Horblit Health Sciences Library Nursing Middle Range Theory & Applications

visit the Library for articles on these theoriesMiddle Range Theory Theorist/s Idea Application

Acute Pain Management (Adults)

 

 

Goode & Moore

Complementary Nursing Therapies for Pain and Stress: Relaxation and Music for Postoperative Pain; Stress and Immunity; and Integrated Research Reviews.

CHANGE study

Great Lakes GIT

Provide clinicians with prescriptions for pain reduction and a conceptual basis for pain interventions.

Acute Pain Management (Children)

Huth & Moore

Assist nurses in managing clinical pain and to expand the knowledge and research base in children's pain.

Escape Artists

Provide clinicians with prescriptions for pain reduction and a conceptual basis for pain interventions.

Adaptation to Chronic Pain

Dunn, K

Influenced by Roy’s adaptation model.

Karen S Dunn

Adaptation leads to coping skills.

Advancing Technology, Caring and Nursing Locsin, R

Focuses on wholeness of person, as influenced by technology.

Advancing technology, caring, and nursing

Examines contemporary technology in mainstream health care and its impact on the quality of that care.

Attentively Embracing Story

Liehr & Smith

Connecting with self-in-relation through intentional dialogue to create ease.

Attentively Embracing Story

Patient-centered dialogue as a means to finding solace.

Behavioral systems and nursing

Auger, J

Provides framework for organizing observations of patient behavior, increasing consistency and continuity of care.

A Patient classification system based on the behavioral system model of nursing

Increase interdisciplinary communication in healthcare.

Caregiver Effectiveness Model

Smith et al. Influenced by Roy. Identifies factors that influence patient and caregiver outcomes when

Promotes proactive intervention for increasing quality of life.

technology is present.

The Efficiency of Families Providing Ventilator Care at Home

Caring Theory Watson, J

Grounded in a relational ontology of being-in-relation, and a world view of unity and connectedness of All.

Loving and Caring

Holistic, family-centered approach in advanced caring.

 

Chronic Sorrow Eakes, Burke, & Hainsworth

Provides a framework for understanding and working with people following a single or ongoing loss.

Middle-range theory of chronic sorrow

Nurses can plan interventions that recognize it as a normal reaction, promote healthy adaptation, and provide empathetic support.

Comfort Kolcaba, K.

As patients and families are strengthened by actions of nurses, they can better engage in health seeking behaviors.

The Comfort Line

Nurse-sensitive outcomes.

Community Empowerment

Hildebrandt & Persily

Health promotion and disease management strategies can improve outcomes through the development of self-care management, behavior change, and skill building. Domestic Violence and Pregnancy in Rural West Virginia

Model offers opportunities for intensive education, assessment, intervention, and support throughout healthcare process.

Conceptual Model for Nursing Adam, E

Specifies focus of inquiry and may thus lead to the development of theories which will prove useful not only to nurses but to other health professionals as well.

J Adv Nurs. 1983 Jan;8(1):41-5

Can affect how nurses care for patients in a time-effective and cost-efficient manner.

Cultural Competence Purnell, L

Stresses teamwork, biocultural ecology and workforce issues, in providing culturally sensitive and competent care to improve client outcomes.

Purnell's Model

Helps the caregiver provide culturally acceptable care that improves clients' satisfaction and health status.

Deliberative Nursing Process

Orlando, IJ Sees nursing as the means of Focuses on communication

providing direct assistance to individuals to avoid, relieve, diminish, or cure the person's sense of helplessness.

Ida Jean Orlando's Nursing Process Theory

within the nurse-client relationship and identifies the validation process as essential to effective nursing care.

End of Life Care Ruland & Moore

Expresses a new unifying idea about the phenomenon of peaceful end of life for terminally ill patients.

Theory construction based on standards of care

Nurses alter the environment so family would have the privacy with patient or so that various religious or cultural customs could be enacted.

Exercise as Self Care Ulbrich, S.

Triangulation of Orem's self-care deficit theory of nursing, the trans-theoretical model of exercise behavior, and characteristics of a population at risk for CVD.

Nursing Practice Theory of Exercise as Self-Care

Exercise reduces the risk of cardiovascular disease (CVD) and promotes health.

