Clinical Nursing Practice in the 21st Century Essay

1368 Words Sep 9th, 2012 6 Pages
Maryville University | Clinical Theory Practice of the 21st Century | Assignment 4.1 | | Sally Fandek | 9/1/2012 |

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In a world where there is constant change, and individuals are constantly attempting to adapt and cope with these changes, the human experiences and responses to this process is central to nursing interest, (Meleis, 2012). Today’s global health problems in addition to the politically volatile health care system, and the rising cost of health care seem insurmountable. As nurses,
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To this end, I believe middle-range theories are best suited to advance nursing knowledge and practice in the 21st century. “Middle-range theories are at those levels of conceptualization that could inform nursing practice and research, and thus continue the cycle of advancing foundational knowledge and enhancing quality care”, (Meleis, 2012). Middle-range theories were created to help the nursing profession realize its overall mission and goal, now and in the future; to alleviate pain, suffering and distress, as well as promote health-seeking behaviors which will lead to improved health outcomes and attainable goals. Because middle-range theories lie in the middle of grand theories and situation specific theories, they are directed more toward specific interventions that can be implemented at the ‘bedside’. As such, they are designed to provide frameworks to manage patients’ experiences with symptoms, as well as the ability to understand responses to health and illness phenomenon.
As stated by Mary Jane Smith and Patricia Liehr, (1999), middle-range theories require the co-existence of research and practice in their development. Given the practice-research unity underlying the creation of middle-range theories, it is proposed that the “neomodernist paradigm”, which espouses the belief that human beings are multi-dimensional, ever changing, and complex, is critical to the development of nursing
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