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

2008 ◽  
Vol 12 (2) ◽  
pp. 129-136
Author(s):  
Imami Nur Rachmawati

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.

2021 ◽  
Vol 34 (2) ◽  
pp. 211-216
Author(s):  
Howard K. Butcher

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.


2019 ◽  
Vol 23 (2) ◽  
pp. 157-167 ◽  
Author(s):  
Savina O. Schoenhofer ◽  
Aimee van Wynsberghe ◽  
Anne Boykin

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.


1994 ◽  
Vol 15 (3) ◽  
pp. 323-359 ◽  
Author(s):  
S. Gordon Redding

Earlier reviews of the state of comparative management theory are considered and summarized and lead to the following conclusions: the literature suffers from an excess of simple empirical reportage; theoretical development is weak in the middle ground and at higher levels; there is a bias away from ethnographic work; perspectives tend to be narrow and partial. Some progress is visible as a result of the unifying work of Hofstede but its contribution also entails new avenues of enquiry about the determinants and consequences of culture. Some middle-range theory building is now occurring in specific fields such as expatriation, leadership, and HRM techniques, but it remains tentative. Dilemmas stemming from altern ative frameworks of meaning and complex causation pose severe epistemological challenges and require new approaches to comparison. The economics-based positivist paradigm is seriously inadequate for such challenges, but dangerously imperialist. A new, more theoretically sophisticated, approach is advocated and outlined as a route for progress.


2020 ◽  
Vol 2 (1) ◽  
pp. 23-45
Author(s):  
Apollo Apollo

Abstrak: Standar auditing selama 12 tahun terakhir mengalami peningkatan pada sisi kuantitas maupun kualitas. Kondisi ini mengindikasikan terjadinya kompleksitas peran auditor sebagai pihak yang independen dalam menciptakan good corporate governance. Terdapat dua faktor utama yang menyebabkan terjadinya skandal auditing yakni : (a) implementasi standar umum, dan (b) implementasi standar pekerjaan lapangan. Adanya ragam perbedaan dan konflik kepentingan menyebabkan auditor mengalami ambiguinitas peran pada standar auditing. Penelitian ini bertujuan memperoleh bukti empirik pengaruh solidaritas sosial, kompetensi auditor, profesionalisme auditor, dan reputasi perusahaan klien terhadap opini audit going concern. Untuk menguji fakta empirik tersebut diperlukan susunan logika dengan Background Theory: Teori Idealisme Klasik, Grand Theory : General Equilibrium Theory - IO Wassily Leontief (1906 - 1999) Standar Auditing (2011), Middle Range Theory : Posmodernisme Derrida (1930-2004),  Rorty (1931-2007), Sartre (1905-1980), dan Application Theory : Agency  Theory : Jensen & Meckling (1976); Francis and Smith (1994); Hammer (1992) Kamin & Ronen (1978); Fama (1980); Baiman(1982); Caose (1987); Zimmerman  (1980). Unit penelitian adalah 84 responden pada Kantor Akuntan Publik Big Four di Jakarta. Metode alat analisis menggunakan path analysis atau gabungan antara korelasi dan regresi untuk mengetahui pengaruh secara parsial maupun simultan. Hasil penelitian setelah dilakukan uji validitas, reabilitas, dan transformasi data ordinal ke data interval menunjukan hasil: (a) solidaritas sosial, kompetensi auditor, profesionalisme auditor secara parsial tidak berpengaruh signifikan dengan opini audit going concern, sedangkan reputasi perusahaan klien berpengaruh signifikan terhadap opini audit going concern, dan (b) solidaritas sosial, kompetensi auditor, profesionalisme auditor, reputasi perusahaan klien terhadap opini audit going concern secara simultan berpengaruh positif dan signifikan sebesar nilai adjusted R square 0.626 atau sebesar 62.6% sedangkan sisanya 37.4% dipengaruhi variabel lain di luar model penelitian.   Hasil penelitian ini mempunyai konsistensi dengan seluruh kerangka pemikiran, tinjauan pustaka, dan penelitian terdahulu. Adapun saran untuk penelitian: (a) bagi pengembangan ilmu auditing diperlukan penelititan lanjutan di luar model seperti budaya, tanggung jawab etika auditor , (b) untuk kebijakan IAPI dan KAP perlu menyusun kejelasan maupun kriteria lebih konkrit pemberian opini audit going concern, pertimbangan solidaritas sosial, peningkatan kompetensi auditor, memperbaiki profesionalisme auditor, dan memperhatikan kemampuan reputasi perusahaan klien sebagai pihak auditee. Kata Kunci : Solidaritas Sosial, Kompetensi Auditor, Profesionalisme Auditor,  Reputasi Perusahaan Klien, Opini Audit Going concern, KAP Big Four


2017 ◽  
Vol 1 (1) ◽  
pp. 45
Author(s):  
Sartono Sartono ◽  
Tumanggor Tumanggor ◽  
Sri Soemantri ◽  
Wiratni Ahmadi ◽  
Satya Arinanto

<p align="justify">Tax tribunal as a specialized court exercising judicial powers to investigate and adjudicate tax disputes still using a system of dualism coaching, because until now there has been no revision or amendment of Law No. 2 of 2002 on the Tax tribunal. Independence and freedom of the Tax tribunal judge in deciding tax disputes must uphold justice, and not subject to and bound by any party. This research using theory of Justice based on the Pancasila. Grand Theory, theory of the State of Law as the Middle Range Theory and an Independent Judicial Power Theory. Applied Theory. This research was conducted using a normative juridical. Based on the research results show that the Tax tribunal judge in examining and deciding tax disputes has been carrying out its obligations which reflect the independence and the independence of judges and impartially and has fulfilled the principles of independent judicial power, in accordance with the provisions of Article 24 of the 1945 Constitution.</p>


2021 ◽  
pp. 089801012110467
Author(s):  
Denise Rivera ◽  
Angela Jukkala ◽  
T Rohini

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.


2017 ◽  
Vol 5 (01) ◽  
Author(s):  
Vijay Kumar

Sociology is the science of society. Social scientists today live at a time when physical science has achieved comparatively great scope and precision of theory and experiment, a great aggregate of tools of investigation. Perhaps sociology is not yet ready for its Einstein because it has not yet found its Kepler-to say nothing of its Newton, Laplace, Max Well or Plank. Talcott Parsons is the most important structural–functional theorist. He gave the grand theory. A grand theory is a broad conceptual scheme with systems of interrelated propositions that provide a general frame of reference for the study of social processes and institutions. Merton criticized to this type of theory. He gave middle range theory. Middle range theory is principally used in sociology to guide empirical inquiry. Parsons advocated the creation of grand overarching theories; Merton favoured more limited, middle range theories.


Author(s):  
Frederik Ponjaert

This chapter differentiates between grand theory and middle-range theory. The study of social phenomena raises the twofold question about the internal and external validity of a hypothesis. A piece of research is internally valid when it describes the true state of affairs within its own setting. The extent to which its findings can be applied to other settings will determine its relative external validity. External validity is a product of the theoretical aspirations of the research. When grand in scope, theoretical aspirations reject the importance of specific variations and attempt to describe the true state of affairs in all settings. Conversely, a theory-building exercise with a mid-range scope is bound by a set of conditional statements. Whereas middle-range theory-building is rooted in generalizable empirical propositions, grand theory-building is based on internally consistent ontologies. On the one hand, grand theory favours highly abstract theorizing, which is fairly distinct from concrete empirical concerns. On the other hand, middle-range theories reflect more sociologically embedded theorizing, which strives to integrate theory and empirical variations over time and space.


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