain experience of cancer patients).
Note: the theories named here are examples only; students may choose any nursing theory.

1. The first section of the paper is a description of the importance of nursing theory, in general.
2. Key points and inter-relationships of those points of the selected theory are summarized. Biographical or historical information about the selected nursing theory or the nurse theorist is not included.
3. The selected nursing theory?s views or ideas about nursing leadership, nursing education, health policy, or nursing informatics (only one of these specializations) are discussed briefly, using two examples from real life to illustrate the views. Real-life examples come from a student?s own practice or from the scholarly literature.
4. The paper is concluded by presentation of insights gained (what was learned) about nursing theory through writing the paper.



Criteria for Content
? Introduction includes general comments on nursing theory (such as a definition of nursing theory and past exposure or experience with nursing theory), the name of the selected nursing theory, and the sections of the paper. A heading is not used.
? Section one contains an analysis of the importance of nursing theory, in general, to the nursing profession. For example, one might address why nursing theory is studied and how nursing theory impacts the profession and patient care.
? Section two is a summary of key concepts and relationships among the concepts of the selected nursing theory. Remember to state the name of the theory again. Avoid biographical and historical information about the theory or theorist. At a minimum, include reasons for selecting this theory, the purpose(s) of the theory, key concepts, relationships among key concepts, and how this theory addresses nursing?s metaparadigm. Students are not limited to these areas.
? Section three presents a discussion of how the selected nursing theory views nursing leadership, nursing education, nursing informatics, or health policy, along with 2 real-life examples illustrating the views. If the selected theory does not explicitly discuss the chosen specialization, a possible view of the specialization can be proposed. Remember that real-life examples come from a student?s own practice experiences or from the scholarly literature. Keep each example succinct (about 1 ? 3 paragraphs).
? Section four is the conclusion. In the conclusion, ideas and understandings about nursing theory learned from writing the paper are shared.

Criteria for Format and Special Instructions
1. This assignment must be submitted to Turnitin, as required by the Turnitin policy. Check with the Instructor for more information.
2. The textbook required for this course may not be used as a reference for this assignment.
3. A minimum of 2 (two) scholarly references must be used.
4. Title page, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper.
5. The paper (excluding the title page and references page) should be at least 5 pages. Points will be lost for not meeting these length requirements (too short or too long)
6. Ideas and information that come from readings must be cited and referenced correctly.
7. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.

I am requesting username BOLAVENS to write this paper, if he/she is not available then the available person can do it. Make this a 5 pages
This paper is PART3 of order number 2119635 ( PART1, INTRODUCTION) and order number 2120088 (PART2, APPLICATION OF MIDDLE-RANGE THEORY TO PROBLEM).

Revise Part1 and Part2 of order numbers 2119635 and 2120088, based on your given feedback provided in both orders and applying middle-range nursing theory, IN PART3, you will apply a BORROWED THEORY to the problem described in the INTRODUCTION.

1. describe the theory, starting with a short bio of the theorist along with the major influences that the theorist has contributed.
2. describe the concepts and propositions of the theory. provide an example from the literature as to how the theory has been applied.
3. apply the theory to your practice problem, demonstrating the links to the elements of the problem and theory. In addition, make sure to describe how practice would change by incorporating the theory. it should be clear to the reader that this is an appropriate theory for the problem.
4. write conclusion. the conclusion should summarizes key points of the paper. Identify the usefulness of applying theory to practice, including both NURSING and BORROWED THEORY, and identify problems with the application of the two theories presented in PARTS 2 and 3.

Prepare this paper according to the APA guidelines found in the APA style guide.
Criteria for this paper
this paper must describe theory starting with short bio of theorist along with major influences. Describe concepts and propositions of theory. Provide an example from the literature as to how theory has been applied. Apply theory to practice problem demonstrating links to elements of the problem and theory. Describe how practice would change by incorporating the theory. It should be clear to reader that this is an appropriate theory for the problem.

on a separate sheet please provide substantial comments on these two questions below that include a focus on the application of Roy's Adaptation Theory as a framework for practice.
1.Provide example from the literature of how the theory has been used.
2. Include major concepts of the theory, and describe the theorist (short bio and influences on the theorist

Purpose:
The purpose of this assignment is to synthesize one strategy for HILDEGARD E. PEPLAU
INTERPERSONAL theory to resolving a problem or issue of nursing practice in nursing leadership, nursing education,nursing informatics, or health policy.

Through this assignment, a student will demonstrate the ability to:

1. Analyze Hildegard E. Peplau and relevant fields with respect to their components,
relationships among the components, logic of the propositions, comprehensiveness, and utility to
advanced nursing.
2. Communicate the analysis of and proposed strategies for the use of Hildegard E Peplau interpersonal theory in nursing practice.
3. Demonstrate logical and creative thinking in the analysis and application of Hildegard E Peplau interpersonal theory tonursing practice.


Description of the Assignment:
Content
1. Introduction to the paper includes a few general statements on the idea of Hildegard E Peplau interpersonal theory
being applied to solve problems/issues in nursing practice, regardless of the specialty area of practice. For example, why would one pick Hildegard E Peplau theory to solve a practice problem? Would a grand, middle-range, or practice theory be best? Does the writer have any experience in using nursing theory this way? In addition, a brief one-paragraph summary of Hildegard E Peplau and information on the sections of the paper are provided the selected nursing theory can be a grand theory, a middle-range theory, or a practice theory.

