Nursing theory is defined as a rigorous and creative structuring of ideas for a systematic view of an occurrence. There are several nursing theories such as nursing practise theories, mid-range theories and grand nursing theories. Middle range theory is a type of characteristic perception that is set on a partial scope of the actual nursing practices. According to (Meleis, 2010) middle-range theories are subjected to a limited scope and are less abstract in that they address specific concepts and reflects nursing practices. An example of middle-range theory would be incontinence or quality of life as per Roger’s theory of energy field s (Meleis, 2010).
Based on the middle-range theory of holistic care as described by Kolcaba (2001), many assumptions are derived which links to spiritual well-being as well as the quality of life for patients. The first assumption noted is that there is a relationship between the patient’s faith and his quality of life or well-being. Also, another assumption is that there is a relationship between the patient’s religious practices and well-being during the illness. Another assumption is that there is a relationship between the patient’s feelings of spiritual fulfilment and the quality of life in his holistic experience. The overall assumption relates the relationship between holistic care and quantity of life or well-being among sick patients. According to Fawcett (2005), the middle-range theory as applied to holistic care incorporates the metaparadigm of four relation and non-relational propositions.
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The application of middle-range theory is to enable researchers to develop and enhance the business of nursing in healthcare facilities. The metaparadigm is used in the analysis and framework for comparing nursing theorists (Fawcett, 2005). Also, the middle-range theories have fulfilled the crucial functions of distinguishing nursing from other health professions. The middle-range theory has been found to be helpful in research to nurse scientists. It has assisted nurses by aiding the understanding of patient’s behaviour, providing interventions, and possible strategies for its effectiveness.
References
Fawcett, J. (2005). Criteria for evaluation of theory. Nursing Science Quarterly , 18 (2), 131-135.
Kolcaba, K. (2001). Evolution of the mid range theory of comfort for outcomes research. Nursing outlook , 49 (2), 86-92.
Meleis, A. I. (2010). Transitions theory: Middle range and situation specific theories in nursing research and practice . Springer publishing company.
