scholarly journals Towards a middle-range theory of ‘Stability of home-based care arrangements for people living with dementia’ (SoCA-Dem): findings from a meta-study on mixed research

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042515
Author(s):  
Kerstin Köhler ◽  
Jan Dreyer ◽  
Iris Hochgraeber ◽  
Milena von Kutzleben ◽  
Christiane Pinkert ◽  
...  
Keyword(s):  
Informal Carer ◽  
Dyadic Relationship ◽  
Middle Range Theory ◽  
Care Arrangement ◽  
Home Based ◽  
Middle Range ◽  
Range Theory ◽  
The Stability ◽  
Home Based Care ◽  
Over Time

BackgroundMost people with dementia and their informal carers live at home and strive to create a stable care situation for as long as possible. This preference of dyads is consistent with the global policy of ageing in place. Therefore, we aimed to develop a middle-range theory of stability guided by two research questions: How is stability of home-based care arrangements for people living with dementia constituted? What are the essential factors influencing stability?MethodsWithin the 'Stability of home-based care arrangements for people living with dementia' project (SoCA project) at the German Center for Neurodegenerative Diseases (DZNE), we conducted a meta-study on mixed research. The analytical steps of meta-data analysis, meta-method and meta-theory are merged in an integrative synthesis. Eligible publications were identified through systematic database searches (MEDLINE, CINAHL and PsycINFO; last searched on 3 January 2017), backward/forward citation tracking and snowballing. All publications were screened against predefined inclusion criteria and evaluated through a quality appraisal. The analytical approach was thematic synthesis.Results99 publications were included. The middle-range theory conceptualises stability as a complex phenomenon comprising three components including eight concepts that are dynamically inter-related. The conceptual model visualises: (1) the trajectory of the dementia care arrangement, which involves a cyclic process of change and balancing over time; (2) the characteristics of the care arrangement, including needs, the carer role, the dyadic relationship and resources; and (3) the context, which is determined by society and culture and the respective healthcare system. The relevance of each concept in relation to stability changes over time. The forming of each concept is actively shaped by the informal carer.DiscussionThis middle-range theory provides a thorough understanding of the stability of home-based care arrangements for people living with dementia and can be used to guide future research and practice.OtherThis meta-study was funded by the DZNE and registered in PROSPERO (registration number CRD42016041727).

Commentary and Book Review of Middle Range Theories: Application to Nursing Research and Practice (5th Edition) by Sandra J. Peterson and Timothy S. Bredow (2020),

2021 ◽  
Vol 34 (2) ◽  
pp. 211-216
Author(s):  
Howard K. Butcher
Keyword(s):  
Current Status ◽  
Nursing Research ◽  
Nursing Theory ◽  
Middle Range Theory ◽  
Research And Practice ◽  
Middle Range ◽  
Range Theory

The author in this article provides a review of Peterson and Bredow’s 5th edition of Middle Range Theories: Application to Nursing Research and Practice. The author also shared some concerns and thoughts about the current status of nursing theory and middle-range theory.

Why Middle-Range Theory?

1997 ◽  
Vol 19 (3) ◽  
pp. viii ◽  
Author(s):  
Peggy L. Chinn
Keyword(s):  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

scholarly journals Developing and Testing a Middle-Range Theory of the Well-Being Supportive Physical Environment of Home-Dwelling Elderly

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Satu Elo ◽  
Maria Kääriäinen ◽  
Arja Isola ◽  
Helvi Kyngäs
Keyword(s):  
Physical Environment ◽  
Development Process ◽  
Theory Development ◽  
Well Being ◽  
Middle Range Theory ◽  
Hypothetical Model ◽  
Middle Range ◽  
Range Theory ◽  
Set Up ◽  
Deductive Theory

The aim is to describe the development of a middle-range theory by using an inductive-deductive approach. A theory of well-being supporting physical environment of home-dwelling elderly is used as an example. The inductive-deductive theory development process is described through four different phases: (1) the creations of concepts were described inductively through concept synthesis, (2) relationships between the concepts were examined to set up a hypothetical model, (3) hypotheses were set up to verify the concepts and to test hypothetical models, and (4) the verification and presentation of the theory.

