Middle Range or Interdisciplinary Theory Evaluation

As addressed this week, middle range theories are frequently used as a framework for exploring nursing practice problems. In addition, theories from other sciences, such as sociology and environmental science, have relevance for nursing practice. For the next few weeks you will explore the use of interdisciplinary theories in nursing.

This Assignment asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem.

Note: This Assignment will serve as your Major Assessment for this course.

To prepare:

  • Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources (see under list of Required Readings and attached pdf file)
  • Select a clinical practice problem that can be addressed through an evidence-based practice project. Note: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Week 7 Assignment 1.
  • Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem.
  • Formulate a preliminary clinical/practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4.

Write a 10- to 12-page paper (including references) in APA format and a minimum of 8 references or more, using material presented in the list of required readings to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question (refer to the sample paper attached as “Assignment example”). Include the level one headings as numbered below:

1)       Introduction with a purpose statement (e.g. The purpose of this paper is…)

2)       Briefly describe your selected clinical practice problem.

3)       Summarize the two selected theories. Both may be middle range theories or interdisciplinary theories, or you may select one from each category.

4)       Evaluate both theories using the evaluation criteria provided in the Learning Resources.

5)       Determine which theory is most appropriate for addressing your clinical practice problem. Summarize why you selected the theory. Using the propositions of that theory, refine your clinical / practice research question.

6)       conclusion

MY PRACTICE PROBLEM IS AS FOLLOWED:

P: Patients suffering from Type 2 Diabetes Mellitus

I:  Who are involved in diabetic self-care programs

C: Compared to those who do not participate in self-care programs

O: Are more likely to achieve improved glycemic control

THE THEORIES USED FOR THIS MODEL ARE:

Dorothea Orem Self-Care Theory and The Self-Efficacity in nursing Theory by Lenz & Shortridge-Baggett, or the Health Promotion Model by Pender, Murdaugh & Parson (Pick 2)

Required Readings

McEwin, M., & Wills, E.M. (2014). Theoretical basis for nursing. (4th ed.). Philadelphia, PA: Wolters Kluwer Health.

  • Chapter 10, “Introduction to Middle Range Nursing Theories”

 Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and use in research.

  • Chapter 11, “Overview of Selected Middle Range Nursing Theories”

 Chapter 11 continues the examination of middle range theories and provides an in-depth examination of a select set of theories

·         Chapter 15, “Theories from the Biomedical Sciences”

Chapter 15 highlights some of the most commonly used theories and principles from the biomedical sciences and illustrates how they are applied to studies conducted by nurses and in nursing practice.

·         Chapter 16, “Theories, Models, and Frameworks from Administration and Management”

Chapter 16 presents leadership and management theories utilized in advanced nursing practice.

·         Chapter 18, “Application of Theory in Nursing Practice”

Chapter 18 examines the relationship between theory and nursing practice. It discusses how evidence-based practice provides an opportunity to utilize research and theory to improve patient outcomes, health care, and nursing practice.

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

  • Chapter 6, “Objectives, Questions, Variables, and Hypotheses”

 Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses.

·         Review Chapter 2, “Evolution of Research in Building Evidence-Based Nursing Practice”

·         Chapter 19, “Evidence Synthesis and Strategies for Evidence-Based Practice”

This section of Chapter 19 examines the implementation of the best research evidence to practice.

Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating Research for Evidence-Based Nursing. Philadelphia, Pennsylvania: F. A. Davis.

 Note: You will access this article from the Walden Library databases.

 This book chapter evaluates the use and significance of middle-range theories in nursing research and clinical practice.

DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355–359.

 Note: You will access this article from the Walden Library databases.

 This article describes how the Roy Adaptation Model (RAM) is used to guide nursing practice, research, and education in many different countries.

Jacelon, C., Furman, E., Rea, A., Macdonald, B., & Donoghue, L. (2011). Creating a professional practice model for postacute care: Adapting the Chronic Care Model for long-term care. Journal of Gerontological Nursing, 37(3), 53–60.

 Note: You will access this article from the Walden Library databases.

 This article addresses the need to redesign health care delivery to better meet the needs of individuals with chronic illness and health problems.

Murrock, C. J., & Higgins, P. A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65 (10), 2249–2257. doi:10.1111/j.1365-2648.2009.05108.x

 Note: You will access this article from the Walden Library databases.

 This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes.

Amella, E. J., & Aselage, M. B. (2010). An evolutionary analysis of mealtime difficulties in older adults with dementia. Journal of Clinical Nursing, 19(1/2), 33–41. doi:10.1111/j.1365-2702.2009.02969.x

 Note: You will access this article from the Walden Library databases.