2. Description of the problem/issue for which strategies will be developed. The problem to be resolved must be in nursing leadership, nursing education, nursing informatics, or health policy. Scholarly evidence (in the form of a literature review) supporting the issue is included. The problem/issue could be local to one?s specific practice setting. For example, the setting might be a nursing unit, a nursing-education program, an informatics department,
or a health-policy unit of a consulting firm. The problem/issue needs to be something that a nursing theory can impact, whether it solves the actual problem/issue or enables people affected by the problem/issue to deal with it. It is best if the problem/issue is from real life ?something the writer of the paper has dealt with or is currently engaged in.
Some examples (these are fictitious examples)
a. A nursing unit has experienced rapid turnover of professional staff, including several
nurse managers. A new nurse manager from outside of the nursing unit is appointed.
b. Informatics nurse specialists face a lot of resistance from all healthcare professionals
to implementation of a computer-based order entry program. The implementation
date will not be changed.
c. A nurse educator is assigned to take over a large class of undergraduate nursing students, with a mix of young adults and adults returning for a second degree. The subject is difficult, students have not been doing well, and frustration and tempers are impeding group work.
d. A health-policy nurse specialist works for a consulting firm that lobbies on behalf of many healthcare professions. Within the specialist?s work unit, there is much debate over the pros and cons of various policies being proposed for attention in the coming year.
3. Applying concepts and principles from the selected theory, one strategy for resolving the identified issue is described in depth. Details on how the theory would be applied are included (consider: who, what, when, where, and how). Rationales for the strategy as well as evidence from scholarly literature are included. One ethical and/or legal aspect of the strategy is discussed. Expected outcome(s) from implementing the strategy are proposed.
4. Concluding statements include new knowledge about applying nursing theory gained by writing the paper

Format and Special Instructions

1. Paper length: 6 page excluding title page and reference page. Points will be deducted for not meeting these requirements.
2. The textbook required for this course may not be used as a reference for this assignment.
3. A minimum of 3 scholarly references are used. References must be current ? no older than 5 years, unless a valid rationale is provided. Consult with the course instructor about using an older source.
4. Title page, body of paper, and reference page(s) must be in APA format as presented in the
6th edition of the manual
5. Ideas and information from readings and other sources must be cited and cited correctly.
6. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as APA 6th edition

DONOT USE TURNITIN IT IS PART OF THE ASSIGNMENT.
PLEASE STICK TO APA 6th EDITION FORMAT FOR WRITING THIS PAPER.

Application of Theory Paper

Course Outcomes Addressed by Assignment
Through this assignment, a student will demonstrate the ability to:
? Synthesize knowledge and concepts from nursing and related disciplines as a foundation for advanced nursing roles. (PO #1)
? Utilize critical inquiry and judgment to evaluate the design, implementation, and outcomes of strategies developed for learning and health care systems. (PO #4)
? Exemplify professional values, scholarship, service, and global awareness that support professional and personal development. (PO#5)
? Incorporate human caring and legal and ethical principles within the concepts of person, health, environment, and nursing for the benefit of society and the nursing profession. (PO #6)

Description of the Assignment:
The purpose of this assignment is to synthesize one strategy for the application of a specific nursing theory to resolving a problem or issue of nursing practice in nursing leadership.

Content
1. Introduction to the paper includes a few general statements on the idea of nursing theory being applied to solve problems/issues in nursing practice, regardless of the specialty area of practice. For example, why would one pick a nursing theory to solve a practice problem? Would a grand, middle-range, or practice theory be best? Does the writer have any experience in using nursing theory this way? In addition, a brief one-paragraph summary of a specific nursing theory and information on the sections of the paper are provided.

The selected nursing a middle-range theory, Madelaine M Leininger - Transcultural Nursing.

2. Description of the problem/issue for which strategies will be developed. The problem to be resolved must be in nursing leadership,.Scholarly evidence supporting the issue is included. The problem/issue could be local to one?s specific practice setting. For example, the setting might be a nursing unit The problem/issue needs to be something that a nursing theory can impact, whether it solves the actual problem/issue or enables people affected by the problem/issue to deal with it. It is best if the problem/issue is from real life ? something the writer of the paper has dealt with or is currently engaged in.
Some examples (these are fictitious examples)
a. A nursing unit has experienced rapid turnover of professional staff, including several nurse managers. A new nurse manager from outside of the nursing unit is appointed.
3. Applying concepts and principles from the selected theory, one strategy for resolving the identified issue is described in depth. Details on how the theory would be applied are included (consider: who, what, when, where, and how). Rationales for the strategy as well as evidence from scholarly literature are included. One ethical and/or legal aspect of the strategy is discussed. Expected outcome(s) from implementing the strategy are proposed.
4. Concluding statements include new knowledge about applying nursing theory gained by writing the paper
Format and Special Instructions
1. Paper length: 4 pages minimum; excluding title page and reference page. Points will be deducted for not meeting these requirements.
2. The textbook required for this course may not be used as a reference for this assignment.
3. A minimum of 3 scholarly references are used. References must be current ? no older than 5 years, unless a valid rationale is provided. Consult with the course instructor about using an older source.
4. Title page, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual
5. Ideas and information from readings and other sources must be cited and cited correctly.
6. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual

I have completed the first steps of the assignment (attachment) Theory Critique:Critical Analysis of Nursing Theory. I need assistance with the next steps:

Analyze and evaluate the selected theories(Bureaucratic Nursing Theory/Marilyn Ray) and Theory of Human Caring/Jean Watson using the criteria for descriptive analysis found on pg 116 Table 6-1 McEwin and Wills "Theoretical Basis for Nursing". (The 4 major concepts of metaparadigm, major assumptions, concepts and relationships, usefulness, testability, parsimony, and secondary author's interpretation of theory's ability to advance nursing science) A table is acceptable, cite one other source beyond the class text and use own words when possible otherwise cite.

Describe one recent (within 5 years) scholarly article for each theory that uses that theory in a research study in a nursing practice situation similar to your clinical focus ( acute inpatient hospital management) Speak to how the work might assist you in "Perspective Transformation" (Fawcett, 2003. Nursing philosoohies, models and theories: A focus on the future."

Summarize the potential and challenges for each theory to guide nursing practice in my setting (see above) Choose one theory (Bureacratic Theory) for your future work in this course and state why this particular theoretical work holds promise for you. State an example of a middle range theory that has evolved from this work (if available)

Bibliography with at least one primary resource by the theorist

Course Outcomes Addressed by Assignment

Through this assignment, a student will demonstrate the ability to:
? Synthesize knowledge and concepts from nursing and related disciplines as a foundation for advanced nursing roles. (PO #1)
? Utilize critical inquiry and judgment to evaluate the design, implementation, and outcomes of strategies developed for learning and health care systems. (PO #4)
? Exemplify professional values, scholarship, service, and global awareness that support professional and personal development. (PO#5)
? Incorporate human caring and legal and ethical principles within the concepts of person, health, environment, and nursing for the benefit of society and the nursing profession. (PO #6)

Description of the Assignment:
The purpose of this assignment is to synthesize one strategy for the application of a specific nursing theory to resolving a problem or issue of nursing practice in nursing leadership, nursing education, nursing informatics, or health policy.

Content
1. Introduction to the paper includes a few general statements on the idea of nursing theory being applied to solve problems/issues in nursing practice, regardless of the specialty area of practice. For example, why would one pick a nursing theory to solve a practice problem? Would a grand, middle-range, or practice theory be best? Does the writer have any experience in using nursing theory this way? In addition, a brief one-paragraph summary of a specific nursing theory and information on the sections of the paper are provided. The selected nursing theory can be a grand theory, a middle-range theory, or a practice theory.
2. Description of the problem/issue for which strategies will be developed. The problem to be resolved must be in nursing leadership, nursing education, nursing informatics, or health policy. Scholarly evidence supporting the issue is included. The problem/issue could be local to one?s specific practice setting. For example, the setting might be a nursing unit, a nursing-education program, an informatics department, or a health-policy unit of a consulting firm. The problem/issue needs to be something that a nursing theory can impact, whether it solves the actual problem/issue or enables people affected by the problem/issue to deal with it. It is best if the problem/issue is from real life ? something the writer of the paper has dealt with or is currently engaged in.
Some examples (these are fictitious examples)
a. A nursing unit has experienced rapid turnover of professional staff, including several nurse managers. A new nurse manager from outside of the nursing unit is appointed.
b. Informatics nurse specialists face a lot of resistance from all healthcare professionals to implementation of a computer-based order entry program. The implementation date will not be changed.
c. A nurse educator is assigned to take over a large class of undergraduate nursing students, with a mix of young adults and adults returning for a second degree. The subject is difficult, students have not been doing well, and frustration and tempers are impeding group work.
d. A health-policy nurse specialist works for a consulting firm that lobbies on behalf of many healthcare professions. Within the specialist?s work unit, there is much debate over the pros and cons of various policies being proposed for attention in the coming year.
3. Applying concepts and principles from the selected theory, one strategy for resolving the identified issue is described in depth. Details on how the theory would be applied are included (consider: who, what, when, where, and how). Rationales for the strategy as well as evidence from scholarly literature are included. One ethical and/or legal aspect of the strategy is discussed. Expected outcome(s) from implementing the strategy are proposed.
4. Concluding statements include new knowledge about applying nursing theory gained by writing the paper
Format and Special Instructions
1. Paper length: 6 pages minimum; 10 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.
2. The textbook required for this course may not be used as a reference for this assignment.
3. A minimum of 3 scholarly references are used. References must be current ? no older than 5 years, unless a valid rationale is provided. Consult with the course instructor about using an older source.
4. Title page, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual
5. Ideas and information from readings and other sources must be cited and cited correctly.
6. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual


Introduction 75 23
Problem/Issue 76 23
Strategy 76 23
Conclusion 75 23
Paper Requirements 5 2
APA Format 6 2
Citations in Text 6 2
Writing Mechanics 6 2

Please use the nursing theory titled, The Community Nursing Practice Model by theorists Marilyn E. Parker and Charlotte D. Barry to relate to nursing education for this paper to include the specifics described below:

REQUIREMENTS:
Description of the Assignment:
Content
1. Introduction to the paper includes a few general statements on the idea of nursing theory being applied to solve problems/issues in nursing practice, regardless of the specialty area of practice. For example, why would one pick a nursing theory to solve a practice problem? Would a grand, middle-range, or practice theory be best? Does the writer have any experience in using nursing theory this way? In addition, a brief one-paragraph summary of a specific nursing theory and information on the sections of the paper are provided. The selected nursing theory can be a grand theory, a middle-range theory, or a practice theory.
2. Description of the problem/issue for which strategies will be developed. The problem to be resolved must be in nursing leadership, nursing education, nursing informatics, or health policy. Scholarly evidence (in the form of a literature review) supporting the issue is included. The problem/issue could be local to one?s specific practice setting. For example, the setting might be a nursing unit, a nursing-education program, an informatics department, or a health-policy unit of a consulting firm. The problem/issue needs to be something that a nursing theory can impact, whether it solves the actual problem/issue or enables people affected by the problem/issue to deal with it. It is best if the problem/issue is from real life ? something the writer of the paper has dealt with or is currently engaged in.
Some examples (these are fictitious examples)
a. A nursing unit has experienced rapid turnover of professional staff, including several nurse managers. A new nurse manager from outside of the nursing unit is appointed.
b. Informatics nurse specialists face a lot of resistance from all healthcare professionals to implementation of a computer-based order entry program. The implementation date will not be changed.
c. A nurse educator is assigned to take over a large class of undergraduate nursing students, with a mix of young adults and adults returning for a second degree. The subject is difficult, students have not been doing well, and frustration and tempers are impeding group work.
d. A health-policy nurse specialist works for a consulting firm that lobbies on behalf of many healthcare professions. Within the specialist?s work unit, there is much debate over the pros and cons of various policies being proposed for attention in the coming year.
3. Applying concepts and principles from the selected theory, one strategy for resolving the identified issue is described in depth. Details on how the theory would be applied are included (consider: who, what, when, where, and how). Rationales for the strategy as well as evidence from scholarly literature are included. One ethical and/or legal aspect of the strategy is discussed. Expected outcome(s) from implementing the strategy are proposed.
4. Concluding statements include new knowledge about applying nursing theory gained by writing the paper
Format and Special Instructions
1. Paper length: 6 pages minimum; 8 pages maximum, excluding title page and reference page. Points will be deducted for not meeting these requirements.
2. The textbook required for this course may not be used as a reference for this assignment.
3. A minimum of 3 scholarly references are used. References must be current ? no older than 5 years, unless a valid rationale is provided. Consult with the course instructor about using an older source.
4. Title page, body of paper, and reference page(s) must be in APA format as presented in the 6th edition of the manual
5. Ideas and information from readings and other sources must be cited and cited correctly.
6. Grammar, spelling, punctuation, and citations are consistent with formal academic writing as presented in the 6th edition of the APA manual


Directions and Grading Criteria
Category Points Description
Introduction Introduction to the paper includes all of the following:
? General statements on the idea of nursing theory being applied to solve problems/ issues in nursing practice, regardless of the specialty area of practice.
? A brief one-paragraph summary of a specific nursing theory
? Information on the sections of the paper
Problem/ Issue The problem/issue is substantively discussed.

The problem is clearly in nursing leadership, nursing education, nursing informatics, or health policy.

Scholarly evidence supporting the issue is included.
Strategy All of the following are present:

? One strategy for resolving the identified issue is discussed substantively

? Concepts and principles from the selected nursing theory are clearly applied

? Rationale(s) for the strategy are evident

? Evidence from the scholarly literature supports the discussion

? At least one ethical and/or legal aspect of the strategy is discussed.
Conclusion Concluding paragraph(s) clearly show new knowledge about applying nursing theory gained from writing this paper

Paper Requirements All of the following requirements are met:

Paper meets length requirements

Minimum of 3 scholarly references

Textbook not used as a reference

References are current - within a 5-year time frame unless a valid rationale is provided for use of older references

APA Format Title page, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper.
Citations in Text Ideas and information that come from readings must be cited and referenced correctly.
Writing Mechanics Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.

A quality assignment will meet or exceed all of the above requirements.

The purpose of this assignment is to a) identify a nursing theory, b) analyze the importance of the selected theory to the nursing profession, c) summarize key concepts and relationships among the concepts of the selected nursing theory, d) present views of the selected theory on areas of specialization, and e) communicate ideas in a clear, succinct and scholarly manner.

REQUIREMENTS:
Description of the Assignment
In this 5-6 page paper (not including the title or reference pages in the page count), the introduction contains a few statements about nursing theory in general, identification of
one nursing theory to be used in this paper, and the sections of the paper. The selected nursing theory can be from any of the three types of theories:
grand theory (e.g., Roy adaptation model),
middle-range theory (e.g., Benners model of skill acquisition),or
practice theory (e.g., Ims theory on the pain experience of cancer patients).
Note: the theories named here are examples only; students may choose any nursing theory.

1. The first section of the paper is a description of the importance of nursing theory, in general.
2. Key points and inter-relationships of those points of the selected theory are summarized. Biographical or historical information about the selected nursing theory or the nurse theorist is not included.
3. The selected nursing theorys views or ideas about nursing leadership, nursing education, health policy, or nursing informatics (only one of these specializations) are discussed briefly, using two examples from real life to illustrate the views. Real-life examples come from a students own practice or from the scholarly literature.
4. The paper is concluded by presentation of insights gained (what was learned) about nursing theory through writing the paper.


