Question one
Grand nursing theory contains concepts that represent global and exceptionally complex phenomenon. The broadest in scope symbolize the conceptual level of development and addresses the broad phenomenon of concern within the discipline.
In essence, grand theory is not meant to provide direction for the formation of specific nursing intervention but instead provides a general framework for structuring wide, abstract ideas.
The relationship between grand nursing theory and clinical practice provides the framework that offers decision-making and organizational structure analysis during new situations. Furthermore, they give a structure for communicating with other nurses together with other health care team.
An example grand theory in practice is Orem's Self-care deficit theory of nursing and includes self-care which is the performance that one can initiate on their own behalf to maintain life, well being and health.
Question two
Middle range nursing theory addresses a relatively solider and slightly defined experience than a grand theory. The definitions, predictions and explanations set forth in the middle range theory aimed at answering questions concerning nursing phenomenon in spite of covering the whole range of phenomena of concerned to the discipline I relationship with evidence-based practice.
Similarly, the link between middle range theory and evidence-based practice provides an outlook through which to view complex conditions and a bearing for intervention. Middle range theory affects day-to-day nursing practice.
This theory improves the patient care, nurse-patient communication and patient outcomes. Through the use of middle range theory in relation to evidence-based practice, new knowledge as well as data are gleaned and can influence the future of the nursing practice phenomenon.
An example of middle range theory in practice is Peplau's theory of interpersonal relations, which are prime to helping patients in the process of well-being and regaining health.
References
Liehr, P. R., & Smith, M. J. (2008). Middle range theory for nursing. New York: Springer Pub.
Roy, C. (2014). Generating middle range theory: From evidence to practice. New York: Springer Publishing Company.