 This article presents findings from a meta-analysis of 48 research studies that examined mealtime difficulties in older adults with dementia.

Frazier, L., Wung, S., Sparks, E., & Eastwood, C. (2009). Cardiovascular nursing on human genomics: What do cardiovascular nurses need to know about congestive heart failure? Progress in Cardiovascular Nursing, 24(3), 80–85.

 Note: You will access this article from the Walden Library databases.

 This article discusses current genetics research on the main causes of heart failure.

Mahon, S. M. (2009). Cancer Genomics: Cancer genomics: Advocating for competent care for families. Clinical Journal of Oncology Nursing, 13(4), 373–3 76.

 Note: You will access this article from the Walden Library databases.

 This article advocates for nurses to stay abreast of the rapid changes in cancer prevention research and its application to clinical practice.

Mayer, K. H., Venkatesh, K. K. (2010). Antiretroviral therapy as HIV prevention: Status and prospects. American Journal of Public Health, 100(10), 1867–1 876. doi: 10.2105/AJPH.2009.184796

 Note: You will access this article from the Walden Library databases.

 This article provides an in-depth examination of potential HIV transmission prevention.

Pestka, E. L., Burbank, K. F., & Junglen, L. M. (2010). Improving nursing practice with genomics. Nursing Management, 41(3), 40–44. doi: 10.1097/01.NUMA.0000369499.99852.c3

 Note: You will access this article from the Walden Library databases.

 This article provides an overview of genomics and how nurses can apply it in practice.

Yao, L., & Algase, D. (2008). Emotional intervention strategies for dementia-related behavior: A theory synthesis. The Journal of Neuroscience Nursing, 40(2), 106–115.

 Note: You will access this article from the Walden Library databases.

 This article discusses a new model that was developed from empirical and theoretical evidence to examine intervention strategies for patients with dementia.

Fineout-Overholt, E., Williamson, K., Gallagher-Ford, L., Melnyk, B., & Stillwell, S. (2011). Following the evidence: Planning for sustainable change. The American Journal Of Nursing, 111(1), 54–60.

This article outlines the efforts made as a result of evidence-based practice to develop rapid response teams and reduce unplanned ICU admissions.

Kleinpell, R. (2010). Evidence-based review and discussion points. American Journal of Critical Care, 19(6), 530–531.

This report provides a review of an evidence-based study conducted on patients with aneurismal subarachnoid hemorrhage and analyzes the validity and quality of the research.

Koh, H. (2010). A 2020 vision for healthy people. The New England Journal Of Medicine, 362(18), 1653–1656.

 This article identifies emerging public health priorities and helps to align health-promotion resources, strategies, and research.

Moore, Z. (2010). Bridging the theory-practice gap in pressure ulcer prevention. British Journal of Nursing, 19(15), S15–S18.

This article discusses the largely preventable problem of pressure ulcers and the importance of nurses being well-informed of current prevention strategies.

Musker, K. (2011). Nursing theory-based independent nursing practice: A personal experience of closing the theory-practice gap. Advances In Nursing Science, 34(1), 67–77.

This article discusses how personal and professional knowledge can be used in concert with health theories to positively influence nursing practice.

Roby, D., Kominski, G., & Pourat, N. (2008). Assessing the barriers to engaging challenging populations in disease management programs: The Medicaid experience. Disease Management & Health Outcomes, 16(6), 421–428.

This article explores the barriers associated with chronic illness care and other factors faced by disease management programs for Medicaid populations.

Sobczak, J. (2009). Managing high-acuity-depressed adults in primary care. Journal of the American Academy of Nurse Practitioners, 21(7), 362–370. doi: 10.1111/j.1745-7599.2009.00422.x

This article discusses a method found which positively impacts patient outcomes used with highly-acuity-depressed patients.

Thorne, S. (2009). The role of qualitative research within an evidence-based context: Can metasynthesis be the answer? International Journal of Nursing Studies, 46(4), 569–575. doi: 10.1016/j.ijnurstu.2008.05.001

The article explores the use of qualitative research methodology with the current evidence-based practice movement.

Optional Resources

McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

Calzone, K. A., Cashion, A., Feetham, S., Jenkins, J., Prows, C. A., Williams, J. K., & Wung, S. (2010). Nurses transforming health care using genetics and genomics. Nursing Outlook, 58(1), 26–35. doi: 10.1016/j.outlook.2009.05.001

McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52.

