NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
ST Thomas University NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper– Step-By-Step Guide
This guide will demonstrate how to complete the ST Thomas University NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
Whether one passes or fails an academic assignment such as the ST Thomas University NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
The introduction for the ST Thomas University NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
After the introduction, move into the main part of the NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NUR 600 NUR 501 Module 3 Assignment Middle Range Theory Utilization & Application Paper
Middle Range Theory Utilization & Application Paper
Nurses work in diverse healthcare settings, encountering patients with varying needs. Nurses’ professional and ethical obligation underlines the need for a detailed assessment of the needs and an effective response through holistic care. Nursing theories provide frameworks for implementing and evaluating patient care. Middle-range theories are more specific in focus and verifiable than grand nursing theories, allowing them to offer more concrete connections between theory and practice (Smith et al., 2023). Understanding their application and relevance in the clinical practice can help nurses deliver excellence, irrespective of the setting. The purpose of this paper is to explore a middle-range theory with particular attention to its utilization and application in practice.
Components of the Theory
Nursing practitioners and researchers develop theories based on their experiences with patient care and a critical evaluation of interventions that improve outcomes. Katharine Kolcaba developed the Theory of Comfort (TC) in 1994 based on the observed or provided patient care in various settings like the operating room, medical/surgical units, and long-term facilities (Vo et al., 2020; Schmidt & Brown, 2024). The theory’s basic components include elements that enhance comfort: relief, ease, and transcendence. From Kolcaba’s perspective, comfort is the holistic experience acquired after the relief, ease, and transcendence needs are addressed (Lin et al., 2023; Martin et al., 2022). Relief denotes the unmet comfort needs that are typically severe. Hence, relief occurs when a comfort need is met. The element of ease stresses the need to prevent issues that make someone uncomfortable; thus, it is associated with calmness and contentment. Transcendence means a care experience that enables the person to overcome health problems or pain.
Kolcaba suggested that holistic care that enhances comfort is implemented under four domains: physical, psychospiritual, sociocultural, and environmental. According to Lin et al. (2023), the physical domain is primarily about bodily sensations and functions, while the psychospiritual aspect represents elements such as self-esteem, life meaning, and connection to a higher power. The third domain, sociocultural, refers to someone’s relationships with others, mainly family and friends. The environmental domain represents the external world, like nature (Vo et al., 2020). The needs under each domain should be addressed to enhance comfort.
The comfort theory’s philosophical underpinnings are that humans respond to multidimensional stimuli holistically, and comfort is the outcome of the holistic process that influences healthy choices. In this case, patients and their families are motivated to engage in health-seeking behaviors once their comfort is enhanced. The desire to engage fully in healthy choices may occur consciously or subconsciously, provided that a stimulus (comfort) is present.
Structural Aspects of the Theory
Kolcaba’s theory is established on the Conceptual Framework for Comfort Theory (Appendix A). The framework proposes that the process of achieving positive patient outcomes starts with healthcare professionals (HCPs) assessing the patients’ or family members’ comfort needs (Lin et al., 2023). The detailed assessment of these needs guides HCPs in designing appropriate interventions while considering intervening variables. In a clinical setting, intervening variables are factors that nursing professionals cannot easily change, such as financial resources and the patients’ extent of social support (Lin et al., 2023). Next, HCPs evaluate comfort before and after implementing the interventions. Adherence to this process promotes health-seeking behaviors and enhances the institution’s integrity. Dominant markers of improved integrity include a higher value, financial stability, and the wholeness of an institution at the community, state, and national levels.
Application in a Practice Area
Patients visiting the emergency unit have complex physical and mental health needs. Their conditions are characteristically painful, necessitating a caring and comfortable care environment. Kolcaba’s comfort theory helps to answer various questions regarding care for critically ill patients. For instance, TC helps nursing professionals design care that will effectively respond to the stressful experiences of children and adults during emergency room visits. As Freire et al. (2020) noted, integrating the theory into inpatient care can help nursing practitioners to create comfort and behaviors that make patients and their families comfortable. Importantly, TC helps to answer the question of how nurses can structure the care process to prevent adverse physiological complications and ensure improvements in the patient’s mental and physical health.
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Emergency care necessitates a holistic procedure to promote healing and encourage health-seeking behaviors. Given this, Lin et al. (2023) stressed the need for nurses to implement solutions that relieve patients and help them identify the causes of their discomfort and overcome it. As nurses design interventions to address patient needs, they should strive to address needs to accomplish relief, ease, and transcendence, as the TC proposes. The TC framework suggests a procedural approach where the critical outcome (comfort) is measured before and after the intervention (Lin et al., 2023). A similar approach is appropriate in emergency settings to ensure the desired health goals and guide nurses in making the necessary treatment adjustments as situations prompt. The outcome-driven nature of TC and its focus on comfort validate its applicability in emergency settings.
