¶ … Range Nursing Theory
A clinical nurse is generally involved with specialized research; for example, a clinical nurse specializing in oncology would likely be heavily involved in the treatment of patients with cancer, according to Andrea Santiago. That clinical nurse specialist (CNS) working with cancer patients may also create helpful protocols or other strategies to improve the delivery of services in a hospital (Santiago, 2013). This paper delves into the reasons why the CNS can (and will) benefit from the use of the middle range theory.
What are middle range theories?
Judy Davidson (RN, DNP, CNS) explains that middle range theories are designed to "guide practice" for nurses (including clinical nurse specialists) and are "more focused than grand theories" because they zero in on a "single aspect of practice" and are not as general as grand theories (Davidson, 2010, p. 28). Moreover, because grand theories only offer a framework in terms of descriptions and prescribing within the nursing practice -- and middle range theories are "directly applicable to patient care and more prescriptive" -- middle range theories are easier to test (Davidson, 29).
Why would a CNS embrace the middle range theory?
The middle range theory has proven to be useful "…in both research and practice," according to the book Middle Range Theories: Application to Nursing Research (Peterson, et al., 2009, p. 36). The middle range theory can serve a "heuristic function" [a way of ranking various alternatives] in order to "…stimulate and provide rationale for studies" (Peterson, 35). Also the selection of the most important research questions can be guided through the use of the middle range theory, Peterson explains.
Through use of the theory a clinical nurse specialist can gain a deeper understanding of the patient's behavior, and from that deeper understanding the clinical nurse specialist can make suggestions as regards possible interventions along with an understanding as to how effective the intervention turned out to be (Peterson, 35). Peterson aims to show how valuable the use of the middle range theory is; hence, she has done the meta-research and reports that of 173 studies published...
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