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APPLY BASIC EPIDEMIOLOGICAL CONCEPTS, DATA ANALYSIS METHODS, TOOLS, AND DATABASES TO DETERMINE THE EFFECTIVENESS OF HEALTH PROMOTION AND DISEASE PREVENTION INITIATIVES FOR DIVERSE AND VULNERABLE POPULATIONS.

ITS IMPORTANT TO MEET THE COMPETENCES.
SAMPLE ATTACHED AT THE END.

Prepare a PowerPoint presentation of 8–10 slides that explains why an understanding of complimentary alternative medicine (CAM) and spirituality is important for members of health care teams; examines the ethical, legal, and financial principles related to CAM and spirituality; and describes how these forms of health care can impact plans of action.

Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.

As a leader in the field of nursing, it is important for you to identify areas within your organization that may need to improve cultural competence, and to develop educational materials to assist in doing so.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 2: Develop evidence-based health promotion and disease prevention initiatives for diverse and vulnerable populations.       

(IMPORTANT0 -Identify topics for an organizational education plan on CAM and spirituality.
(IMPORTANT) -Explain the importance of health care professionals developing an understanding of CAM, traditional medicine, holistic health, and spirituality.

Competency 3: Apply basic epidemiological concepts, data analysis methods, tools, and databases to determine the effectiveness of health promotion and disease prevention initiatives for diverse and vulnerable populations.       

(IMPORTANT) -Provide a list of resources to include in an organizational education plan on CAM and spirituality.

Competency 4: Examine the ethical, legal, and economic factors related to health disparities in diverse and vulnerable populations.       

(IMPORTANT) -Examine ethical, legal, and economic principles related to CAM, traditional medicine, holistic health, and spirituality.

Competency 5: Communicate in a manner that is scholarly, professional, and consistent with expectations for members of the health care professions.       

(IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, APA formatting, and mechanics.

Assessment Instructions 
  
Preparation
Your organization has seen an increase in the number of individuals using complimentary alternative medicine (CAM), traditional medicine, holistic health, and spirituality. In addition to your work on the interdisciplinary team, you have been asked by your organization to prepare and deliver an educational session on CAM, traditional medicine, holistic health, and spirituality that can be used by all health care teams. How will you complete this task?

You should focus on these concepts as they pertain to your population (from the Windshield Survey assessment), but also in a broader sense. Use the Capella library and the Internet to look for recent research articles or information on these topics to use as supporting resources in your assessment.
Requirements
For this assessment, prepare a PowerPoint presentation in which you:

Identify the topics you will cover in your educational plan.
Provide a list of resources your audience can use to further their understanding of complimentary alternative medicine (CAM).
Explain why it is important for nurses and members of other health care teams to develop an understanding of CAM, traditional medicine, holistic health, and spirituality.
Examine any ethical, legal, and economic principles related to CAM, traditional medicine, holistic health, and spirituality.
Describe how these forms of health care can affect a plan of action for individuals and populations.

Your presentation should include a slide with the title of your educational session, a slide with the topics that will be covered (your agenda), and a reference slide at the end. Use the notes section of each slide to provide additional information on each topic, along with supporting references. References and in-text citations must adhere to APA guidelines.
Additional Requirements

Include a title slide and reference slide. The completed assessment should be 8–10 slides in length, not including the title slide and reference slide.
Reference at least three current scholarly or professional resources.
Use current APA format for references.
Be creative!

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Understanding the roles and responsibilities of each type of graduate nurse

QUESTION

Advance practice nursing

The Evolution of Nursing

Future Perspectives

Purpose:

Nurses work together in many environments. Understanding the roles and responsibilities of each type of graduate nurse will foster cooperative relationships.

Directions:

  1. Select and describe a specialty that has evolved in a different direction from that of advanced practice nursing (e.g., informatics, administration, health policy, and/or forensic nursing).
  2. What key differences do you see in this evolution as compared with developed APN specialties?
  3. Describe the future vision and goals each role and relate to emerging healthcare trends and needs.

Your paper must be presented in a single Word document. The paper must be between 2 to 3 pages in length, not including the title and reference list pages. The paper must use proper APA Publication Manual, 6th Editionformatting, including title page, running head, and reference list with properly formatted citations in the body of the paper.

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Describe the organizational structure of the parent academic institution (your selected college or university). What are the processes for approval of new programs/curricula?

Answer the below questions using Seton Hall University as the school for nursing Please do  in APA format , 3 pages long,  3 references 1 from Walden University Library

1. Describe the organizational structure of the parent academic institution (your selected college or university). What are the processes for approval of new programs/curricula?