A theory’s strengths and weaknesses help healthcare practitioners determine its relevance and appropriateness in practice. A key strength of the TC is its observable and easily measurable variables. Therefore, it is easy to implement and evaluate. Besides, comfort is a critical component of patient care needed for patients in all settings. However, which is a considerable limitation, it is challenging to determine whether all patients seek and approve genuine encounters that enhance comfort (Vo et al., 2020). Despite the differences in patient values and preferences, TC application promotes positive care experiences in general.
Use of Theory in Clinical Practice
Theories provide frameworks for structuring patient care, executing processes, and measuring outcomes. Nursing research demonstrates TC as a suitable model for promoting holistic care. In this case, nurses apply it to address the patients’ multidimensional needs as the environmental, social, and physical conditions necessitate. For instance, Freire et al. (2020) evaluated its application in the context of patients with chronic kidney disease. Guided by the fundamental concepts of the TC, care providers addressed issues causing discomfort related to physical, environmental, psychospiritual, and social variables. Freire et al. (2020) found that the approach enabled healthcare professionals to assist patients holistically based on promoting comfort. These findings highlight the significance of TC in clinical settings and why it should be used to maximize patient outcomes.
TC is also applied as a guide for improving the mental health of healthcare practitioners. As Vo et al. (2020) stated, nurses working in demanding work environments, such as caring for COVID-19 patients, experience health issues that can be addressed through interventions that implement the TC recommendations. In this study, the authors highlight some practices for nurses to optimize their mental health following the TC framework. For instance, practicing nurses were advised to take vacations to attain environmental relief, ease, and transcendence. Mediation and engaging in appropriate religious practices were identified as suitable practices for achieving and sustaining psychospiritual transcendence (Vo et al., 2020). Given the critical need for a mentally stable workforce, such practices should be reinforced, and nurses supported accordingly.
Evaluation of Theory
Nursing literature explains the key concepts and domains of the TC straightforwardly. The concepts are explained, and their practice application is demonstrated in detail, making it easy to understand and link with the present patient care. The theory is also demonstrated as universally applicable in clinical practice and with specific procedures that introduce excellent nursing practice (Martins et al., 2022). Regarding anticipated difficulties, there are no specific tools to measure comfort accurately and universally. In this case, it would be challenging to determine whether maximum comfort has been accomplished after a particular intervention or whether some adjustments are necessary. Regarding the strategies to make TC more usable or applicable to practice, Castro et al. (2021) found that an interdisciplinary approach to its implementation in oncology palliative care optimizes patient outcomes. Accordingly, interprofessional collaboration should be stressed when delivering patient care guided by the TC framework.
Conclusion
Patients require high-quality care that addresses their multidimensional needs comprehensively. Nursing theories provide frameworks for structuring patient care to achieve specific outcomes. TC’s fundamental principle is comfort, which is characterized by relief, ease, and transcendence. As discussed in this paper, TC can be applied in emergency care and other settings to maximize comfort in a healing environment. It is also the foundation of holistic care and a guide for mental health promotion among nursing professionals. To make it more applicable to practice, healthcare professionals should embrace an interdisciplinary approach to deliver the best outcomes for patients and families.
References
Castro, M. C. F. D., Fuly, P. D. S. C., Santos, M. L. S. C. D., & Chagas, M. C. (2021). Total pain and comfort theory: implications in the care to patients in oncology palliative care. Revista Gaúcha de Enfermagem, 42, e20200311. https://doi.org/10.1590/1983-1447.2021.20200311
Freire, S. D. M. L., Melo, G. A. A., Lima, M. M. D. S., Silva, R. A., Caetano, J. Á., & Santiago, J. C. D. S. (2020). Contexts of experience of being (un) comfortable in patients with chronic kidney disease. Escola Anna Nery, 24, e20190326. https://doi.org/10.1590/2177-9465-EAN-2019-0326
Lin, Y., Zhou, Y., & Chen, C. (2023). Interventions and practices using Comfort Theory of Kolcaba to promote adults’ comfort: an evidence and gap map protocol of international effectiveness studies. Systematic Reviews, 12(1), 33. https://doi.org/10.1186/s13643-023-02202-8
Martins, A. G., Sousa, P. P., & Marques, R. M. (2022). Comfort: theoretical contribution to nursing. Cogitare Enfermagem, 27, e85214. http://dx.doi.org/10.5380/ce.v27i0.87723
Sepahvand, F., Valizadeh, F., & Khanjarian, F. (2021). Application of Kolcaba’s theory of comfort for a 12-year-old epileptic adolescent admitted to the emergency room: a case study. Interdisciplinary Journal of Acute Care, 2(1), 31-41. DOI: 10.22087/ijac.2021.146338
Schmidt, N. A., & Brown, J. M. (2024). Evidence-based practice for nurses: Appraisal and application of research. Jones & Bartlett Learning.
