Comparison of Nursing Theories

Comparison of c be for TheoriesJessica N. bread makerThe dominating nurse theories atomic number 18 too abstract to effectively carry on usage, but they puke provide a world view. Middle hunt down theories, on the other hand, be less abstract, but are much good relate to commit. Compare and contrast these devil types of guess and how they nominate be used to inform ANP reading using one venerable possibleness and one nitty-gritty spue possibility as examples. nursing theories are organized frameworks of concepts and purposes to guide care for radiation diagram (Risjord, 2010). Two types of care for theories are kibibyte breast feeding theories and mettle picture nursing theories. larger-than-life nursing theories encompass all aspects of the human experience and allow for command application whereas middle range theories are less abstract and are more specific (McKenna Slevin, 2008). Although there are similarities and differences between grand nursing th eories and middle range theories both types of theories spate prove to be usable when informing innovational nursing practice (McCrae, 2012).Grand nursing theories are broad in scope and relate to larger areas of nursing such(prenominal)(prenominal) as promotion of health for all individuals in a monastic order (Powers Knapp, 2011). Although broad and non-specific, grand nursing theories provide several(prenominal) implications for progress practice nursing. It is widely known that healthcare is constantly becoming more confused at an exponential rate. Because of rapidly increasing complexities the abstract nature of grand theories asshole be useful for complex phenomena relevant to nursing such as aging populations and complex dis calm down states (Florczak, Poradzisz, Hampson, 2012). Grand theories can spotlight the complexities of these and other complex issues concerning for move on practice nursing in a global society (Im Ju-Chang, 2012). By using grand theories the advanced practice nurse can view each knob both as an individual as well a part of larger systems (Florczak, Poradzisz, Hampson). angiotensin converting enzyme grand theory that can be used to guide advanced nursing practice is Neumans systems bewilder. This theory uses prevention as the seat for health promotion and it provides a holistic and comprehensive approach to maximizing thickening health by focusing on stressors that influence the birth between the client and the environment (Florczak, Poradzisz, Hampson, 2012). The environment is comprised of louver interrelated biological, mental, environmental, social, and ghostlike variables (Neuman Fawcett, 2012). The role of the nurse is to retain stability in the client-environment relationship through three levels of prevention (Florczak, Poradzisz, Hampson). These include primary prevention that occurs before the client experiences a reaction to a stressor, secondary prevention that occurs after the client experienc es a reaction to a stressor, and tertiary prevention that occurs after the client has been treated through secondary prevention methods (Skalski, DiGerolamo, Giglotti, 2006).Using Neumans systems model the advanced practice nurse can clearly identify curb interventions at different stages of disease processes (Lee, 2014). By discussing the five environmental variables with longanimouss, partnerships can be created to mutually create goals (Skalski, DiGerolamo, Giglotti, 2006). The advanced practice nurse can also promote prevention through client education and advocate (Neuman Fawcett, 2012).Like grand nursing theories, middle range theories provide several implications for advanced practice nursing. Middle range theories can be draw as the link connecting research and practice (Fawcett Garity, 2009). Middle range theories can be descriptive, explanatory, or predictive and each plays a role in informing and guiding advanced nursing practice (Fawcett, 2005). When compared to grand nursing theories, middle range theories have a narrower scope, greater levels of specificity, and greater ease of concept application (Powers Knapp, 2011).A middle range theory that influences advanced nursing practice is the theory of optimal client system stability. This theory was derived from the grand theory of Neumans systems model as described above. This theory has only one proposition and that is that stability represents system health (Neuman Fawcett, 2012). This theory is useful because interventions by the advanced practice nurse are linked to client outcomes (Florczak, Poradzisz, Hampson, 2012). There are multiple applications when age, health status, and stressors are identify (Risjord, 2010). One such example is a study of fatigue in patients with diabetes by Casalenuovo (2002) that examined the relationship between stress, well-being, and fatigue. In this study the author reason out that interventions aimed at enhancing client well-being reduced fatigue.Bot h grand and middle range theories are sets of interrelated concepts to guide thinking in advanced practice nursing (Risjord, 2010). However, there are many differences between these two types of theories. Grand nursing theories consist of conceptual frameworks to provide broad brain wave useful for general practice. Because of the level of abstraction they are usually non easily testable (Florczak, Poradzisz, Hampson, 2012). Grand theories are often developed through perceptive appraisal and considerations. Middle range theories are narrower in scope and are a bridge between grand theories and nursing practice (Fawcett Garity, 2009). Because middle range theories are less abstract and their concepts are more easily operationalized they allow for hypothesis testing. Middle range theories are often evolved from grand theories, literature reviews, and clinical practice reservation them more specific to nursing practice (Florczak, Poradzisz, Hampson).Despite multiple differences, both grand theories and middle range theories have a role in informing and influencing advanced practice nursing. Grand nursing theories define the role of nursing and separates nurses within the substructure of health care professions whereas middle range nursing theories guides the nurse to considerations when making clinical decisions (Florczak, Poradzisz, Hampson, 2012). The different types of theories provide different advantages for practice. These two types of theories are antonymous and each type can contribute to advanced nursing practice and knowledge (Risjord, 2010).ReferencesCasalenuovo, G. A. (2002). Fatigue in diabetes mellitus Testing a middle range theory of well-being derived from Neumans theory of optimal client system stability and the Neuman systems model. Dissertation Abstracts International, 63(5), 2301B.Florczak, K., Poradzisz, M., Hampson, S. (2012). Nursing in a complex world A case for grand theory.Nursing acquisition Quarterly,25(4), 307-312.Fawcett, J. (2005). Middle-range nursing theories are necessary for the rise of the discipline.Aquichan,5(1), 32-43.Fawcett, J., Garity, J. (2009). Evaluating research for evidence-based nursing. Philadelphia, PA F. A. Davis.Im, E., Ju-Chang, S. (2012). Current trends in nursing theories. Journal of Nursing Scholarship,44(2), 156-164.Lee, Q. (2014). Application of Neumans system model on the management of a patient with asthma.Singapore Nursing Journal,41(1), 20-25.McCrae, N. (2012). Whither nursing models The value of nursing theory in the linguistic context of evidence-based practice and multidisciplinary health care.Journal of Advanced Nursing,68(1), 222-229.McKenna, H. P., Slevin, O. (2008).Nursing models, theories and practice. Oxford Blackwell.Neuman, B., Fawcett, J. (2012). Thoughts about the Neuman systems model A dialogue.Nursing Science Quarterly,25(4), 374-376.Powers, B., Knapp, T. R. (2011).Dictionary of nursing theory and research. New York, NY Springer.Risjord, M. W. (20 10).Nursing knowledge Science, practice, and philosophy. Chichester, West Sussex Blackwell.Skalski, C., DiGerolamo, L., Gigliotti, E. (2006). Stressors in five client populations Neuman systems model-based literature review.Journal of Advanced Nursing,56(1), 69-78.