scholarly journals A Proposed Middle-Range Theory of Nursing in Hypertension Care

2018 ◽  
Vol 2018 ◽  
pp. 1-11
Author(s):  
Eva Drevenhorn
Keyword(s):  
Blood Pressure Measurement ◽  
Behavioural Change ◽  
Self Care ◽  
Lifestyle Changes ◽  
Middle Range Theory ◽  
Design Studies ◽  
Middle Range ◽  
Range Theory ◽  
Orem's Theory ◽  
Nursing Clinical

Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related to the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with Orem’s theory of nursing. Clinical and research implications of the theory are discussed.

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

2021 ◽  
Vol 34 (2) ◽  
pp. 168-177
Author(s):  
Sumayya A. Attaallah ◽  
Rosalind M. Peters ◽  
Ramona Benkert ◽  
Hossein Yarandi ◽  
Sandra Oliver-McNeil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Self Care ◽  
Empirical Literature ◽  
Middle Range Theory ◽  
Nursing Science ◽  
Middle Range ◽  
Operational Systems ◽  
Range Theory ◽  
Orem's Theory

Middle-range nursing theories provide a bridge between the more abstract grand nursing theories, research, and clinical practice. As such, middle-range nursing theories derived from extant nursing theories are critical for developing and advancing both nursing science and practice. This paper describes the strategy used in developing a middle-range theory of heart failure self-care. After integrating theoretical and empirical literature, a hypothetico-deductive approach was used to develop the middle-range theory of heart failure self-care from Orem’s theory of self-care. Theoretical substruction was used to provide a graphic representation of the conceptual-theoretical-empirical structure demonstrating the congruence between the theoretical and operational systems.

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.

Factors Associated With Self-Care Among Patients Receiving Hemodialysis: A Cross-Sectional Observational Study

2021 ◽  
pp. RTNP-D-20-00042
Author(s):  
Juhyun Lee ◽  
Dabok Noh
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Self Care ◽  
Middle Range Theory ◽  
Health Motivation ◽  
Middle Range ◽  
Range Theory ◽  
Stage Renal Disease ◽  
End Stage

Background and PurposeThe global increase in prevalence of individuals with end-stage renal disease is a rising concern. Self-care is an essential and important component of chronic disease management. Poor self-care in patients receiving hemodialysis is associated with an increased risk of mortality and hospitalization. This study aimed to identify predictive factors for self-care in patients receiving hemodialysis based on a middle-range theory of self-care for chronic illness.MethodsAdult patients with end-stage renal disease receiving hemodialysis were recruited at an artificial kidney unit in a general hospital. Data from 131 patients were analyzed. Self-report questionnaires assessed hemodialysis-related knowledge, health motivation, self-efficacy, social support, access to care, and self-care.ResultsParticipants who had a family caregiver showed significantly higher selfcare scores than those who did not, and self-care scores were higher in patients who reported hypertension as a causal disease of end-stage renal disease than in those who did not. Self-care was significantly correlated with knowledge, health motivation, self-efficacy, social support, and access to care. The study’s regression model showed that self-efficacy, health motivation, and knowledge were predictive variables influencing self-care, and the explanatory power of this model was 55.9%.Implications for PracticeThe results support the middle-range theory of self-care for chronic illness. Strategies and education to improve self-efficacy, health motivation, and knowledge must be incorporated when designing self-care programs. Nursing interventions that patients can participate in with their family members might facilitate improving self-care.

scholarly journals A Middle-Range Theory of Self-Care of Chronic Illness

2012 ◽  
Vol 35 (3) ◽  
pp. 194-204 ◽  
Author(s):  
Barbara Riegel ◽  
Tiny Jaarsma ◽  
Anna Strömberg
Keyword(s):  
Chronic Illness ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

A cancer specific middle‐range theory of symptom self‐care management: A theory synthesis

2018 ◽  
Vol 74 (12) ◽  
pp. 2935-2946 ◽  
Author(s):  
Mohamad Baydoun ◽  
Debra L. Barton ◽  
Cynthia Arslanian‐Engoren
Keyword(s):  
Care Management ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

Self-care is Renouncement, Routine, and Control: The Experience of Adults with Type 2 Diabetes Mellitus

2020 ◽  
pp. 105477382096954
Author(s):  
Michela Luciani ◽  
Lorenzo Montali ◽  
Gabriella Nicolò ◽  
Diletta Fabrizi ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Chronic Illness ◽  
Care Management ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

Type 2 Diabetes Mellitus can cause serious complications; it has a severe impact on the quality of life and high costs. One of the key strategies to manage diabetes is self-care, a complex multifactorial process influenced by personal, cultural, and systemic factors, that comprises self-care maintenance, self-care monitoring, and self-care management. Few patients perform adequate self-care. To deepen our understanding of patients’ experiences of self-care maintenance, self-care monitoring, and self-care management, we conducted the first qualitative study on this topic. This study used Interpretive Phenomenological Analysis, informed by the Middle-range Theory of Self-care of Chronic Illness, to explore the experience and meaning of self-care maintenance, self-care monitoring, and self-care management in adults with T2DM (n = 10). Three themes were identified: self-care is renouncement, self-care is routine, and self-care is control. A cross-cutting moral pattern connects the three themes. Our findings corroborate the Middle-range Theory of Self-care of Chronic Illness in the field of diabetes self-care and could inform practitioners in understanding the experience of self-care as a complex phenomenon and in developing tailored interventions.

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