Smith, M. J., Liehr, P. R., & Carpenter, R. D. (Eds.). (2023). Middle range theory for nursing. Springer Publishing Company.
Vo, T. (2020). A practical guide for frontline workers during COVID-19: Kolcaba’s comfort theory. Journal of patient Experience, 7(5), 635-639. https://doi.org/10.1177/2374373520968392
Appendices
Appendix A: Conceptual Framework for Comfort Theory
Week 4: Nursing Theory
Specialty NP practice: Family nurse practitioner (FNP)
Borrowed theory: Learning theory
Robert Gagne discovered the theory of learning which accounted for the variety of human understandings. Gagne’s theory contains five categories of learning: verbal information, intellectual skills, cognitive strategies, attitudes, and motor skills. The skills to be learned are written into performance objectives, and the category of learning is also identified. Task analysis is used to identify prerequisite skills and instructional events are selected for each objective to be taught. The learning theories help to provide a focus for creating an environment and condition in which teaching can occur effectively, while creating a framework for professional assessment of the patient’s condition and needs. (Edgar, 2012, p. 3) The different forms of learning theories can apply to various patient situations to provide knowledge and understanding for the patient to comprehend. An effective way to see the effectiveness of the theory is the teach-back method. “The teach-back method is an empirically validated method used in the healthcare setting to enhance communication between clinicians and patients and does not require any preplanning or materials. The purpose of this experiment was to evaluate the efficacy of teach-back in training participants to implement preference assessments, and a token economy. The teach-back method improved procedural integrity to at least 88%, and the addition of vocal-verbal feedback resulted in all participants achieving 100% integrity in all skills.” (Sleiman, 2023, para. 1)
The learning theories are used to improve and evaluate the quality of practice in my Family Nurse Partitioner role by using effective communication and teaching with every patient to improve their health and overall quality of life. “A learning theory is a logical framework describing, explaining, or predicting how people learn. Whether used singly or in combination, learning theories have much to offer the practice of healthcare. Increasingly, health professional including nurses must demonstrate that they regularly use sound methods and a clear rationale in their education efforts, patient and client interactions, staff management and training, and continuing education and health promotion programs.” (Bastable, 2018, p. 46, para. 3) One example of how the learning theory can greatly impact the quality of practice in my clinical setting is by educating and teaching newly diagnosed patients about their chronic conditions and the lifestyle changes/modifications that are necessary for survival. Through this borrowed learning theory, we will have the framework of professional assessment of the patient’s condition and needs, and in return be able to improve our patient’s knowledge, skills, and concepts to better their health. The learning theory validates the effectiveness on patient care by decreasing the number of mortality and morbidity rates, improving patient outcomes and quality of life, and increased patient’s knowledge and understanding.
References:
Bastable, Susan. B. (2018) Essentials of patient education. Jones & Bartlett Learning. https://samples.jbpub.com/9781284104448/Sample_CH03_Bastable.pdf
Edgar. (2012). Learning Theories and Historical Events Affecting Instructional Design in Education: Recitation Literacy Toward Extraction Literacy Practices. SAGE Open, 2(4), 215824401246270–. https://doi.org/10.1177/2158244012462707
Sleiman, Gravina, N. E., & Portillo, D. (2023). An evaluation of the teach‐back method for training new skills. Journal of Applied Behavior Analysis, 56(1), 117–130. https://doi.org/10.1002/jaba.966
Week 4 Assigned Reading: Borrowed Theories Used by Nursing
NUR 600 Module 4 Discussion Treatments for Respiratory Disorders STU
Module 4 Discussion: Treatments for Respiratory Disorders
Question 1: Describe Causes of Upper Respiratory Infections and Drug Therapy
Upper respiratory infections are commonly contracted viral health condition affecting the throat and nose highly. In most instances, these health conditions do not necessarily need medical treatment, and they can only last up to three weeks. The primary cause of the upper respiratory infections are viruses (Thomas & Bomar, 2023). These viruses comprise coronaviruses, rhinoviruses, adenovirus and influenza virus. In minimal instances, bacteria including Haemophilus influenzae, Streptococcus pneumonia and Moraxella catarrhalis are known for causing upper respiratory infections (Thomas & Bomar, 2023). This is primarily encountered as a result of sinusitis. In addition, allergies are associated with causing upper respiratory infections through the allergic reactions possibilities to environmental triggers like dust, pet, dust amongst others, can result in upper respiratory tract congestion and inflammation. (Thomas & Bomar, 2023)
Several drug therapies are recommended for upper respiratory infections treatment. One of them is antiviral medications. Typically, antiviral medication like zanamivir are prescribed in instances of viral infections. The other one is antibiotics. Bacterial infections warranting antibiotic treatment need antibiotics prescriptions such as azithromycin (Thomas & Bomar, 2023). The other one include decongestants like, pseudoephrine for nasal congestion relief.
