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NUR 4775 ~ Applications in Evidence-Based Practice for BSNs
Ch. 8 &9 Discussion: Middle Range Theory to Practice Theory & Hypotheses Formation
Having visited the grand theories, and being introduced to the concept of middle range theories, I would like to further introduce you to practice theories as the  third level of nursing theories.  The middle-range theories are an attempt to close the theory-practice gap, providing more concrete structure to nursing practice. However, there’s one more level of narrowing the scope of application and that is practice theories.  Practice theories (sometimes called micro theories) help to identify actual practice guidance for specific patient care situations.
But what YOU want, is just to know how to do your job better with better patient outcomes ~ So, how do we lay the ground work to find what you want.
FOR THIS DISCUSSION you will complete 1-4 but I have included 5 as that is your midterm project so just keep in mind that you will be using ALL of this info for your mid-term project.  Please remember to give a response input to at least ONE of your peers.
1.  Choose a problem or idea.  Nursing research starts will the identification of a problem or an idea.
2.  Write a hypotheses statement of the predicted relationship between two or more variables.
3.  Conduct a literature search regarding this problem or idea ~ for the purpose of this assignment, look through the literature for a middle range theory that has been applied to a similar problem.
4.  Choose a middle range theory and framework
5.  Present your findings:
Description of the unpleasant symptom
Application of the theory to the symptom
Assessment and management
Example of 1-4
Problem:  The problematic symptom of vertigo related to Meniere’s disease
Hypothesis:  There is a positive relationship between quality of life and managment of the symptom of vertigo through non-pharmacologic methods in adult patients diagnosed with Meniere’s disease.
Theory:  Theory of Unpleasant Symptoms (TOUS)  This middle-range encompasses three major components: the symptoms an individual is experiencing, the three types of influencing factors affecting the experience, and the consequences of those symptoms, which may affect performance in both cognitive and functional activities.
TOUS Original Diagram

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