Family Stress and Adaptation

LoBiondo-Wood, G

Acute stressors, when accumulated, could lead to family crises.

ABCX Model of Family Stress (Hill)

Protective factors help families survive multiple contextual stressors, and to competently parent despite chronic and acute stressors.

Health-related Hardiness Pollock, S.

A personality resource comprising of (a) the commitment dimension, (b) the control dimension, and (c) the challenge domain. The health-related hardiness scale and AU Pollock

A result of studying the adaptation response of individuals to chronic illnesses such as diabetes mellitus, hypertension, and rheumatoid arthritis.

Health Promotion Pender, N.

Heuristic device that encourages scholars to integrate variables that have been shown to impact health behavior. Health Promotion Model

Can be used as a basis for structuring nursing protocols and interventions.

Holistic self-care model (Weight loss)

Popkess-Vawter, S

Uses Apter’s Reversal Theory as a basis for cognitive restructuring to identify negative self-talk that can lead to overeating.

Combines the successful physical, cognitive, and psychological essentials of healthy

Concept Analysis: Holism

approaches for weight reduction as a means of promoting weight control.

Inner Strength in Women Roux, G

A new instrument to measure inner strength in women with chronic illness. Inner strength is defined as a central human resource that promotes well-being and healing. inner strength and AU Roux

To help female patients avoid the weight gain, depression, anxiety and other issues that commonly occur after cancer treatment and during treatment of other chronic illnesses.

Interaction Model Cox, C

The model defines the interactive and collective contributions of a survivor, family, and provider to adherence to protocols, reduction of risk behavior, and promotion of health-protective behavior. A Model of Health Behavior to Guide Studies of Childhood Cancer Survivors

May identify new determinants of health-related behavior that can be targeted to protect the health of childhood cancer survivors and reduce their risk of late sequelae.

Interpersonal Relations Model

Peplau, MRProvides framework to facilitate nurse-patient interactions. Interpersonal relations and AU Peplau

Most useful to apply during nursing practice in order to understand nurse-patient interactive phenomena.

Learned Response to Chronic Illness Theory Braden, CJ

A theoretical explanation to account for the process of change; includes perceived severity of illness, limitation, uncertainty enabling skill,

self-help and life quality. Overcoming violence, depression and HIV

Help patients with chronic illnesses learn to respond so that their health outcomes improve.

Mastery over stress Younger, J

Explains the mechanisms through which suffering affects an individual's sense of community and connectedness with others. Mastery over stress and AU Younger

Explains why care is the contextual framework through which alienation is reversed and connectedness achieved.

Maternal Identity Rubin, R The stages of MI are (1) seeking safe passage; (2) ensuring the acceptance of

Help patients adjust to, endure, and usefully integrate

the child by others; (3) binding in or bonding with the fetus; and (4) learning to give of oneself. Stepping Up: What's New: Stress in Pregnancy & Motherhood Readiness.

health problem situations.

Moral Reckoning in Nursing

Nathaniel, A

This Glasserian grounded theory study utilized volunteer and purposive sampling to recruit a sample of 21 registered nurses. Moral reckoning in nursing

The nurse tries to make sense of his or her experiences through remembering, telling the story, examining conflicts, and living with the consequences.

Nurse As Wounded Healer

Conti-O'Hare, M

Therapeutic use of self with addicted clients in early recovery. The Theory of The Nurse As Wounded Healer

Expert nurse's mutual health patterning with the client.

Nursing expertise Benner, P

Dreyfus model of skill acquisition and applied it to nursing, with Lazarus and Heidegger. nursing expertise and AU Benner

Unites the practice of nursing and the patient’s perspective.

Nurse-expressed empathy and patient outcomes

Olson & Hanchett

Uses Orlando's Theory of the Deliberative Nursing Process. Joanne K. Olson

Faith community, times of transition, public health.

Parent-Child Interaction Model

Barnard, K

The pivotal role early intervention therapy can play in preventing later problems in behavior, cognition and emotional development. Parent-Child Interaction (PCI) Feeding & Teaching Scales

Protocols to help health care workers assess infant development and intervene to promote parent-infant interaction.