Criteria for Content

Introduction includes general comments on nursing theory (such as a definition of nursing theory and past exposure or experience with nursing theory), the name of the selected nursing theory, and the sections of the paper. A heading is not used.
Section one contains an analysis of the importance of nursing theory, in general, to the nursing profession. For example, one might address why nursing theory is studied and how nursing theory impacts the profession and patient care.
Section two is a summary of key concepts and relationships among the concepts of the selected nursing theory. Remember to state the name of the theory again. Avoid biographical and historical information about the theory or theorist. At a minimum, include reasons for selecting this theory, the purpose(s) of the theory, key concepts, relationships among key concepts, and how this theory addresses nursings metaparadigm. Students are not limited to these areas.
Section three presents a discussion of how the selected nursing theory views nursing leadership, nursing education, nursing informatics, or health policy, along with 2 real-life examples illustrating the views. If the selected theory does not explicitly discuss the chosen specialization, a possible view of the specialization can be proposed. Remember that real-life examples come from a students own practice experiences or from the scholarly literature. Keep each example succinct (about 1 ??" 3 paragraphs).
Section four is the conclusion. In the conclusion, ideas and understandings about nursing theory learned from writing the paper are shared.

Criteria for Format and Special Instructions

1. This assignment must be submitted to Turnitin, as required by the Turnitin policy. Check with the Instructor for more information.
2. A minimum of 2 (two) scholarly references must be used (2009 - 2014 only)
3. Title page, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section or topic of the paper.
4. The paper (excluding the title page and references page) should be at least 5 pages. Points will be lost for not meeting these length requirements (too short or too long)
5. Ideas and information that come from readings must be cited and referenced correctly.
6. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual

I must have an additional 2 resources to the 5 that I have already established. The five that I have established would inlcude:

Alligood, M. R. (2018) Nursing theorists and their work (9th Ed.). St. Louis, MO: Elsevier.

Gergett B. ,& Gillen, P. (2014). Early Pregnancy loss: Perceptions of Healthcare Professionals. Evidence Based Midwifery. 12(1): 39-34.

Hsiu Chen, C., & Shu-Ming, C. (2016). Applying Swanson\'s caring theory to manage spiritual distress and death anxiety in a patient suffering from frequent ventricular tachycardia undergo ICD shocks...WFCCN/ACCCN World Congress, Brisbane Australia, April 2016. CONNECT: The World Of Critical Care Nursing, 10(2), 58.

Moffia, C. (2015). Caring for Novice Nurses Applying Swanson?s Theory of Caring. International Journal for Human Caring. 19(1), 63-65.

National Guideline Clearinghouse (NGC). (2015). Type 2 diabetes in adults: management. Agency for Healthcare Research and Quality (AHRQ). Retrieved from https://www.guideline.gov/summaries/summary/49931/type-2-diabetes-in-adults-management?q=diabetes+management.

Wojnar, D. (2017). Caring. Peterson, S.J. & Bredow, T.S. (4th Ed.), Middle range theories - Applications to nursing research. (pp. 136-146). Philadelphia, PA: Wolters Kluwer Health Lippencott Williams & Wilkins.

Wojnar, D. (2017). Caring. Peterson, S.J. & Bredow, T.S. (4th Ed.), Middle range theories - Applications to nursing research. (pp. 136-146). Philadelphia, PA: Wolters Kluwer Health Lippencott Williams & Wilkins.

This is a 4 part paper. The first assignment was to establish the theorist that I would be using for the remaining parts of the project. The second part was selecting an EBP guideline to use with theory. My EBP guideline post is as follows:

EBP Guidline

Working in a Rural Health Family Practice clinic, diabetes mellitus has become a common diagnosis seen in most of the patients\' charts. With lack of exercise, increased unhealthy diet choices and overall, patient?s neglect to their own bodies, diagnosis new diabetes is an everyday norm for most providers and nurses. Using Kristen Swanson?s Theory of Caring, nurses need to be readily available to patients as they are diagnosed, learn to cope with new diagnoses, and manage their symptoms/diseases. Peterson & Bredow (2017) wrote, ?Swanson maintains that caring involves five processes: (1) knowing, (2) being with, (3) doing for, (4) enabling, and (5) maintaining belief? (pg. 140). As nurses, it is very important to remember that each patient is their own individual. No two patients are the same. As stated by the National Guideline Clearinghouse (2015), individualized care allows nurses to ?adopt an individualized approach to diabetes care that is tailored to the needs and circumstances of adults with type 2 diabetes, taking into account their personal preferences, comorbidities, risks from polypharmacy, and their ability to benefit from long?term interventions because of reduced life expectancy?. This guideline, as well as Swanson?s Theory of Caring, will be the object of discussion for Assignment #3.

Any questions, please feel free to contact me at one of the email addresses listed above. Thank you!!

Overview

In this assignment, you will write a critical appraisal of an assigned article in outline and
narrative format using the guidelines provided. Be sure to use the headings, such as Theoretical
Framework, Variables, Measurement, etc. listed in the assignment guidelines.


