Compare And Contrast Middle Range Nursing Theory

Improved Essays
Middle range nursing theories cover larger populations in different settings than grand theories and contain a few concepts that are testable. Pender’s Health Promotion Model and Kolcaba’s Comfort Theory are both middle range nursing theories that have stood the tests of both time and trials. There are several similarities as well as differences. The following pages will compare and contrast these theories while illustrating that both are middle range nursing theories.
Nola Pender developed the Health Promotion Model over the 1980s and 1990s. Its purpose is to help nurses to understand the factors that play into the activities healthy lifestyles and how to encourage those activities. It originated from the belief that humans are a combination of mind, body, and spirit that relate with their surroundings to meet individual needs and goals. A tool has been developed to assist with assessment and planning. The theory can be generalized and applied to government agencies, insurance companies, large corporations, and schools. It is parsimonious and has been
…show more content…
This idea, succinctly stated is there are three types of comfort (relief, ease, and transcendence) that reach into four kinds of experience (physical, psychospiritual, socialcultural, and environmental) to bring patients to meet the goal of care that addresses the level of comfort (Kolcaba & DiMarco, 2005). It is quite practical to nursing and has generalizable, and has been tested in many populations. It is parsimonious.
Pender and Kolcaba’s theories are both succinct, easily tested, and generalized. Table 1 compares the two theory analyses side by side using the Walker and Avant method. They both consider human beings holistically. They differ in that the health promotion model is meant to improve, maintain, and prevent disease. Comfort theory is about addressing the needs of patients in whatever stage of disease patients may be and improve their levels of

Related Documents

  • Improved Essays

    According to Arroyo Fressco (AF) challenges identified by the performance FOCUS framework, it is obvious there is a need to implement and evaluate interventions that would improve AF’s operational efficiency. Financial Performance One of the key strategic challenges is to balance AF’s mission of serving all patients, regardless of their ability to pay or against tight fiscal environments at federal, state, and local levels. Although, AF receives federal section 330 grants from the Public Health Service of the U.S. Department of Health and Human Services, these funds have not kept pace with growing needs or economic changes within the health care industry. Thus, to remain financial viable in the future, it is recommended that AF focus on,…

    • 1050 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Discussion Forum 5.1 Applying Nursing Theories As the clinical educator for surgical services; I definitely incorporate two major theories in my daily practice. The first one is Benner’s Novice to Expert; this theory plays a huge role in competency based education and validation of the orientees skill level by an assigned group of preceptors. Our goal in competency based education is to immerse the orientee in perioperative nursing practice; allowing the orientee to move from detached observer to someone who is fully engaged and a functioning, proficient team member (Blais&Hayes, 2016). I try to guide the orientee; by engaging a variety of educational materials, including AORN Guidelines, policy and procedures, interactive learning tools,…

    • 358 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    Nursing Philosophies

    • 1893 Words
    • 8 Pages

    The nursing philosophies articulate the human relation between health, and environment framework comprising with personal values and beliefs. This essay will discuss three nursing philosophy of care and significance in Mr Tylor’s care plan for fall prevention. Moreover, the essay will entail, different assessments, health problem consequences on fall risk, interventions and its evaluation of Mr Tylor’s care. The three most common philosophical approaches are person-centred care, holistic care and nursing process of care approach.…

    • 1893 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    I think it is really important in this aspect of nursing, to include teaching and prevention practices, because to keep one’s level of health at optimal levels, they must understand why it is important to live a healthy lifestyle now and also how to live a healthy lifestyle based on their own personal…

    • 944 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Nursing Research Critique

    • 2026 Words
    • 9 Pages

    Critique of the Introduction This paper critiques a nursing research study that evaluated the effects of home-based exercise on patient’s perceived self-efficacy (PSE) who underwent a thoracotomy for non-small cell lung cancer (NSCLC). The title of the paper is “Too Sick Not to Exercise: Using a 6-Week, Home-Based Exercise Intervention for Cancer-Related Fatigue Self-management for Postsurgical Non-Small Cell Lung Cancer Patients”. The authors of the paper are Amy J. Hoffman, PhD, RN, Ruth Ann Brintnall, PhD, AOCN, APRN-BC, Jean K. Brown, PhD, RN, FAAN, Alexander von Eye, PhD, Lee W. Jones, PhD, Gordon Alderink, PhD, PT, Debbie Ritz-Holland, BSN, RN, OCN, Mark Enter, RN, OCN, Lawrence H. Patzelt, MD, & Glenn M. VanOtteren, MD.…

    • 2026 Words
    • 9 Pages
    Improved Essays
  • Improved Essays

    Nursing care comes in many forms. Sometimes it is the ability to make someone feel physically comfortable by various means. Other times it is the ability to improve the body’s ability to achieve or maintain health. But often it is an uncanny yet well-honed knack to see beyond the obvious and address, in some way, the deeper needs of the human soul. ~Donna Wilk Cardillo, A Daybook for Beginning Nurses.…

