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Middle Range Nursing Theory

The middle range nursing theory provides a solid foundation for dealing with complex situations. Compared to the Grand Nursing Theory, this phenomenon is more narrowly defined. There are fewer abstract concepts and more empirical testing and specific phenomena. This nursing theory proposes descriptions, hypotheses, and explanations to answer nursing picot questions not addressed by other nursing practice theories. This theory equips students to manage complex emergencies and facilitates nursing interventions. This nursing theory is more applicable when explanations and implementations are required.

Middle-range nursing theories are a sub-discipline that focuses on potential knowledge of the discipline by broadening the phenomenon related to patient health care and psychiatric nurse practitioner personal statement examples. The middle range nursing theory is precisely defined using the ladder of abstraction, which states that as we move down the ladder, the abstraction level decreases while the conciseness increases. The exact opposite happens as we move toward the philosophical level. The empirical class is subdivided into the middle-range nursing theory.

Types of Middle-Range Theories

Middle-range theories are classified into three types. The most basic type of middle-range theory is middle-range descriptive theory. Each descriptive theory describes or categorizes a phenomenon and thus may only include one concept. When describing a phenomenon, a middle-range descriptive approach names the commonalities in discrete observations of individuals, groups, situations, or events.

When a middle-range descriptive theory classifies a phenomenon, it divides the commonalities described into mutually exclusive, overlapping, hierarchical, or sequential dimensions. A typology or taxonomy is another term for a middle-range classification theory. Descriptive research, whether qualitative or quantitative, is used to generate and test middle-range explanatory hypotheses. A middle-range descriptive classification theory is Peplau’s theory of interpersonal relations.

Explanatory theories of the middle range specify relationships between two or more concepts. Each descriptive theory explains why and to what extent one idea is related to another. Correlational research generates and tests middle-range explanatory theories, typically quantitative in design. A middle-range explanatory theory is Watson’s theory of human caring.

Middle-range predictive theories go beyond explanation to predict exact relationships between concepts or the effects of one or more concepts on one or more other concepts. This type of middle-range theory investigates how a phenomenon changes. Experimental research generates and tests middle-range predictive hypotheses, typically quantitative in design. A middle-range predictive theory is Orlando’s theory of the deliberative nursing process.

A Nursing Theorist’s Overview

Kristen Swanson’s nursing theory provides the background for pregnancy issues, including the concept analysis papers. Kristen Swanson received her bachelor’s and master’s degrees in nursing from the University of Rhode Island in 1975 and 1978. The Swanson nursing theory addresses pregnancy miscarriages with the necessary measures.

The Swanson Theory of Caring centers on post-miscarriage counseling for parents and their families. The theory entails a combination of methods for addressing the socio-cultural repercussions of infant loss. The scope of this theory extends beyond the patient’s physical condition. Health care professionals consider these factors to improve the emotional recovery of both the mother and father after an abortion or miscarriage.

The theory is founded on the study and research conducted by Dr. Kristen Swanson, who focused on the challenges parents and families face during a woman’s pregnancy. The concept provides a basis for the parents’ potential healing. Other physicians’ educational models and practices have been incorporated into the theorist’s research.

Meta-paradigm in Nursing

The nursing meta-paradigm is an extensive collection of models that illustrate the precise relationship between contemporary theoretical nursing practices. Numerous nursing practices are currently under consideration for acquiring the relationship between the four main components of the metaparadigm. The four significant meta-paradigms in the nursing profession are as follows:

·       Person

Who are the people who receive nursing care? In this paradigm, the ill individual is treated as a subject in the treatment process. Between the individual and his environment, a constantly changing process occurs. Nursing patients can be sick individuals, entire families, or entire communities.

·       Health

That is defined as an individual’s level of well-being. It is a dynamic process that an individual describes throughout their life. The primary emphasis on the subject’s health is on the nature of physical, aesthetic, social, and ethical territories. Illness or sickness is an individual’s experience with dysfunctions caused by health care. A person’s health status is an expression of the standard interacting processes between the individual and their environment.

·       Environment

It refers to the internal and external aspects that influence an individual’s level or degree of health. It refers to the effect that geography and landscape have on an individual. The impact of physiological, psychological, economic and social, cultural, historical, and developmental factors prevalent in the society where the individual lives are one of the dimensions that may cause harm to the individual.

·       Nursing

It is the profession that provides healthcare services in hospitals. Nursing interventions offer care to sick patients. These four concepts of the nursing meta-paradigm make up a complete directional understanding of the profession. These four concepts embed the basic knowledge of nursing theory, philosophy, education, research, and experience in the nursing profession.

How to Complete a Patient Scenario Nursing Case Study

  1. Assessment of patients’ behavior. Demographic data. Medical History.
  2. The nursing assessment of the patient. Vital signs and test results.
  3. Current Care Plan and Recommendations.

Middle Range Theory’s Importance

Nursing theories provide the principles that support new students’ nursing practices and aid in the generation of nursing knowledge. The middle-range nursing theory is essential for nursing students because it provides a middle reality view and generalized practice areas for nurses. It also gives the nurses concrete ideas, which are limited but extremely useful. The characteristics of the propositions are clearly stated in middle-range nursing theory, allowing a better decision for the patient’s health care.

Our nursing theorists and theories are ready to help you with any writing project, from simple essay plans to full nursing dissertations.