Use the following study to complete your assignment. The article is provided as a link with these guidelines and is available in the Resources folder for this course.

Instructions


1. Theoretical Framework (theory and/or concepts)

a. State whether the theoretical framework is based on scientific theory (relationships highly validated by research), substantive theory (published middle range theory with limited testing), or tentative theory (developed as a framework for this study) or a combination of these as defined by Grove, Burns, and Gray (2013).
b. Discuss the study framework. If the theorist has a model, you can include it in the paper and describe it.


2. Major Study Variables

Identify the study variables by examining the purpose, the objectives, questions or hypotheses, and the results section of the article. Identify the type of each variable (independent, dependent, or research) and conceptually and operationally define only the major study variables. You do not need to define the demographic variables in the study.

a. Independent variables: Identify and define conceptually and operationally

b. Dependent variables: Identify and define conceptually and operationally

OR

c. Research variables: Identify and define conceptually and operationally.



3. Sample and Setting

a. State the inclusion and exclusion sample or eligibility criteria.
b. Indicate the method used to obtain the sample.
c. State the sample size. Indicate if a power analysis was conducted to determine the sample size.
d. Identify the refusal to participate number and percentage.
e. Identify the sample attrition or mortality number and percentage.
f. Describe the informed consent process used and any institutional review board (IRB) approval.
g. Describe the study setting.


4. Measurement Methods

Identify each measurement method used in the study with the following guidelines and put the information in a table using the headings identified in the example table below.

a. Identify the study variable and link it to the measurement method used to measure this variable in the study (see Table below).
b. Identify author of each measurement method.
c. Identify the name of each measurement method.
d. Identify the type of each measurement method (i.e., Likert scale, visual analog scale, physiological measure, questionnaire, observation, or interview).
e. Report the reliability and validity of each scale or questionnaire from previous studies and the current study if used in this study.
f. Report the reliability and validity of an existing database, observation checklist, or interview script if used for measuring study variables.
g. If a physiological measure was used, report the precision and accuracy of the measure for previous studies and the current study.


Table of Study Measurement Methods (Example)


Study
Variable
Author and Name of Measurement Method
Type of Measurement Method
Reliability or Precision
Validity or Accuracy

Nurse job satisfaction
McCloskey/ Mueller Satisfaction Scale (MMSS)
31-item Likert scale. Likert scale ranging from very dissatisfied (1) to very satisfied (5)
Reliability: Cronbach alpha for complete scale of 0.89 from previous research and 0.82 for this study. Reliability values for 8 subscales ranged from 0.52 to
0.84
Construct Validity: Content validity literature and input from hospital nurses, reading level 6th grade. Confirmatory factor analysis indicating the scale covered 8 factors of nurse job satisfaction (control and
responsibility, scheduling, interaction
opportunities, professional opportunities, extrinsic, coworkers, praise and recognition, and balance of family and work). Successive use validity?scale used in many studies.

Study
Variable
Author and Name of Measurement Method
Type of Measurement Method
Reliability or Precision
Validity or Accuracy

Patient fall rate
Hope Hospital
Agency clinical database
Existing database
Data entered by trained experts within the agency. Data scanned daily for errors. Data transferred electronically to prevent errors
Database constructed by national organization and includes quality indicators for patient, provider, and agency outcomes. Valid data with multiple agencies using database over several years.

Blood pressure (BP)
Omron Blood Pressure Equipment
Physiological measure
Precision: Equipment was developed and tested to determine consistent readings in repeat BP measurements. Equipment will be recalibrated according to company guidelines
each day.
Accuracy: Three BP measures will be taken and averaged to determine the reading for the study. Correct size cuff for patient and placement of cuff on bare arm correctly. Patient will be sitting for 5 minutes, feet flat on floor, and arm at heart level for taking BP. BP readings will be downloaded from the BP equipment directly into the computer and study database.

5. Statistical Analyses (found in the Results or Statistical Section of the article).

a. List all the analysis techniques used in the study to:
(1) describe the sample and the study variables,
(2) examine relationships, and/or
(3) determine differences.
b. Were the data analyses linked to the study purpose and/or objectives, questions, and hypotheses?

6. Researcher's interpretation of findings.

a. Describe how the findings are related back to the study framework.
b. Describe which findings are in keeping with those expected.
c. List any unexpected findings.
d. State whether the findings are consistent with previous research findings.
7. Describe the study limitations identified by the researcher.
8. Discuss if the researchers generalized the findings from this sample to a larger population.
9. List the implications of the findings for nursing practice.
10. Identify any suggestions for further study.

Format

Writing style needs to be clear, concise, organized, and complete without punctuation, sentence structure, spelling, or grammar errors. Citing of sources in the paper and references need to be in APA (2010) format.


Rubric

Use the following rubric to guide your work.


