Sample Answer for NURS 8114 Exploring Middle Range Theories and Framing Practice Issues Included After Question
You will begin this Discussion by identifying a practice issue that will be your frame of reference as you analyze the theoretical basis of nursing practice. Be aware that your choice can potentially carry through the course, as you will continue to address this issue in the context of other types of theories in Week 3. This practice issue can also be one focus of your Module 3 exploration of evidence-based practice and quality improvement, and your Module 4 investigation of a critical practice question. Consequently, as you prepare for this Discussion, think carefully about your example for connecting middle range nursing theories to patient care.
Photo Credit: steheap / Adobe Stock
Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
To prepare:
- Analyze your nursing practice for issues of particular interest or concern to you. Identify one issue as the focusof your application of theory to practice.
- Review the Week 2 Learning Resources to identify specific middle range theories that may apply to your practice issue.
- Choose at least two middle range theories that might be most relevant and valuable in addressing your practice issue.
- Search the Walden Library for scholarly articles that address application of middle range theories to practice issues.
- Consider how to frame your focus practice issue in terms of the middle range theories that you have selected.
With these thoughts in mind …
By Day 3 of Week 2
Post an explanation of your practice issue. Then, describe two middle range theories that are most valuable in addressing this issue and explain why. Be specific and provide examples.
Read a selection of your colleagues’ posts.
By Day 6 of Week 2
Respond to at least two colleagues on 2 different days by suggesting other middle-range theories for them to consider. Support your recommendations with at least one scholarly article to share with each colleague.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
A Sample Answer For the Assignment: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
Title: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
Practice Concern
A practice concern with my organization is access to quality specialty care. Resources in my community could be more extensive, especially with specialty care. We have one cardiology office, which makes quick consults impossible. Neurology, nephrology, gastroenterology, and urology are all an hour away. We have a standing ER, but the quality of care has diminished because of the lack of specialty care. If a patient needs hospital admission, they are transferred to another hospital an hour away. My community is like many other communities in the US that are designated as rural. Rural dwellers are less likely to have completed higher education, are older, and are usually veterans or uninsured (Cyr et al., 2019).
Middle-Range Nursing Theories
A middle-range nursing theory that incorporates the setting of my community is the Rural Nursing Theory. This framework notes that health is the ability to work and be productive ( Lee & Winters, 2004). Secondly, rural dwellers are self-reliant and resist accepting help from services or agencies (Lee & Winters, 2004). Lastly, the providers in the rural center lack anonymity (Lee & Winters, 2004), limiting their ability to have private lives. The rural nursing theory is valuable in addressing my community’s need for specialty services. Specifically, the rural nursing theory concept that most rural residents define health as the ability to work is a battle that I encounter daily. Health expectations differ; as long as patients can work and contribute to their household, they consider themselves healthy. Using this framework, I can propose healthiness with the ability to work. For example, I can approach controlling blood sugars in people with diabetes as imperative by expressing consequences that will prevent the patient from being able to work. Many of my patients are local truck drivers; the only way these patients make money is by driving a truck. However, this right to drive can be revoked if they do not have control of their blood pressure, blood sugars, or sleep apnea. Unfortunately, because of the idea of health as being able to work, patients do not present at the beginning of this diagnosis, and they do not come in for preventive care. Warranting specialty care consults.
Furthermore, Florence Nightingale’s Environmental nursing theory can evaluate the rural environment and assess its effects on specialty care. The basic concept of environmental nursing theory is that the patient’s physical environment can affect the well-being and healing of the patient (Gonzalo, 2019). With this theory, I would assess my local community to identify the barriers to specialty care. Is transportation the primary barrier, or could traveling to specialty care take too much time out of the work day? Once the identity of the barrier is exposed, interventions can start. For example, if traveling takes up too much of the patient’s time, I could try to access specialty care through telemedicine. If lack of transportation is a barrier, I would contact local taxi companies and see if, with the local government, a grant could help pay for transportation.
Many different nursing theories can be used in a rural setting to improve the overall health of residents. All require interdisciplinary collaboration and local government support. As a DNP-prepared nurse, I will have the knowledge to make a real change.
