Essay Middle-Range Theory Continues to Guide Nursing Practice

1382 Words Dec 5th, 2012 6 Pages
Middle Range Theory Continues to Guide Nursing Practice
Lisa M. Sanford
Maryville University

Middle Range Theory Continues to Guide Nursing Practice
Nursing theory has three distinct categories to describe the level of abstraction: Grand, Middle-Range, and Situation-Specific (Meleis, 2012, p. 33). Hugh McKenna (1997) defined these three categories, stating:
Grand theory is highly abstract and is broad in scope. Middle-range theory is more focused and is normally the end product of a research study. Narrow-range theory is even more specific and while also being based on research findings, it guides specific actions in the achievement of desirable goals (p. 17).
When thinking about nursing theory, one might ask: What is the
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7). Caring and dialogue are described in this theory as follows: Dialogue is a process of naming our world. It is a process that opens the possibility for participants to pose problems, to critically reflect, and to perceive solutions not previously realized. This process occurs within a caring relation where the carer and the cared-for exhibit receptivity and engage in "reflection, invitation, assessment, revision, and further exploration" (p. 9).
Another example of the applicability of middle-range theory is the theory of care transitions. A hot topic in today’s times involves hospital acquired conditions (HACs) and readmission rates. Medicare expenditures are estimated at $15 billion annually due to readmissions (Averill, et al., 2009, p. 1). As a result, policymakers have implemented the The Deficit Reduction Act of 2005, which eliminates any increase in hospital payments due to the occurrence of HACs. Furthermore, it is viewed that high readmission rates are a reflection of poor quality, and hospital payments for readmissions were recommended in the FY2010 budget from the Obama Administration to reduce payments for readmissions as one way of controlling Medicare expenditures (Averill, et al., 2009, p. 1).
As a staff nurse, I am all aware of the

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