Tasks

Theoretical framework (theory and/or concepts)

(0-7 Points)

Identifies theoretical framework: scientific, substantive, or tentative theory

Identifies study framework

Major study variables






(0-15 Points)
Identifies independent variables and

Identifies dependent variables
Or Identifies research variables

Conceputally defines study variables and

Operationally defines study variables

Sample and setting












(0-20 Points)
Identifies inclusion and exclusion sample or eligibility criteria
Identifies method used to obtain sample Identifies sample size and power analysis Identifies ?refusal to participate? number and
percentage

Identifies sample attrition number and percentage

Identifies informed consent process and IRB
approval

Identifies study setting

Measurement methods











(0-20 Points)

Completes a table that includes the following: Identify variables measured in the study Identifies author and name of each measurement method
Identifies type of each measurement method
Identifies reliability and validity of the scale or questionnaire if used in the study
Identifies reliability and validity of an existing database, observation checklist, or interview script if used in the study
Identifies precision and accuracy of the physiological measurements if used in the study



Statistical analyses





(0-8 Points)
Identifies all analysis techniques used in the study including those to describe the sample and variables, examine relationships, and/or
determine differences.

Identifies whether data analysis is linked to the study purpose and/or objectives, questions, and hypotheses

Interpretation of findings







(0-8 Points)
Determines whether findings related back to study framework

Determines whether findings are in keeping with those expected

Identifies any unexpected findings

Determines if findings are consistent with previous research findings

Study limitations

(0-4 Points)
Identifies study limitations

Generalization of the findings

(0-3 Points)
Determines if the researchers generalize the study findings

Implications for nursing practice

(0-3 Points)
Identifies implications for nursing practice

Further study

(0-2 Points)
Identifies recommendations for further study

Format




(0-10 Points)
Writing style needs to be clear, concise, organized, and complete. No punctuation, sentence structure, spelling, or grammar errors. Citing of sources in the paper and references need to be in APA (2010) format.

ASSIGNMENT IN 2 parts
PART 1
1 page response to the following thread 1 reference required
The original question was you work in a clinical, academic, or most any other institution, you see quality improvement projects in progress. Do you question whether any of the projects that you see being used should have IRB approval? Do you know if these projects were approved by the IRB? Do you think that they meet the criteria for IRB review? Why
Respond to following article 1 page no direct quotes with 1 reference on the above question
With an increase in HIPPA regulations, there is a corresponding increase of awareness regarding patient privacy issues among health care professionals as well as patients. This has led to the questioning of the need and appropriateness of IRB (Internal Review Board) approval for quality improvement (QI) initiatives. As Harnett (2009) points out the goal or purpose of QI is different than that of research, which requires approval by an IRB. In the realm of QI the study design is focused on improving the quality of care, whereas research involves a separate collection of data other than the findings currently in circulation (Harnett, 2009).
During this authors experience with a QI program on an oncology unit, the focus was to improve the management of blood sugars of patients who were on a sliding scale regimen. Data was collected from the electronic medical records (EMR) and was used in an educational seminar presented to the staff nurses. Evidence-based nursing related to management of blood sugar was introduced and the importance of managing patients blood sugars in order for healing to occur was emphasized.
If the QI initiative described above resulted in data that was then used as research evidence, there would have been a need for IRB approval (Newhouse, Pettit, Poe & Rocco, 2006). In this case the QI initiative did not progress any further that the initial educational presentation. However, there is an issue of human subject protection and the fact the EMR was accessed for this effort. It would be critical to ascertain who had access to the EMRs, and how was patient confidentiality and privacy protected, as this might be an area that would lead to the need of IRB approval (Lynn, 2004). As Newhouse et al. (2006) refers to this change in dynamics regarding QI and IRBs, it is a slippery slope that will continue to play out in the years to come.
Resources
Harnett, R. (2009). Goal of study is main determinant between quality improvement and clinical research that requires IRB oversight. Research Practitioner, 10(2), 41-46.
Lynn, J. (2004). When does quality improvement count as research? Human subject protection and theories of knowledge. Quality and Safety in Health Care, (13), 67-70.
Newhouse, R. P., Pettit, J. C., Poe, S., & Rocco, L. (2006). The Slippery Slope Differentiating Between Quality Impovement and Research. Journal of Nursing Administration, 36(4), 211-219

PART 2
1 page response to the following thread with 1 reference and no direct quotes
Select an article that focuses on a clinical intervention that has been implemented as part of a study. Did the researchers use a conceptual model to guide the study? How did the model fit the study (application to practice, improve generalizability of findings)? If the study did not have a model described, what model do you think may have fit and why?
The title of the article selected by this author is Theory-guided interventions for adaptation to heart failure. The objective of the study was to investigate the effects of a model-based experimental education, exercise, and social support program on adaptation in patients with congestive heart failure (CHF). The researchers used a randomized, parallel, controlled clinical trial involving 43 patients (21 intervention and 22 control patients). Inclusion criteria for participants included literacy, verbal communication ability, diagnosis of CHF for at least 6 months prior, ejection fraction of less than 40%, absence of visual or hearing defect, absence of mental disorder, absence of myocardial infarction within the past 12 month, and accessibility to telephone (Bakan & Akyol, 2007). Participants were issued with identification cards, given assessment forms for physiological data, the Minnesota Living with Heart Failure Questionnaire, interpersonal support evaluation, and were exposed to 6-minute walk test. The results obtained showed that patients in the intervention group adapted well to their condition, with enhanced quality of life, increased functional capacities and independence. Roys adaptation model was used by the researchers in the study.
Explanation, description, and prediction of nursing phenomena can be achieved using nursing models and theories (Mateo & Kirchhoff, 2009). Conceptual models cannot be tested directly hence the need to develop a middle-range theory, with the framework including both conceptual model and the middle-range theory. Roys adaptation model is a middle-range theory (Burns & Grove, 2009).
Adapting to a chronic illness such as congestive heart failure involves internal and external processes that affect responses and behaviors. The patient uses conscious awareness and choice to create integration with the goal of living with the realities imposed by illness (Whittemore & Roy, 2002). This study showed Roys Adaptation Model as an effective guide in nursing practice when caring for patients with CHF (Bakan & Akyol, 2007).
References
Bakan, G., & Akyol, A.D. (2007). Theory-guided interventions for adaptation to heart failure. Journal of advanced Nursing, 61(6), 596-608. doi:10.1111/j.1365-2648.2007.04489.x
Burns, N. & Grove, S.K. (2009). The Practice of nursing research: Appraisal, synthesis and generation of evidence. St. Louis, MO: Elsevier Inc.
Mateo, M. A., & Kirchhoff, K. T. (2009). Research for advanced practice nurses: From evidence to practice. New York, NY: Springer Publishing Company.
Whittemore, R., & Roy, C. (2002).Adapting to diabetes mellitus: A theory synthesis. Nursing Science Quarterly, 15(4), 311-317. doi: 10.1177/089431802236796

