Middle Range Theory

Module 7 – Week #7 – Introduction to Middle Range Nursing Theories

By the end of this module, students will be able to:

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Examine selected middle range theories for application to Advanced Practice nursing as a practice discipline.
Utilize knowledge acquired to apply a middle range theory to nursing practice.
Apply Evidence Based Practice principles to nursing practice
Reading Assignment
Reading Assignment

Read Chapters 10, 11, and 12 in McEwen & Wills Textbook

Introduction to Middle Range Nursing Theories
Overview of Selected Middle Range Nursing Theories
Evidence Based Practice and Nursing Theories
Module 7 – Assignment #7: Middle Range Theory Paper

Part 1: After completing assigned readings, consider the following Case Study and write a paper answering the questions listed at the end of this case study.

Elaine Chang is an infection control nurse at a community hospital. She has been in her position for over 6 years, since finishing her master’s degree in community health nursing.

She has noted that the annual influenza immunization rate for employees has been decreasing each year after reaching a high in 2009 of 78%. The rate in 2016 to 2017 dipped under 55% for all employees. In addition, this past year, there was a large outbreak of influenza with multiple staff and patients affected.

Ms. Chang has decided she needs to review the situation using Pender’s Health Promotion Model and develop a plan to educate staff and increase immunization rates.

Discuss the general purpose, premise, and concepts of at this middle range nursing theories, and give examples of how it might be used in nursing practice and research.
Brief introductory paragraph which contains a description of the origin of the theory and its concepts.
Discuss how this theory could be specifically applied to solve the following questions regarding the case study.
What types of things should Ms. Chang ask about to assess the reasons for the decline in immunization rates?
Ms. Chang developed and distributed a survey to each unit manager. After analyzing her results, she identified three major reasons that many in the staff declined the flu vaccine:
a. A large number (over 40%) believed that the vaccine might give them the flu. They believed this because either they or a family member had become sick with some sort of illness around the time they took a flu shot.
b.About 25% of those surveyed would have taken the flu vaccine, but it was only available at the hospital Monday to Friday between 10 AM and 2 PM.
c.About 10% of those surveyed believed that all vaccines are bad for one’s health because they introduce something unnatural into the body.
d.The remainder had a variety of reasons for declining the vaccine, from religious beliefs to inconvenience. From Pender’s model, what motivational factors might each of these be?
Use all concepts from Pender’s model to state actions Ms. Chang can take to improve the immunization rates.
Discuss how this theory could be specifically applied to your current nursing practice.


Middle Range Nursing Theory – limit to 5 pages, double spaced, excluding title page and reference pages. Follow APA style guidelines. Submit the paper through “Safe Assign” in WebCampus.

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