Introduction to Rivera’s Gender Affirming Nursing Care Model: A Middle-Range Theory

2021 ◽  
pp. 089801012110467
Author(s):  
Denise Rivera ◽  
Angela Jukkala ◽  
T Rohini
Keyword(s):  
Nursing Care ◽  
Face Validity ◽  
Nursing Theory ◽  
Self Assessment ◽  
Middle Range Theory ◽  
Ongoing Research ◽  
Self Reflection ◽  
Middle Range ◽  
Range Theory ◽  
Implicit And Explicit

Purpose: Currently, standards for transgender care guide surgical, hormonal, cosmetic and psychological care, yet do not include the domain of nursing care and nursing sensitive care outcomes. In response, the purpose of this project was to create a middle-range nursing theory to guide transgender nursing care. Methods: Rivera’s Gender Affirming Nursing Care (GANC) Model was developed using a community informed iterative process, combining and modifying two existing theories. Each theory was evaluated, construct templates were created, modified, and expanded to create the proposed gender transcendent model. Face validity was established through expert and community review. Findings: Concepts identified include: Relationship (Join With), Knowledge (Learn With) and Engagement (Partner With). Action within the model is propelled by drivers, including ongoing learning, ongoing research, ongoing self-assessment, and leadership. The model operates within the recognized domains of nursing, to support gender affirming nursing care. Conclusions: The middle-range theory was tested and found to stimulate gender neutral thinking; however, the model would benefit from additional testing to determine impact on nursing and patient outcomes. The model allows the nurse, through self-reflection and other internal growth mechanisms, to identify personal implicit and explicit bias. It is through these actions and shifting paradigms that nurses develop a personal gender affirming nursing practice.

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.

Engaging Robots as Nursing Partners in Caring: Nursing as Caring Meets Care-Centered Value-Sensitive Design

2019 ◽  
Vol 23 (2) ◽  
pp. 157-167 ◽  
Author(s):  
Savina O. Schoenhofer ◽  
Aimee van Wynsberghe ◽  
Anne Boykin
Keyword(s):  
Ethical Theory ◽  
Design Approach ◽  
Value Sensitive Design ◽  
Robotic Technology ◽  
Nursing Theory ◽  
Middle Range Theory ◽  
Central Value ◽  
Middle Range ◽  
Range Theory ◽  
Technology Advances

Given global proliferation of healthcare robots in hospital and home settings, guidance for shared nurse–robot practice is essential if nurses are to be influential participants in the design, implementation, and evaluation of this new practice partnership. Van Wyneberghe's Care-Centered, Value-Sensitive Design-approach, grounded in ethical theory and healthcare robotics, was identified as a likely fit with the grand nursing theory of Nursing as Caring. Following analysis of congruence and dissonance, a model for a new middle range theory was developed. The Dance of Living Caring has the potential to maintain caring as nursing's central value as robotic technology advances.

Pondering Endlessly About Nursing Theory

2020 ◽  
Vol 34 (1) ◽  
pp. 96-97
Author(s):  
Edwin-Nikko R. Kabigting
Keyword(s):  
Nursing Theory ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

The author in this article provides a review and introduction to Marlaine C. Smith’s fifth edition of Nursing Theories and Practice. Additionally, the author explores the notions of theory and middle-range theory within the discipline of nursing.

scholarly journals Analisis Teori Nyeri: Keseimbangan Antara Analgesik dan Efek Samping

2008 ◽  
Vol 12 (2) ◽  
pp. 129-136
Author(s):  
Imami Nur Rachmawati
Keyword(s):  
Pain Management ◽  
Practice Theory ◽  
Daily Practice ◽  
Management Theory ◽  
Nursing Theory ◽  
Middle Range Theory ◽  
Grand Theory ◽  
Middle Range ◽  
Or Practice ◽  
Range Theory

AbstrakTeori dalam keperawatan diklasifikasikan dalam grand theory, middle-range theory, dan low range atau practice theory. Pengetahuan tentang practice theory sangat penting bagi seorang perawat dalam melakukan praktik asuhan keperawatan seharihari. Salah satu practice theory yang dikembangkan pada tahun 2000-an adalah berkaitan dengan manajemen nyeri. Artikel ini memberikan gambaran analisis teori nyeri: keseimbangan antara analgesik dan efek samping berdasarkan langkah-langkah yang telah dirumuskan Walker dan Avant sehingga dapat disimpulkan kelebihan dan kekurangan teori tersebut. AbstractTheories in nursing are classified into grand theory, middle-range theory, and low range or practice theory. In the daily practice, it is important for a nurse to understand and apply nursing theory. One of the practice theory introduced in 2000-s is related to pain management. The aim of this article is to describe an analysis of pain management theory: a balance between analgesic and side effects based on Walker and Avant’s method.

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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