NURS 600
Questions for Critical Thinking Response Papers


Try to keep papers between 3-5 pages. Use APA style for body of paper and references.


Question 1: due 10/11/11

There is an emphasis at present on the development and use of mid-range theory in nursing. If one accepts the premise that grand theories of nursing are no longer necessary, what are the implications for nursing education, practice, and research?



Question 2: due 11/29/11

There is controversy in nursing as to what direction the development of nursing knowledge should take. What are the implications of nursing as an academic discipline if one accepts the premise that its knowledge base should evolve only from theory?

OR

Discuss the issue of entry level into practice for nurses and the impact it has on the understanding of theory and use of theory at the bedside. What do you believe the entry level into practice should be for the professional registered nurse?

Overview/Description:

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
Describe the theorist's background in detail and discuss how their experiences have impacted the theory development.
Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
Identify the phenomenon of concern or problems addressed by the theory.
Theory Description

Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
Interpret how the concepts are defined. Implicitly or explicitly?
Examine the relationships (propositions) among the major concepts.
Evaluation

Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
Examine if the theory has a description of the four metaparadigm concepts of nursing. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
Discuss the clarity of the theory. Did it have lucidness and consistency?
Application

Examine how the theory would guide nursing actions.
Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).
Please use this book as reference: Philosophies and Theories for Advanced Nursing Practice (Butts)

It?s a graduate level paper for Nursing,
Middle Range Nursing Theorist : Rozzano Locsin (APA FORMAT)

Please address the following headings in the paper for the Theorist ROZZANO LOCSIN:
(1) Biography/Education (1 paragraph ONLY)
(2) Theory development: How the theorist came about to develop his/her theory (1 paragraph ONLY)
(3) Metaparadigm: The 4 elements of the metaparadigm and the concepts of the theory (1 paragraph ONLY)
(4) Clinical application: of the theory (1 paragraph ONLY)

Evaluate the Mid-Range Theory of Unpleasant Symptoms by Lenz and Pugh as it relates to cancer patients (my topic of interest). Select 3 research articles that use all or some of the componets of the theory to guide the research.

Follow the criteria attached.
There are faxes for this order.

Nursing Theory Analysis Paper (Online Nursing Program)

Overview/Description:

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
Describe the theorist's background in detail and discuss how their experiences have impacted the theory development.
Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
Identify the phenomenon of concern or problems addressed by the theory.
Theory Description

Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
Interpret how the concepts are defined. Implicitly or explicitly?
Examine the relationships (propositions) among the major concepts.
Evaluation

Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
Examine if the theory has a description of the four metaparadigm concepts of nursing. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
Discuss the clarity of the theory. Did it have lucidness and consistency?
Application

Examine how the theory would guide nursing actions.
Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).
APA Style/Format

Submit your document to the W5: Assignment 2 Dropbox by Saturday, November 9, 2013.

CRITERIA
WEIGHT
Theory/Author Name and Background:

Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
Describe the theorist's background in detail and discuss how their experiences have impacted the theory development.
Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
Identify the phenomenon of concern or problems addressed by the theory.

10


10


10


10
Theory Description:

Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?
Interpret how the concepts are defined. Implicitly or explicitly?
Examine the relationships (propositions) among the major concepts.


14


18


14


14

Evaluation:

Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
Examine if the theory has a description of the four metaparadigm concepts of nursing. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
Discuss the clarity of the theory. Did it have lucidness and consistency?
20



20



20
Application:

Examine how the theory would guide nursing actions.
Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

10

10
APA Style/Format:

Free of grammatical, spelling or punctuation errors. Citations and references are written in correct APA Style. 20
Total:
200

Must use this as at least one Reference:
Janie B. Butts, Karen L. Rich. Philosophies and Theories for Advanced Nursing Practice, 2010.

See uploaded instructions...most important: MUST BE ORIGINAL WORK. No direct quotes...everything should be paraphrased and cited.

10 page paper comparing two middle range nursing theories on improving emergency department nursing staff satisfaction.

Paper must be scholarly...so no Wikipedia. Only research journals!