Clinical Nursing Essay

IntroductionNurses utilize bigeminal theories routine to care for tolerant role roles and their families, though these theories range from grand, to occurrence-specific, to mid-range the cheer tends to focuses on which theory testament go forth the better(p) care to his/her persevering. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for nurse in the 21st century. Mid-range theories are said to be middle rather than usual but they are specific enough to evaluate observed situations (McCurry, Revell, &Roy, 2009). There are multiple reasons wherefore mid-range theories offer some of the near up to date information when it comes to the care of our patients and families, but lets just break it down to three interpersonal traffic, family, and wellness promotion. The middle range theories of these three examples will provide a set of assumptions and/or predictions from specific situations confirmed by research (Nolan & Grant, 1991 ).Interpersonal relationsFirst, Hildegard Peplaus Theory of Interpersonal Relations has influenced patient care in the 21st century worldwide. What is so crucial and probably most significant with this mid-range theory is its focus on human issues and its value of coming(prenominal) day generations (Barker, 1998). Nurses utilize this theory to treat each patient as an individual realizing that each person and their situation are unique. By applying this knowledge to each patient the nurse is able to develop a sanative relationship, which will promote the planning and implementation of nursing care. For nursing care to be successful they moldiness view the nurse/patient relationship as a partnership being aware both are working together for a common goal (Barker, 1998). Also, interpersonal relations are utilize in tout ensemble areas of nursing, which is why it is so meaning(a) for the future of nursing, because without these relationships we would not be effective in our profe ssion. These relationships are needed to expand our knowledge of each patient and their situation. By establishing trust the patients are further to express themselves openly and h adeptstly. Therefore the relationship built bridgesbarriers that may have hindered the patient outcome.FamilySecond, Hildegard Peplaus mid-range theory of family governances has revolutionized the nursing approach in which families are incorporated into decision makers. Currently, families are viewed as the most influenecial person when it comes to the care of their love one and only(a), meaning not only are nurses to build a remedial relationship and trust with the patient but with their family as well (Forchuck & Dorsay, 1995). This theory molds nurses into advocates for the family unit, which in turn influences the patients quality of life. These relationships with families are crucial when it comes to care, for example, if a patient was unable to provide the nurse with wellness history or tell the m when they are in pain the family is able to be the eyes, ears and speech of their loved one. This action improves the care for the patient and nurses need the families as much as the patient needs the nurse. This is one of the reasons why this theory works in the 21st century even with all the technology in the world, we as nurses still need the human interaction to open our eyes to the patient/family dynamic.Family governing body nursing is both the individual and the family simultaneously instead of just merely family nursing where the nurse takes care of the patient within the context of the family (Forchuck & Dorsay, 1995). This practice focuses on the interactions and relationships made between the nurse, individual and family. In order for this theory to be successful the nurse must be aware of the range of choices and downfalls associated with family system nursing. Also it is necessary to build on these relationships to provide creative personal choice and consistent giv e ear of care for the patient to enhanced achievable goals. This engagement of nursing with family systems opens the door for problem solving of patient situations, which implements structure in the nurse/individual/family relationship (Forchuck & Dorsay, 1995).Health promotionThird, is the promotion and maintenance of health by utilizing Nola Penders Health Promotion stick. Health promoting way is enhanced through and through nursing practice, which enhances the patients overall well being. This mid-range theory is important today because it shows a supportive and educative system in health promotion in a patient who needs teaching anddemonstration in performing self-care. By applying this method the nurse is able to identify patients health promoting behaviors such as, health importance, self-efficacy, perceived control of health and perceived health status to attend any gaps and/or barriers to their health promoting behavior (Simmons, 1990). By promoting health the nurse seek s to care for the individual by developing these behaviors of hale living, which sets the stage for the individuals to gain knowledge to care for themselves. This applies to all nurses who actively promote healthy living by becoming an active influence in developing healthy living behaviors through education and guidance.ConclusionThese middle range theories set the groundwork for research. Each are utilized casual in clinical practice to provide the best patient care. The rationale for considering the middle range theories is an important factor when considering a care plan, which requires the use of the nursing process. These theories follow the nursing process and help guide our responses to promote, educate, integrate and build relationships with these individuals and their families with the same common goal of promoting health. These authors point out how the nursing profession is potent in the care of different and how their actions influence health beliefs. These middle ra nge theories build on other theories, which is why they are so important in nursing practice today. These theories can be employ in different areas of nursing as well as using multiple theories in one area of nursing such as mental health. Also, middle range theories have identified multiple interventions for health related issues through simple research (McCurry et al., 2009). Nurses like myself have adopted these theories and incorporate them into daily practice to increase my own understanding of my patient and their situations and this is why I chose middle range theories.ReferencesBarker, P. (1998). The future of the Theory of Interpersonal Relations? A personal reflection on Peplaus legacy. Journal of psychiatrical and Mental Health Nursing, 5, 213-220. inside10.1046/j.1365-2850.1998.00128.x Forchuk, C. & Dorsay, J. (1995). Hildegard Peplau meets family systems nursing innovation in theory-based practice. Journal of Advanced Nursing, 21,110-115. doi10.1046/j.1365-2648.1995.2 1010110.x McCurry, M. & Roy, C. (2009). Knowledge for the good of the individual and society linking philosophy, disciplinary goals, theory, and practice. Nursing Philosophy, 11, 42-52. doi10.1111/j.1466769X.2009.00423.x Nolan, M. & Grant, G. (1992). Mid-range theory building and the nursing theory-practice gap a respite care case study. Journal of Advanced Nursing, 17, 217-223. doi10.1111/j.1365-2648.1992.tb01876.x Simmons, S. (1990). The Health-Promoting Self-Care System Model directions for nursing research and practice. Journal of Advanced Nursing, 15, 1162-1166. doi10.1111/j.1365-2646.1990.tb01708.x