In a 6- to 8-page paper (including references): Briefly describe your selected clinical practice problem (PREVENTING DEEP STERNAL WOUND INFECTIONS IN THE POST-CARDIO-THORACIC PATIENT BY USING EMPIRICAL ANTIBIOTICS, ANTIBACTERIAL BATH SOAPS AND ANTIMICROBIAL NASAL SWABS PRIOR TO SURGERY.) • 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. Assignment 2: Middle Range or Interdisciplinary Theory Evaluation [Major Assessment 3] As addressed this week, middle-range theories are frequently used as a framework for exploring nursing practice problems. In addition, theories from other sciences, such as sociology and environmental science, have relevance for nursing practice. For the next few weeks, you will explore the use of interdisciplinary theories in nursing. 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 Assignment will serve as your Major Assessment for this course. To prepare: • Review strategies for evaluating theory presented by Fawcett and Garrity 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 • 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. You will continue working on this Assignment in Weeks 8, 9, and 10 using material presented in those weeks to consider interdisciplinary theories that may be appropriate for exploring your practice problem and research question. MUST USE A MINIMUM OF 7 OF THE RESOURCES BELOW ***************************************************************************************** RESOURCES FOR ASSIGNMENT McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health. • Chapter 10, "Introduction to Middle Range Nursing Theories" Chapter 10 begins the exploration of middle range theories and discusses their development, refinement, and use in research. • Chapter 11, "Overview of Selected Middle Range Nursing Theories" Chapter 11 continues the examination of middle range theories and provides an in-depth examination of a select set of theories. Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier. • Chapter 6, "Objectives, Questions, Variables, and Hypotheses" Chapter 6 guides nurses through the process of identifying research objectives, developing research questions, and creating research hypotheses. Fawcett, J., & Garity, J. (2009). Chapter 6: Evaluation of middle-range theories. Evaluating research for evidence-based nursing (pp. 73-88). Philadelphia, PA: F. A. Davis. This book chapter evaluates the use and significance of middle-range theories in nursing research and clinical practice. DeSanto-Madeya, S., & Fawcett, J. (2009). Toward Understanding and Measuring Adaptation Level in the Context of the Roy Adaptation Model. Nursing Science Quarterly, 22(4), 355-359. This article describes how the Roy Adaptation Model (RAM) is used to guide nursing practice, research, and education in many different countries. Jacelon, C., Furman, E., Rea, A., Macdonald, B., & Donoghue, L. (2011). Creating a professional practice model for postacute care: adapting the Chronic Care Model for long-term care. Journal of Gerontological Nursing, 37(3), 53-60. This article addresses the need to redesign health care delivery to better meet the needs of individuals with chronic illness and health problems. Murrock, C. J., & Higgins, P. A. (2009). The theory of music, mood and movement to improve health outcomes. Journal of Advanced Nursing, 65 (10), 2249–2257. doi:10.1111/j.1365-2648.2009. 05108.x This article discusses the development of a middle-range nursing theory on the effects of music on physical activity and improved health outcomes. Optional Resources McCurry, M., Revell, S., & Roy, S. (2010). Knowledge for the good of the individual and society: Linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11(1), 42–52. Note: You will access this article from the Walden Library databases. MIDDLE RANGE OR INTERDISCIPLINARY THEORY McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health. • Chapter 13, "Theories from the Sociologic Sciences" • Chapter 14, "Theories frTheories from the Behavioral Sciencesom the Behavioral Sciences" Chapter 13 and Chapter 14 discuss those theories from the social and behavioral sciences that are applicable to nursing and health care. Carnegie, E., & Kiger, A. (2009). Being and doing politics: An outdated model or 21st century reality? Journal of Advanced Nursing, 65(9), 1976-1984. doi:10.1111/j.1365-2648.2009. 