2. Identify the mission, vision, and philosophy of your selected setting.

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Discuss how can we keep the accomplishments of our previous school, its leaders, and its growth alive for today’s nurses. What are your thoughts?

This week we have learned about the history of Chamberlain University, Chamberlain College of Nursing, and Deaconess School of Nursing. As you consider that history and the impact on the present and future, please tell us about the history of the previous nursing school you attended. If you are unable to find history information for your school, please profile the history of another school of nursing in your geographic area.

In addition, discuss how can we keep the accomplishments of our previous school, its leaders, and its growth alive for today’s nurses. What are your thoughts?

Reading: Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras (2nd ed.). Burlington, MA: Jones & Bartlett.

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Foundation Nursing Critique paper

Nursing critique paper

For this project, you will select and critique a nursing theory of your choice.  You will:

  1. Write an original paper.
  2. Submit it to the dropbox for a grade based on the rubric.

The following are some conceptual models and theories you may choose from; however, you may choose any nurse theorist:

  • Florence Nightengale’s Environmental Model
  • Catherine Kolcaba’s Comfort Theory
  • Dorothy Johnson’s Behavioral System Model
  • Hildegard Peplau’s Interpersonal Process Theory
  • Dorothea Orem’s Self-Care Deficit Theory
  • Ida Jean Orlando’s Nursing Process
  • Sister Calista Roy’s Adaptation Model
  • Madeleine Leininger’s Theory of Culture Care Diversity and Universality
  • Jean Watson’s Nursing as Caring Theory
  • Margaret Newman’s Health Expanding Consciousness
  • Martha Roger’s Science of Unitary of Human Being
  • Abdellah’s Patient-Centered Approaches Theory

Steps to follow to do your critique:

  • You can visit the Fitne website to watch videos about the above mentioned theorist.
  • You can use the Internet to find a journal or articles that provides an analysis and critique of a theory of nursing as a resource to start working with your own critique. 
  • You need to login entering the following information: 
    • Username: medical center campus
    • Password: medical
    • Under the Nurse Theorists: Portraits of Excellence (Volume I) link select the theorist of your choice
    • On the left navigation area select a topic to view   
  • You must use the criteria for analysis and critique of theories in Chapter 1 of the George text book. 
  • You will select the link “Library Resources” found under the “NUR3846 – Library” tab (located on left-side of screen) to do your research and complete your literature review of the model/theory you selected.
  • You may physically visit the library in person as well, and ask for help from the library staff.

Your critique must have the following headings and follow APA Guidelines.

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Compare and contrast 2 organizations that deliver primary care healthcare on the local or regional level. Based on research, describe population served, what services are provided, and the sources of funding.

Compare and contrast 2 organizations that deliver primary care healthcare on the local or regional level.  Based on research, describe population served, what services are provided, and the sources of funding.  Then evaluate the services for the individuals and families in the community.  Consider political strategies and potential policies and how they affect the role of the nurse.  Also, compare the 3 levels of prevention and how they influence the nurse’s role.

APA Style

12 pt, doubled spaced

References

500-600 words 

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Assignment: Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.
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Write a 1,400- to 1,750-word paper on a current risk management issue at your facility.

Nursing paper risk management issue at hospital

Write a 1,400- to 1,750-word paper on a current risk management issue at your facility.

  • Include the steps that have been set in place or discussed to address the issue. 
  • Discuss how your agency determined a path to remedy the problem.
  • Identify valid methods adopted by other facilities to address the same problem.
  • Compare your results to the process being developed at your agency.
  • Support your paper with a minimum of three peer-reviewed sources.

Format your paper according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

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CONSIDERING THE GUIDELINES FOR EMPLOYERS UNDER THE OCCUPATIONAL SAFETY AND HEALTH ACT OF 1970, WHAT DO YOU FEEL WILL BE IMPORTANT TO INCLUDE IN YOUR RECOMMENDATIONS, AND WHY?

750-1000 words

Safety issues have been one of the leading concerns among members of the leadership team at Elora Jean & Co. There have been a few minor accidents in the past 18 months. Recently, the Occupational Safety and Health Administration (OSHA) came to the facility to conduct an investigation. There were no formal violations cited; however, Elora Jean & Co. was advised to develop a comprehensive safety policy and provide formal safety education for employees. The owner has asked for your input on a policy that would protect the company from safety claims submitted to OSHA.

Respond to the following questions as you formulate your response to this task:

  • Considering the guidelines for employers under the Occupational Safety and Health Act of 1970, what do you feel will be important to include in your recommendations, and why?
  • Prepare a summary of your recommendations for the owner. Include information related to the potential implications of not complying with OSHA
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