Question 2: Discuss triggers of asthma and treatment options
Asthma refers to a non-communicable, common and variable chronic health condition, resulting in persistent or respiratory symptoms. These symptoms include wheezing, tightness of the chest, limitation of airflow and cough (Papi et al., 2020). This condition needs comprehensive and ongoing treatment, for reduction of symptoms burden (Papi et al., 2020).
Different triggers are associated with causing asthma. One of them include allergens like pet dander, cockroach debris, pollen, mold, dust mites. The other one is changes in weather patterns, whereby changes in temperatures or weather patterns can trigger asthma attacks amongst certain people (Papi et al., 2020). Another one entails viral respiratory infections contraction. Furthermore, asthma symptoms can be triggered by physical exertion, induced by bronchonstriction (Papi et al., 2020)
Asthma control medications are known for reducing inflammation of the airways and take part in asthma symptoms prevention. One of the treatment is inhaled corticosteroids, known as the primary and mainstay for asthma treatment (Papi et al., 2020). The other treatment is the quick relive medications known for easing symptoms which can arise acutely. Examples of such medication comprise the short acting beta agonists known for reducing the bronchostriction of the airways (Papi et al., 2020).
Question 3: Discuss corticosteroids
Corticosteroids are synthetic or human made drugs commonly used in almost healthcare facilities. Typically, corticosteroids are known for lowering inflammation within the body, through reducing particular chemical productions (Gotter, 2024). Significantly, administration of this medication at higher dose have been proved to lower the activity of immune system. In addition, this drug can be helpful in relieving symptoms though it can be accompanied by the serious adverse effects incase used for an extended period (Gotter, 2024). Primarily, corticosteroids can be systemic implying that it is administered into the blood, to aid the different body parts; or localized indicating their usage for treating conditions like asthma. Common side effects associated with corticosteroids include high blood pressure, osteoporosis, diabetes, glaucoma, increased infections risks (Gotter, 2024).
Question 4: Describe chronic bronchitis and treatment options
Chronic bronchitis is a chronic obstructive pulmonary disease classification (COPD). Typically, this condition is characterized highly by the bronchial tube narrowing and inflammation, resulting in sputum cough with production of sputum. The possible causes for this condition involve getting exposed to irritants like smoke from cigarettes, chemicals, air pollution (CDC, 2023).
Chronic bronchitis treatment is known for alleviating symptoms and reduce exacerbations frequency and severity. One of the treatment options is cessation from smoking activities, for slowing the down the disease progress and reduce symptoms (CDC, 2023). The other treatment is inhaled bronchodilators’, known for relaxing the muscles of the airway and improving the flow of airways. another treatment is pulmonary rehabilitation which is a well renown program for improving the functions of lungs, tolerance of exercises and, patients’ quality of life (CDC, 2023).
References
- COPD. (2023, June 30). Basics about COPD. Centers for Disease Control and Prevention. https://www.cdc.gov/copd/basics-about.html
Gotter, A. (2024, April 24). Everything you need to know about corticosteroids. Healthline. https://www.healthline.com/health/corticosteroids-what-are-they#side-effects
Papi, A., Blasi, F., Canonica, G. W., Morandi, L., Richeldi, L., & Rossi, A. (2020). Treatment strategies for asthma: Reshaping the concept of asthma management. Allergy, Asthma & Clinical Immunology, 16(1). https://doi.org/10.1186/s13223-020-00472-8
Thomas, M., & Bomar, P. A. (2023, June 26). Upper respiratory tract infection – StatPearls – NCBI bookshelf. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK532961/