Assignment 2: Application of Middle Range Theories in Nursing Practice (20%)
Aligned with Modules 7, 8, and 9.
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Based on the Case Study of Ms G. (presented below) and your readings in Smith (2020) and/or Peterson and Bredow (2020), or theories from other health related disciplines, such as:Lazarus & Folkman Stress & Coping McCubbin’s Family Resiliency Model Fishbein’s Theory of Reasoned ActionAjzen’s Theory of Planned BehaviorHealth Belief ModelOlson’s Circumplex Model (Family) Belsky’s Parenting ModelLocus of ControlSelye’s Stress ModelTheory of Learned Resourcefulness Bandura’s Self-Efficacy TheoryFamily Life CycleAguilera & Messick’s Crisis Intervention Theory
SELECT ONE Middle Range Theory that you believe would be appropriate to guide the nursing care of Ms G.
Based on the Selected Middle Range Theory Discuss the Following:Theory DevelopmentPurposeAssumptionsKey ConceptsPropositions of the Theory
Based on the Middle Range Theory:Identify Three Nursing Assessment QuestionsIdentify Three Nursing Actions (Interventions)
Write one research question based on the middle range theory and the care of Ms G.
Discuss how knowledge of a middle range theory has informed or guided your nursing practice in the care of Ms G.
Case Study of Ms. G
Demographic Information: 42-year old Hispanic female
Primary Care Clinic Visit: Appointment made in primary care clinic for recurrent vaginal infections and follow-up for atypical cells on pap smear.
Initial complaint: “I am having bleeding between my periods. I have pain in my abdomen and back. I have been feeling lousy for weeks.”
Diagnosis: Stage III Cervical Cancer
History of Present Illness
Current admission to the medical-surgical unit for a total abdominal hysterectomyPost-operative day 3: Patient reporting abdominal pain (7/10 in intensity), intermittent nausea with vomiting, chills and sweats, anxious mood, generalized weakness and insomnia. No frequency on urination or urinary burning. Reports slight red vaginal discharge.Emotional Outlook: Crying: States “I knew something bad was going to happen to me. Am I going to die? God is angry with me.”
Past Medical and Surgical History
History of constipation since childhood. Takes Metamucil daily to promote regularityHistory of asthmaTermination of pregnancy six months before her divorce since her husband did not want any more children and unstable relationship
Psychiatric History
Post-partum depression after each pregnancy. Treated with anti-depressants and counseling.
Social History
No history of substance useReports two to three glasses of wine with dinner every nightLimited social network since divorceUnable to work at present- income $31,000 per year
Cultural/Spiritual History
Family originally from Puerto Rico.Faith-Catholic though has not attended church recently.
Sexual and Reproductive History
Menarche age 12; sexual abuse age 14 by family friendTwo Cesarean sections (Patient’s age 24 and age 29)Used birth control pillsHas new sexual partner who she met at work
Family History
Sons have been delinquent at school; participation in gang activityUnavailability of support of parents due to their own chronic illness (Father-prostate cancer; Mother- depression)
Activities of Daily Living
Limited energy to perform IADLs or ADLs.
GRADING RUBRIC
Components of Assignment #2
Points
Middle Range Theory
· Theory
Development
· Purpose
·
Assumptions
· Key
Concepts
·
Propositions of the Theory
9 points
Middle Range Theory:
Three Nursing Assessment Questions
3 points
Middle Range Theory:
Three Nursing Actions (Interventions)
3 points
Develop ONE Research question to test the Middle Range
Theory
2 points
Discuss how knowledge of this middle range theory informs
your nursing practice
3 points
Total
20 points