    • 956 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    (Kim et al., 2015).The aim of this paper is to apply the Theory of Holistic Comfort (THC) model of nursing in the management of NSCLC with Brain Metastases in Palliative nursing. The case study is based on a middle-aged male who was admitted to Accident & Emergency (A&E) department in a major restructured hospital for altered mental state. Following the objective, three sections mark the present research: firstly, there will be a brief description of the THC model used in this case study. Secondly, the patient, Mr. N, will be presented according to the patient profile and chart review.…

    • 146 Words
    • 1 Pages
    Decent Essays
  • Superior Essays

    A person’s health is deeply tied to their environment, socioeconomic status, and access to resources, and if the root causes of health problems are not addressed, patients will return with the same recurrent issues. This can be seen, for example, with patients who have chronic heart failure and do not follow a low-sodium diet or fluid restrictions. Lifestyle choices are a factor in nearly half of the deaths in the United States, and a nurse must not only focus on the treating the problems a patient presents with, but also encouraging a healthy lifestyle (Arnold & Boggs, 2012). In collaboration with patients, nurses should work to set specific, measurable goals for positive behavioral change, such as gradual smoking cessation, exercise and healthy eating.…

    • 1099 Words
    • 5 Pages
    Superior Essays
  • Great Essays

    This theory was developed by Katharine Kolcaba, and it suggests that comfort should be one of the most important things a nurse can provide for a patient. “Kolcaba conducted a concept analysis of comfort that examined literature from several disciplines, including nursing, medicine, psychology, psychiatry, ergonomics, and English,” (“Kolcaba’s Theory of Comfort,” 2014). “The next two years were spent organizing these findings, concluding with three technical senses of comfort used currently in nursing,” (Kolcaba, 2001, pg. 87). She described “comfort existing in three forms: relief, ease, and transcendence. If specific comfort needs of a patient are met, the patient experiences comfort in the sense of relief.…

    • 1966 Words
    • 8 Pages
    Great Essays
  • Great Essays

    Everyone regardless of age or race needs some form of comfort during any procedures, treatment, illness, or hospitalization to achieve maximum recovery possible. Comfort is the immediate, holistic experience of being strengthened when one’s needs for relief, ease, and transcendence (types of comfort) are addressed in the four contexts of holistic human experience: physical, psych spiritual, sociocultural, and environmental (Alligood, 2014). The purpose of choosing this theory is because of its usability and applicability in different environments of clinical or community nursing care. This theory promotes the understanding of meeting the client needs and the possible outcomes that can be achieved when those needs are met in a timing manner.…

    • 1268 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    We are their teachers, advocates, friends, and confidants. By acting as all of these, we are able to have an influence in our patient’s feelings towards medicine and the medical world. It is my belief that with this influence, we should be providing our patients with the tools they need to promote a healthy wellbeing for themselves. As nurses, we should be advocating for preventive measures to keep our patients healthy, such as yearly physicals, smoking cessation, and methods of reducing and dealing with life’s stressors in a positive manner. It is my belief that if we provide these outlets to our patients, we are giving them the keys to a much healthier lifestyle, in which they will likely reduce the amount of illness they may encounter.…

    • 1108 Words
    • 5 Pages
    • 2 Works Cited
    Superior Essays
  • Great Essays

    Nola Pender was born August 16, 1941. She was a nursing theorist and author. Nola Pender is the creator of the Health Promotion Model. She was a Professor at University of Michigan School of Nursing where she taught baccalaureate, masters, and PhD students (Miller, nd.). Her model is used internationally for research, education, and practice.…

    • 1668 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Compared to grand theories, they are more concrete, narrower in scope, and more applicable and closer to practice (McEwen & Willis, 2014, p. 215). There are some generalizations across settings and specialties. There are also a limited number of concepts in these theories. Middle-ranged theories are intended to answer questions about nursing phenomena, but they do not include the entirety of the specific phenomena to the discipline. The concepts and relationships in middle range theories are directed more at specific nursing situations, interventions, and outcomes.…

    • 840 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Nursing has come a long way from how it was established years ago. Many different models and theories have gotten started through nurse’s opinions on how to care for a patient. There are several different nursing models all pertaining to different aspects of nursing, for instance, adult care, pediatric care, and so on. Each type of care and patient has different needs than the other. For example, a senior citizen may need something different than a child on the pediatric floor; you would never go about caring for them in the same way.…

    • 783 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    1). Katharine Kolcaba developed this theory when she conducted a concept analysis of comfort that examined literature from many disciplines such as medicine, psychology, nursing, psychiatry, ergonomics, and English (Petiprin, n.d., para. 2). After Kolcaba created the three forms of comfort and the four contexts of holistic human experience, she comprised a structural guide that was made to help with assessment, measurement, and evaluation of patient comfort (Petiprin, n.d., para. 2). According to Kolcaba, patient comfort is the result of holistic nursing art (Petiprin, n.d., para. 2).…

    • 1225 Words
    • 5 Pages
    Superior Essays