Middle Range Theory Utilization & Application Paper

Middle Range Theory Utilization & Application Paper

Middle Range Theory Utilization & Application Paper

Middle Range Theory Utilization & Application
When it comes to finding solutions to nursing issues, particularly those that affect vulnerable populations, middle-range theories are of the utmost importance. Even though middle-range theories are best suited to address certain phenomena seen in nursing practice, several middle-range theories have been offered for use in a variety of practice contexts and with a wide range of patient demographics (Drevenhorn, 2018). There are nonetheless three primary categories of middle-range theories, which include individual middle-range theories, societal middle-range theories, and multiple viewpoint middle-range theories. Each of these categories has its unique characteristics. The purpose of this paper is to illustrate the use of individual middle-range theories particularly self-efficacy theory in nursing practice.

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Components of the Theory: Individual Level Middle Range Theories

It is vital to have a good grasp of the issues at play on an individual level before suggesting viable solutions to the problems experienced by the vulnerable patient group. It is feasible to explore how a concept influences groups of individuals, families, and communities after an individual has reached the stage where they have a firm knowledge of the notion (Khademian et al., 2020). When applied to the process of issue resolution within a vulnerable community, this research focuses on the individual theories or conceptions of self-efficacy that fall somewhere in the middle range.
Self-Efficacy Theory
Using a self-monitoring method called self-efficacy, a person assesses his or her abilities to engage in certain behaviors or do specific actions (Irani et al., 2019).This idea is predicated on the philosophical premise that cognitive processing, as a type of reflective thought, may assist individuals in establishing behavioral norms and developing the abilities necessary to achieve behavioral objectives (Hu et al., 2018). This theory has two major components: self-efficacy expectations and outcome expectations. The expectation of one’s self-efficacy is the individual’s conviction that he or she can effectively execute a given activity to produce the expected consequence. The individual’s evaluation that a certain activity can result in a given result, although may or may not be, is characterized as outcome expectation on the opposite side (Khademian et al., 2020). Two key structural elements in the self-efficacy theory’s development, codification and centralization, may affect a person’s self-efficacy and how this notion affects how they carry out a certain action either collaboratively or independently.
Structural Aspects/Theory Framework
Enactive achievement, verbal persuasion, vicarious experience, and physiological feedback are the four primary informational sources that are at the core of the self-efficacy theory framework. These information sources circularly interact with one another (Irani et al., 2019). Individual mastery experiences or the accurate execution of the activity are what distinguish enactive achievement from active attainment (Drevenhorn, 2018). On the other side, vicarious experiences are the expectations that may be acquired from seeing others while they accomplish a behavioral change. This can be done by reading about or watching documentaries. People are led via the process of verbal suggestion in the process of verbal persuasion, which promotes the assumption that individuals can effectively accomplish behavioral change (Hu et al., 2018). Last but not least, a person’s perception of their capabilities to effectively make changes is influenced by their awareness of and reaction to physiological elements like anxiety. This perception is linked to the concept of physiological feedback.

Use of Theory in Clinical Practice
The principle of self-efficacy may be used to solve difficulties among vulnerable patients. Vulnerability is linked to a greater likelihood of encountering risky conditions or hurdles to achievement. The nurse may use the theory to identify the challenges and facilitators of self-efficacy while assisting persons engaging in a behavioral change process (Irani et al., 2019). This theory also aids in addressing concerns about potential treatments that might increase the possibility of personal mastery experiences, such as the utilization of support systems and families as behavioral change role models (Khademian et al., 2020). Any care setting, including long-term care and vulnerable groups like pregnant teens, may evaluate the patient to increase self-efficacy in the behavioral change process.
To promote self-efficacy, the nurse simply has to concentrate on a few personal characteristics, according to the theory’s primary strength in the behavioral change process among vulnerable populations. Examples of such factors include the patient’s socioeconomic condition, literacy level, the primary language spoken, the degree of connection with their support network, educational level, and the impact of their surroundings on their life (Hu et al., 2018). However, there can be limitations because of a lack of funding or community safety. Therefore, it is the nurse’s responsibility to identify these self-efficacy barriers and engage in compassionate communication to raise self-efficacy in this population.
Evaluation of Theory
The evaluation of the theory involves a systematic investigation of all the aforementioned aspects of the theory. According to the self-efficacy theory’s underlying tenet, starting particular behavioral change processes, fostering perseverance, and encouraging effort application all depend significantly on one’s level of personal efficacy (Drevenhorn, 2018). Studies suggest that both internal and external criticism of a theory should be considered throughout its examination. Internal criticism focuses on the theory’s basic tenets of human agency and self-efficacy and how they might be used in the field of psychology to help vulnerable groups improve their behavior in any circumstance (Hu et al., 2018). The external criticism showed that the idea emerged as a result of outside factors, such as cognitive therapy, which has been crucial to the domination of the behavioral change process in the treatment of chronic diseases.
Throughout the years, middle-range theories have been put to use in the process of finding solutions to particular nursing issues that have arisen within a particular patient group. For the preceding discussion, it has been established that nurses may make use of self-efficacy theory to enhance the process of behavioral change among vulnerable groups. The application of the idea to the care of people suffering from chronic illnesses has shown promising results. However, the effective completion of the transition process might be hampered by some constraints, such as an insufficiently safe society and a lack of available financial resources.

Drevenhorn, E. (2018). A proposed middle-range theory of nursing in hypertension care. International Journal of Hypertension, 2018.https://doi.org/10.1155/2018/2858253
Hu, S. H., Yu, Y. M., Chang, W. Y., & Lin, Y. K. (2018). Social support and factors associated with self‐efficacy among acute‐care nurse practitioners. Journal of clinical nursing, 27(3-4), 876-882.https://doi.org/10.1111/jocn.14129
Irani, E., Moore, S. E., Hickman, R. L., Dolansky, M. A., Josephson, R. A., & Hughes, J. W. (2019). The Contribution of Living Arrangements, Social Support, and Self-efficacy to Self-management Behaviors Among Individuals With Heart Failure. The Journal of Cardiovascular Nursing, 34(4), 319–326. https://doi.org/10.1097/jcn.0000000000000581
Khademian, Z., Ara, F. K., & Gholamzadeh, S. (2020). The Effect of Self-Care Education Based on Orem’s Nursing Theory on Quality of Life and Self-Efficacy in Patients with Hypertension: A Quasi-Experimental Study. International Journal of Community Based Nursing & Midwifery, 8(2), 140–149. https://doi.org/10.30476/IJCBNM.2020.81690.0


Middle Range Theory Utilization & Application Paper


Analyze and evaluate a middle range theory. You will select a middle range theory and identify application of nursing theories into clinical practice.

Content Requirements:

Components of the theory

Discuss the major concepts of the theory

Philosophical basis or worldview change, advancing health

Structural aspects of the theory

Discuss the framework of the theory.

Identify an area of your practice where this theory could be applicable

What question does the theory help to answer?

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

Is it appropriate for the practice setting and is it applicable?

Discuss the strength and weakness of the theory. If there is weakness, discuss what makes it difficult to be used in practice.

Use of theory in clinical practice.

Performing a literature review is essential to completing this section. If there is no literature available about the application of this theory in practice, address reason(s) why based on your findings.

Evaluation of theory

Is this theory used to understand and apply into practice?

What difficulties did you encounter or would anticipate encountering in using this theory?

What would make this theory more usable or applicable to practice?

Submission Instructions:

The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.

The paper should be formatted per current APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions.)

The paper is to be 3 – 5 pages in length, excluding the title, abstract and references page.

Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style.

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