PNI Nursing Theory Bennett, M

Links psychological processes and the immune system. Psychoneuroimmunology and AU Bennett

It is important to nursing as it offers underpinning theory to support good caring and empathetic nursing.

Quality of nursing care Larrabee J

Using Colaizzi's methodology, a theoretical model of quality that provides a framework for understanding health care quality. AU larrabee and quality

Humanistic approach to improving patient satisfaction.

Reimaging (body image Norris, Kunes- Physical alterations in Assist clients:

disruption) Connel, & Stockard

appearance or functioning have the potential to influence self-esteem. Reimaging after an alteration in appearance or function involved 3 phases with assimilation, accommodation, and interpretation

anticipate potential needs or problems, provide information and support, and explore alternative problem solving strategies.

Resilience Polk, L

Resilience is a four-dimensional construct consistent with the simultaneity paradigm of nursing science. resilience and theory and nursing

Transform stressful experiences of patients into opportunities for increased growth.

Responding to Threats to Integrity of Self

Morse, J

Extending primarily from the illness Constellation Model and Preserving Self, a five-stage model, the theory focuses on the individual and how the individual seeks self-comforting strategies to mediate the experience. Insight, Inference, Evidence, and Verification: Creating a Legitimate Discipli ne

Recovery and rehabilitation may be used for understanding and supporting patient responses.

Restructuring: An emerging theory on the process of weight loss

Johnson, R

A substantive theory of restructuring identified three stages in the process of losing weight. These stages and key elements of the weight loss process are presented. Restructuring and emerging theory and weight loss

Understanding a client's experience while attempting behavior change is crucial for the development of interventions that address difficult and costly health behaviors.

Role Attainment Mercer, R

To provide appropriate health care interventions for nontraditional mothers so they could successfully attain a strong maternal identity. Becoming a mother versus maternal role attainment

Provide appropriate health care intervention for nontraditional mothers.

Self Control Strength O'Connell, K

Self-control is a limited and consumable resource much like the strength of a muscle. Self-Control Depletion during Smoking Cessation

Interventions should be aimed at helping quitters conserve their self-control resources.

Self-efficacy Resnick, B Self-efficacy expectations and outcome are not only influenced by behavior, but also by verbal encouragement, physiological

Help motivate older adults to adhere to health care.

sensations and exposure to role models. Barbara Resnick

Self Transcendence Reed, P

Using Martha Rogers' conceptual model and lifespan developmental theory to provide the conceptual perspective on spirituality in Nursing. self transcendence and AU Reed

Human beings have the potential to integrate difficult life situations.

Sensation Theory Johnson, J

Discrepancy between expected and experienced physical sensations during a threatening experience will result in distress. Studies and their Hypotheses

Patient’s distress during and after surgery or invasive procedures could be reduced by patient teaching.

Tidal Model Barker, P

Studies the power relationship between nurses and the people in their care. Clarifying the Value Base of Recovery

Helping people recover their personal story of distress, as a first step towards reclaiming control over their lives.

Uncertainty Mishel, M

The theory explains how people construct meaning for illness events, with uncertainty indicating the absence of meaning. uncertainty theory and AU Mishel

Improvements in cognitive reframing, cancer knowledge, patient-health care provider communication, and a variety of coping skills.

Unpleasant Symptoms Lenz, Pugh, Milligan, Gift, & Suppe

Accurate representation of the complexity and interactive nature of the symptom experience. The middle-range theory of unpleasant symptoms: an update.

Help patients to better control over their symptoms.

Utilization of Health Belief Model

Mikhail, B

A person will take a health-related action if that person: feels that a negative health condition can be avoided, has a positive expectation that by taking a recommended action, she will avoid a negative health condition, and believes that she can successfully take a recommended health action. Factors associated with breast self-examination among Jordanian women.

Used with great success for almost half a century to promote greater condom use, seat belt use, BSE, medical compliance, and health screening use.

Vigilance (Nursing theory of)

Carr, J

Conceptualized within Leininger's caring framework, this examines the experience of family members staying at the bedside of hospitalized relatives. vigilance and AU carr

Help to care for the patient as well as the loved ones.