Testing a Middle -Range Theory of Heart Failure Self-Care

2021 ◽  
Vol 34 (4) ◽  
pp. 378-391
Author(s):  
Sumayya A. Attaallah ◽  
Rosalind M. Peters ◽  
Ramona Benkert ◽  
Hossein Yarandi ◽  
Sandra Oliver-McNeil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Latent Variable ◽  
Self Care ◽  
Middle Range Theory ◽  
Conditioning Factors ◽  
Middle Range ◽  
Patients With Heart Failure ◽  
Range Theory ◽  
Care Deficit

A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.

Toward a conceptualization of personalized services in apparel e-commerce fulfillment

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sheenam Jain ◽  
Malin Sundström
Keyword(s):  
Customer Satisfaction ◽  
Perceived Value ◽  
Added Value ◽  
Personalized Service ◽  
Middle Range Theory ◽  
Content Type ◽  
Personalized Services ◽  
Online Retailers ◽  
Middle Range ◽  
Range Theory

Purpose Today, customers’ perceived value does not only depend on the products, but also on the services provided by a firm. In e-commerce, it is important to shift the focus beyond the product and discuss the value of personalized services in the context of e-commerce fulfillment. Therefore, the purpose of this paper is twofold: to develop a conceptual framework proposing satisfaction through personalized services as a middle-range theory; and to suggest foundational premises supporting the theoretical framework, which in turn shape middle-range theory within the context of apparel e-commerce fulfillment. Design/methodology/approach In this theory-driven paper, the authors apply the scientific circle of enquiry, as it demonstrates the role of theorizing with the help of middle-range theory and empirical evidence and as such provides a methodological scaffolding that connects theory formulation and verification. The authors synthesize literature related to customer perceived value (CPV) and satisfaction, followed by abduction focusing on understanding the empirical domain as it occurred in practice from company cases. The presented case studies are based on semi-structured interviews with three Swedish online retailers within the apparel industry. The theory-driven analysis results in suggestions of foundational premises. Findings Based on the theoretical foundations and empirical generalizations, three propositions are suggested. The premises regarding satisfaction through personalized service applied in the domain of apparel e-commerce fulfillment are: to ensure customer satisfaction requires a value co-creation perspective using data during the pre-purchase phase; to ensure customer satisfaction and retention require added-value perspective during the post-purchase phase of the shopping journey; and to ensure satisfaction and convenience require an added-value perspective at the last mile. Practical implications The apparel firms lose a substantial amount of revenue because of poor online customer satisfaction, leading to e-commerce not reaching its full potential. To enhance customer value, online retailers need to find a resort in advanced technologies and analytics to address customer satisfaction, and it is suggested that retailers shift their focus beyond the products and find ways to improve personalized service offerings to gain market advantage, improve fulfillment, drive sales and increase CPV. Originality/value To consider personalized services as a source for improving e-commerce fulfillment and CPV, the main contribution of this study is conceptual as it presents a theoretical model developed from general theory, middle-range theory and verified with empirical claims.

Understanding Consumption: What Interviews with Retired Households Can Reveal about Budgetary Decisions

2001 ◽  
Vol 6 (3) ◽  
pp. 1-12 ◽  
Author(s):  
Edmund Chattoe ◽  
Nigel Gilbert
Keyword(s):  
Time Allocation ◽  
Labour Supply ◽  
Economic Models ◽  
Middle Range Theory ◽  
Middle Range ◽  
Household Behaviour ◽  
Different Types ◽  
Range Theory ◽  
Budgetary Decisions

This paper uses interview data from retired households to inform a discussion about economic models of consumption. It is divided into two parts. In the first part, the economic models are described. The paper then discusses several different types of reasons for finding them unhelpful in explaining consumption. The second part of the paper considers the role of ‘middle range’ theories in developing plausible models of household behaviour. Phenomena which the interviews suggest are important in explaining consumption, such as time allocation, the labour supply decision, the ubiquitous durability of goods and the structure of the household, are not typically supported by middle range theory in current models. Without the constraints of such theory, it is very hard to distinguish models providing genuine explanation from those that merely fit the data. The latter part of the paper also discusses aspects of a new middle range theory of consumption suggested by the interviews.

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