The level of testability provided by the middle-range nursing theory may generate a test hypothesis. Since the development of middle-range nursing theory is from the Grand nursing theory and the nursing practice theory, the idea consists of all the literature review, clinical practices, and guidelines that the nurses should follow.

How to Write a Nursing Care Plan

Assessment, diagnosis, outcomes and planning, implementation, and evaluation are the five steps in a care plan.

Step 1: Evaluation

The first step in creating a care plan is to use critical thinking skills and collect data. For the assessment phase, different healthcare organizations use other formats. In general, the information gathered here will be subjective and objective. The patients or their caregivers, family members, or friends could be the source of the subjective data.

Nurses can collect information such as the patient’s vital signs, physical complaints, visible body conditions, medical history, and current neurological functioning. Digital health records may aid in the assessment process by automatically populating some of this information from previous records.

Step 2: Diagnosis

You will create a nursing diagnosis using the data you have gathered, which the North American Nursing Diagnosis Association (NANDA) defines as “a clinical judgment about the human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community.”

A nursing diagnosis serves as the foundation for selecting nursing interventions to achieve specific outcomes. A nursing diagnosis is based on Maslow’s Hierarchy of Needs (which identifies and ranks human needs) and aids in treatment prioritization. For example, physiological conditions (such as food, water, and sleep) are more fundamental to survival than love and belonging, self-esteem, and self-actualization, so they take precedence in nursing actions.

Based on the diagnosis, you’ll set goals (Step 3) to help the patient by implementing nursing interventions (Step 4).

Step 3: Results and Planning

The planning stage follows the diagnosis. Here, you will create SMART goals (more on this later) using evidence-based practice (EBP) guidelines. You will consider the patient’s overall condition, as well as their diagnosis and other relevant information when setting goals for them to achieve desired and realistic short and long-term health outcomes. 

Step 4: Implementation

Once you’ve established goals for the patient, it’s time to put the actions that will help them achieve the goals. The nursing interventions outlined in the care plan are carried out during the implementation stage. As a nurse, you will either carry out doctors’ orders for nursing interventions or create your own using evidence-based practice guidelines.

Family, behavioral, physiological, complex physiological, community, safety, and health system interventions are divided into seven categories. During each shift, you must perform the following essential interventions: pain assessment, changing the resting position, listening, cluster care, fall prevention, and fluid consumption.

Step 5: Assessment

The health professional (who can be either a doctor or a nurse) will evaluate whether the desired outcome has been met in the final step of a care plan. Based on this information, you will modify the care plan.

Nursing Capstone Project Ideas

Here are some general nursing capstone project ideas to get you started on your nursing capstone project:

1.     How to Become a Registered Nurse After Finishing College

2.     How HMOs Can Improve Preventive Care to Improve Patient Outcomes

3.     The Importance of Health History in Patient Care

4.     How Do Macro Trends Affect Healthcare in the United States and the United Kingdom?

5.     The Relationship Between Patients’ Financial Capability and the Level of Care Received

6.     The Impact of Leadership on Healthcare Service Providers

7.     The Importance of Educational Leader.

8.     The Impact of Nurse Inclusion and Engagement on Patient Outcome

9.     How Nurse Engagement in Patient Care Can Impact Their Mental Health

10.  Nursing and Ethical Practices

11.  Stress Management for Nurses

12.  Ways Nurse Organizations Can Grow

13.  How to Make Health Care More Affordable for All Americans

14.  Cultural Attitudes Toward Healthcare Systems

15.  Medical Persuasive Speech Topics: Depending on the course that you are taking, you will be required to write essays.

16.  The lecturer will always ask you to find a relevant medical persuasive speech topic to write about when it comes time to write the medical speech.

17.  In most cases, it will be challenging to come up with a medical persuasive speech topic to write about.

18.  This article can find persuasive medical speech topics on psychology, nursing, and other health-related issues.

Nursing Persuasive Speech Topic

  1. When taken in excess, a chemical drug controls the person’s mind to make him addicted to it.
  2. A woman can be too old to give birth.
  3. ADHD people frequently injure themselves by jumping from great heights, crossing boundaries, and doing other things that can harm them.
  4. Air ambulance helicopters are the most efficient way to help victims of road accidents.
  5. The Atkins diet is not a quick fix for weight loss.
  6. Clinical psychology can help treat autism and asparagus syndrome to a large extent.
  7. A spinal disk problem causes back pain.
  8. Physical attractiveness is not a valid reason to pursue cosmetic plastic surgery.
  9. Brushing your teeth twice daily will not prevent a trip to the dentist.
  10. Cell phones emit hazardous levels of radiation.
  11. Children should be prioritized on organ transplant waiting lists.
  12. Clinical psychology is capable of treating a patient going through excessive alcoholism.
  13. Repetitive strain injuries are caused by computer use.


The middle-range nursing theory can help subjects and nurses (who are health care professionals) identify the specific contribution that should be made to the health care center and the patients by providing them with a sense of personal nursing philosophy. Providing adequate knowledge and guidance to nurses following the principles laid out by middle-range nursing theory will help improve the standards of their practice as well as the health of the patient.

The four essential components of the nursing meta-paradigm play an important role in developing good middle-range nurses who tell the story of the person, health, and environment with the nurses. The middle-range nursing theory provides a generalized and conceptual development of the characteristics that serve as the foundation for forming good middle-range nurses practicing in healthcare centers to provide adequate healthcare facilities.