05084.x This article uses critical social theory to analyze the political role of nurses. The article argues that nurses must be prepared for political participation in national and local contexts in order to encourage policy analysis and community engagement within nursing practice. Conrad, P., & Barker, K. (2010). The social construction of illness: Key Insights and policy implications. Journal of Health and Social Behavior: Special Issue, 51, S67–S79. doi: 10.1177/0022146510383495 This article examines the history of the social construction of illness and discusses different methods in which the concept of illness is developed in different cultures. Ford, C. L., & Airhihenbuwa, C. O. (2010). Critical race theory, race equity, and public health: Toward antiracism praxis. American Journal of Public Health, 100(S1), S30–S35. doi: 10.2105/AJPH.2009.171058 This article applies a theory from legal studies to racial inequality issues in health care in order to improve social consciousness and quality of care. Kelly, C. (2008). Commitment to health theory. Research & Theory for Nursing Practice, 22(2), 148-160. This article reviews the Commitment to Health (CTH) theory, the theory's assumptions, and application to nursing and health care. Ryan, P. (2009). Integrated theory of health behavior change: Background and intervention development. Clinical Nurse Specialist, 23(3), 161-170. This article examines the application of health behavior theory to clinical practice. Optional Resources Byrd, M. (2006). Social exchange as a framework for client-nurse interaction during public health nursing maternal-child home visits. Public Health Nursing, 23(3), 271–276. doi: 10.1111/j.1525-1446.2006. 230310.x Note: You will access this article from the Walden Library databases. Mohammed, S. (2006). Scientific inquiry. (Re)examining health disparities: critical social theory in pediatric nursing. Journal for Specialists in Pediatric Nursing, 11(1), 68–71. doi:10.1111/j.1744-6155.2006. 00045.x Note: You will access this article from the Walden Library databases. INTERDISCIPLINARY THEORIES AND MODULES McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health. • Chapter 15, "Theories from the Biomedical Sciences" Chapter 15 highlights some of the most commonly used theories and principles from the biomedical sciences and illustrates how they are applied to studies conducted by nurses and in nursing practice. • Chapter 17, "Theories, Models, and Frameworks from Leadership and Management" Chapter 17 presents leadership and management theories utilized in advanced nursing practice. Shankel, E. C. & Wofford, L. G. (2016). Symptom management theory as a clinical practice model for symptom telemonitoring in chronic disease. Journal of Theory Construction & Testing, 10(1), 31-38. This article describes the use of the middle range theory of symptom management in chronic disease management as a model to improve outcomes and lower costs. Frazier, L., Wung, S., Sparks, E., & Eastwood, C. (2009). Cardiovascular nursing on human genomics: What do cardiovascular nurses need to know about congestive heart failure? Progress in Cardiovascular Nursing, 24(3), 80-85. This article discusses current genetics research on the main causes of heart failure. Mahon, S. M. (2009). Cancer Genomics: Cancer genomics: Advocating for competent care for families. Clinical Journal of Oncology Nursing, 13(4), 373-376. This article advocates for nurses to stay abreast of the rapid changes in cancer prevention research and its application to clinical practice. Mayer, K. H., Venkatesh, K. K. (2010). Antiretroviral therapy as HIV prevention: Status and prospects. American Journal of Public Health, 100(10), 1867-1876. doi:10.2105/AJPH.2009.184796 This article provides an in-depth examination of potential HIV transmission prevention. Pestka, E. L., Burbank, K. F., & Junglen, L. M. (2010). Improving nursing practice with genomics. Nursing Management, 41(3), 40–44. doi: 10.1097/01.NUMA.0000369499. 99852.c3 This article provides an overview of genomics and how nurses can apply it in practice. Yao, L., & Algase, D. (2008). Emotional intervention strategies for dementia-related behavior: A theory synthesis. The Journal of Neuroscience Nursing, 40(2), 106-115. This article discusses a new model that was developed from empirical and theoretical evidence to examine intervention strategies for patients with dementia. Optional Resources Calzone, K. A., Cashion, A., Feetham, S., Jenkins, J., Prows, C. A., Williams, J. K., & Wung, S. (2010). Nurses transforming health care using genetics and genomics. Nursing Outlook, 58(1), 26–35. doi: 10.1016/j.outlook.2009.05.001 Note: You will access this article from the Walden Library databases. Lea, D. (2009). Basic genetics and genomics: A primer for nurses. Online Journal of Issues in Nursing, 14(2), 1–3. Note: You will access this article from the Walden Library databases. Matzo, M. (2009). Evidence for excellence: Medication for dementia. AJN, American Journal of Nursing, 109(9), 73–7 4. Note: You will access this article from the Walden Library databases. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control (2010). Ten leading causes of death and injury. Retrieved from http://www.cdc.gov/injury/wisqars/LeadingCauses.html Healthy People 2020—Improving the Health of Americans. (2014). Retrieved from http://www.healthypeople.gov/2020/default.aspx APPLICATION OF THEORIES AND PRACTICE TO NURSING Required Readings McEwin, M., & Wills, E. M. (2019). Theoretical basis for nursing. (5th ed.) Philadelphia, PA: Wolters Kluwer Health. • Chapter 19, "Application of Theory in Nursing Practice" Chapter 19 examines the relationship between theory and nursing practice. It discusses how evidence-based practice provides an opportunity to utilize research and theory to improve patient outcomes, health care, and nursing practice. Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove's the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier. • Review Chapter 2, "Evolution of Research in Building Evidence-Based Nursing Practice" • Chapter 19, "Evidence Synthesis and Strategies for Evidence-Based Practice" This section of Chapter 19 examines the implementation of the best research evidence to practice. Fineout-Overholt, E., Williamson, K., Gallagher-Ford, L., Melnyk, B., & Stillwell, S. (2011). Following the evidence: Planning for sustainable change. The American Journal of Nursing, 111(1), 54-60. This article outlines the efforts made as a result of evidence-based practice to develop rapid response teams and reduce unplanned ICU admissions. Kleinpell, R. (2010). Evidence-based review and discussion points. American Journal of Critical Care, 19(6), 530-531. This report provides a review of an evidence-based study conducted on patients with aneurismal subarachnoid hemorrhage and analyzes the validity and quality of the research. Koh, H. (2010). A 2020 vision for healthy people. The New England Journal of Medicine, 362(18), 1653-1656. This article identifies emerging public health priorities and helps to align health-promotion resources, strategies, and research. Moore, Z. (2010). Bridging the theory-practice gap in pressure ulcer prevention. British Journal of Nursing, 19(15), S15–S18. This article discusses the largely preventable problem of pressure ulcers and the importance of nurses being well-informed of current prevention strategies. Musker, K. (2011). Nursing theory-based independent nursing practice: a personal experience of closing the theory-practice gap. Advances in Nursing Science, 34(1), 67-77. This article discusses how personal and professional knowledge can be used in concert with health theories to positively influence nursing practice. Roby, D., Kominski, G., & Pourat, N. (2008). Assessing the barriers to engaging challenging populations in disease management programs: The Medicaid experience. Disease Management & Health Outcomes, 16(6), 421-428. This article explores the barriers associated with chronic illness care and other factors faced by disease management programs for Medicaid populations. Sobczak, J. (2009). Managing high-acuity-depressed adults in primary care. Journal of the American Academy of Nurse Practitioners, 21(7), 362-370. doi: 10.1111/j.1745-7599.2009. 00422.x This article discusses a method found which positively impacts patient outcomes used with highly-acuity-depressed patients. Thorne, S. (2009). The role of qualitative research within an evidence-based context: Can metasynthesis be the answer? International Journal of Nursing Studies, 46(4), 569-575. doi: 10.1016/j.ijnurstu.2008.05.001 The article explores the use of qualitative research methodology with the current evidence-based practice movement. Optional Resources Freeman, S., Lara, G., Courts, M., Wanzer, L., & Bibb, S. (2009). An evidence-based process for evaluating infection control policies. AORN Journal, 89(3), 489. Note: You will access this article from the Walden Library databases. Levin, R., Fineout-Overholt, E., Melnyk, B., Barnes, M., & Vetter, M. (2011). Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: A pilot test of the advancing research and clinical practice through close collaboration model. Nursing Administration Quarterly, 35(1), 21–33. Note: You will access this article from the Walden Library databases. Read: SIM422 Activity 1 Critical Evaluation of Qualitative or Quantitative Research Study https://nursingpapersmarket.com/download/sim422-activity-1-critical-evaluation-of-qualitative-or-quantitative-research-study/

ANSWER. PAPER DETAILS
Academic Level	PHD
Subject Area	Nursing
Paper Type	Assignment
Number of Pages	6 Page(s)/1650 words
Sources	7
Format	APA
Spacing	Double Spacing

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