References
Cyr, M. E., Etchin, A. G., Guthrie, B. J., & Benneyan, J. C. (2019). Access to specialty healthcare in urban versus rural US populations: a systematic literature review. BMC health services research, 19(1), 1-17.
Gonzalo, A. (2019). Florence Nightingale: Environmental Theory. Nursing Theory Guide.Lee, H. J., & Winters, C. A. (2004). Testing rural nursing theory: Perceptions and needs of service providers. Online Journal of Rural Nursing and Health Care, 4(1), 51-63.
A Sample Answer 2 For the Assignment: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
Title: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
I did a clinical rotation at a rural hospital, it was my first time seeing a hospital that small. There were only two floors in the hospital, the ER and then Med-Surg. At the time I was working at a big city hospital as a CNA so I was very shocked to see the limited resources. It was educational because I learned to draw my labs and do my IVs. The sad part about this was anytime a critical patient came through the ER, there weren’t any resources that would be able to help them efficiently. They would end up transferring to a bigger hospital once stable. The nurses who precepted me said that they’ve been fighting for more specialists to come to see the patients at their hospital but so far, nothing. Your post reminded me of my experience there as a student. The patients there often lack access to quality specialty care that they desperately need. The two theories you identified align with this issue very well.
Chapter 11, “Overview of Selected Middle Range Nursing Theories. ” (pp. 223–252) [PDF] Theoretical Basis for Nursing, 5th Edition by McEwen, M.; Wills, E. Copyright 2019 by Wolters Kluwer. Reprinted by permission of Wolters Kluwer via the Copyright Clearance Center. Licensed in 2020.
Chapter 19, “Application of Theory in Nursing Practice. ” (pp. 434–451) [PDF] Theoretical Basis for Nursing, 5th Edition by McEwen, M.; Wills, E. Copyright 2019 by Wolters Kluwer. Reprinted by permission of Wolters Kluwer via the Copyright Clearance Center. Licensed in 2020.
A Sample Answer 3 For the Assignment: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
Title: NURS 8114 Exploring Middle Range Theories and Framing Practice Issues
The theory of rural nursing became eye-catching for me because of my other job, which is home health. As a home health nurse, I am responsible for visiting patients at their homes and providing nursing services and evaluations. It has been astonishing that many locations I visit are still far from being a standard reflection of the minimum health coverage goal. Distance to a health facility is a metric used to measure the proximity of any community to a healthcare facility. Some towns still do not have a clinic or health center within a 5km radius. The government target for 70% of the population to be within 5km of a health facility has remained incompletely actualized (Bennett et al., 2019). This often poses a question to me about how such people handle periods of health emergencies.
Usually, for people in rural area, being healthy meant the ability to function, whether at work or play. The distance was a significant part of their lives, particularly in accessing prescription medications, health care specialists, and emergency care. The symptom-action-time-line process was evident in seeking care for illness and injury(Hulland et al., 2019). Some of the major themes that emerged from the qualitative analysis of accessibility of health definition of health, distance and access to resources, the symptom-action-timeline process, and choice. For these participants, being healthy meant functioning, whether at work or play (Cromartie et al., 2020).
As DNP-prepared nurses , we can help close this wellness gap for people in remote areas. We can help save lives and achieve the well-being of our patients by opening clinics within the expected radius of 5km or less.
References
Bennett, K. J., Borders, T. F., Holmes, G. M., Kozhimannil, K. B., & Ziller, E. (2019). What is rural? Challenges and implications of definitions that inadequately encompass rural people and places. Health Affairs, 38(12), 1985-1992.
Cromartie, J., Dobis, E., Krumel, T., McGranahan, D., & Pender, J. (2020). Rural America at a glance: 2020 edition. Amber Waves: The Economics of Food, Farming, Natural Resources, and Rural America, 2020(1490-2020-1865).
Hulland, E. N., Wiens, K. E., Shirude, S., Morgan, J. D., Bertozzi-Villa, A., Farag, T. H., … & Pigott, D. M. (2019). Travel time to health facilities in areas of outbreak potential: maps for guiding local preparedness and response. BMC medicine, 17, 1-16.
Lopes Write Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource