Middle Range Or Interdisciplinary Theory Evaluation [Major Assessment 3]

This Assignment, due in Week 10, asks you to evaluate two middle range or interdisciplinary theories and apply those theories to a clinical practice problem. You will also create a hypothesis based upon each theory for an evidence-based practice project to resolve a clinical problem.

Note: This Assigment will serve as your Major Assessment for this course.

To prepare:

  • Review strategies for evaluating theory presented by Fawcett and Garity in this week’s Learning Resources.
  • Select a clinical practice problem that can be addressed through an evidence-based practice project. Note: You may continue to use the same practice problem you have been addressing in earlier Discussions and in Week 7 Assignment 1.
  • Consider the middle range theories presented this week, and determine if one of those theories could provide a framework for exploring your clinical practice problem. If one or two middle range theories seem appropriate, begin evaluating the theory from the context of your practice problem.
  • Formulate a preliminary clinical/practice research question that addresses your practice problem. If appropriate, you may use the same research question you formulated for Assignment #4.

In a 8- to 10-page paper (including references):

  • Briefly describe your selected clinical practice problem.
  • Summarize the two selected theories. Both may be middle range theories or interdisciplinary theories, or you may select one from each category.
  • Evaluate both theories using the evaluation criteria provided in the Learning Resources.
  • Determine which theory is most appropriate for addressing your clinical practice problem. Summarize why you selected the theory. Using the propositions of that theory, refine your clinical / practice research question.

See attach problem attached in the matrix form for quick reference

Literature Review Matrix

Part I: PICO Analysis of Research Topic

P: Patient or Population

I: Anticipated Intervention

C: Comparison group or Current standard

O: Outcome desired

Source: Adapted from Elkins (2010)

Step 1: Frame your clinical question using the PICO method.

P: Patients with chronic respiratory diseases

I: Extensive comprehension

C: Extensive Comprehension and failure to acknowledge pitiable nursing examination.

O: Minimized rate of recidivism

PICO Question: Do Patients with chronic respiratory diseases who undergo extensive comprehension experience a lower rate of recidivism than their counterparts who do not acknowledge pitiable nursing examination?

Part II: Search Strategy

Using the Walden Library and other appropriate databases, locate ten scholarly articles that pertain to a practice issue of interest to you and that is appropriate for an evidence-based practice project.

Step 1: Identify the resources you will utilize, or utilized, to find articles that pertain to your topic

Electronic DatabasesResearch or Professional OrganizationsExperts in the field to consultBooks, encyclopedias, handbooks
CINAHLMEDSURG NursingFasolino and VerdinFasolino, T., & Verdin, T. (2015). Nursing Surveillance and Physiological Signs of Deterioration. MEDSURG Nursing, 24(6), 397-402.
CINAHLAdvanced NursesKelly and VincentKelly, L., & Vincent, D. (2011). The dimensions of nursing surveillance: A concept analysis. Journal Of Advanced Nursing, 67(3), 652-661. doi:10.1111/j.1365- 2648.2010.05525.x
HAPI: Health and Psychosocial InstrumentsQuality Management In Health CareSousaSousa, K. H. (2016). Testing the Quality Health Outcomes Model Applied to Infection Prevention in Hospitals. Quality Management In Health Care, 25(3), 149-161.
Walden LibrarySt. Louis, MO: Mosby ElsevierSwanSwan, B. A. (2018). Evidence-based nursing care guidelines: Medical-surgical interventions. (p. 7). St. Louis, MO: Mosby Elsevier
Walden LibraryNursing AdministrationTuckerTucker, S. (2017). The Role of Nursing Surveillance in Keeping Patients Safe. Journal Of Nursing Administration, 42(7/8), 361-368. doi:10.1097/NNA.0b013e3182619377
Walden LibraryNursing Administration,Watkins, Whisman, and BookerWatkins, T., Whisman, L., & Booker, P. (2016). Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. Journal Of Clinical Nursing, 25(1-2), 278-281. doi:10.1111/jocn.13102
EBSCOhostClinical Nursing OrganizationGaffneyA. Gaffney, T. (2020). Keeping patients safe: The critical role of medical error recovery. Nursing – New Perspectiveshttps://doi.org/10.5772/intechopen.91412
EBSCOhostClinical Nursing OrganizationRose and SharafkhanehRose, M., & Sharafkhaneh, A. (2017). Overview of psychological considerations in the management of patients with chronic respiratory conditions. Depression and Anxiety in Patients with Chronic Respiratory Diseases, 1-9. https://doi.org/10.1007/978-1-4939-7009-4_1
Cochrane LibraryNursing AdministrationYohannesYohannes, A. M. (2017). The impact of comorbidities in patients with chronic respiratory diseases. Depression and Anxiety in Patients with Chronic Respiratory Diseases, 129-148. https://doi.org/10.1007/978-1-4939-7009-4_9
Cochrane LibraryNursing AdministrationYohannes and LeroiYohannes, A. M., & Leroi, I. (2017). Pharmacological therapy and anxiolytics in patients with respiratory diseases. Depression and Anxiety in Patients with Chronic Respiratory Diseases, 167-182. https://doi.org/10.1007/978-1-4939-7009-4_11

Step 2: Identify search terms and criteria

Key words & phrasesMajor authorsInclusion criteriaExclusion criteria
Nursing SurveillanceFasolino and VerdinParticipants and peer reviewDate, exposure of interest, and language
Nursing SurveillanceKelly and Vincent,Participants and peer reviewN/A
Infection PreventionSousaParticipants and peer reviewN/A
Surgical interventionsSwanStudy DesignDate
Nursing SurveillanceTuckerPeer reviewGeographic location
Patients’ SafetyWatkins, Whisman, and BookerType of publication
Depression and Anxiety in Patients with Chronic Respiratory DiseasesGaffneyExposure of interestGeographic Location
Depression and Anxiety in Patients with Chronic Respiratory DiseasesRose and SharafkhanehParticipantsLanguage
Pharmacological therapy and anxiolyticsYohannesParticipantsLanguage
Pharmacological therapy and anxiolyticsYohannes and LeroiParticipantsLanguage

Step 3: Identify Boolean search strings

The possible Boolean search for the resources that will be used for this EBP include the following:

MEDSURG NURSING

NURS ANAL.

QUALI. CARE

NURS. CARE QUIDE

PATIEN SAF

IMPROVE CARE/PATIENT SAFE

MEDI- / NURS. NEW PERSPECTIVE

PSYCHO- /MANAGE CHRONIC RESP.

CHRONIC RES. COND.

PHARMA. THERAPY

Part III: Analysis of Literature

Step 1: Summarize the ten (10) articles you select from your search efforts completing the table below.

Summary Table of Analyzed Articles (you may determine your own headings)
CitationConceptual Framework/ TheoryMain findingResearch methodStrengths of studyWeaknessesLevel of Evidence

Step 2: Briefly summarize the history and purpose of your research question.

Step 3: Analysis of strengths and weaknesses of existing literature.

StrengthsWeaknesses

Step 4: What gap exists in the current literature? Explain.

Part IV: Identify the influence of empiricism on quantitative research methodology. Discuss its applicability to evidenced-based practice projects.

© 2016 Laureate Education, Inc. Page 6 of 9

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