Nurses utilize multiple theories daily to care for patients and their families, though these theories range from grand, to situation-specific, to mid-range the nurse tends to focuses on which theory will provide the best care to his/her patient. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for nursing in the 21st century. Mid-range theories are said to be middle rather than ordinary but they are specific enough to evaluate observed situations (McCurry, Revell, &Roy, 2009). There are multiple reasons why mid-range theories offer some of the most up to date information when it comes to the care of our patients and families, but let’s just break it down to three; interpersonal relations, family, and health 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 relations First, Hildegard Peplau’s 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 future 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 therapeutic relationship, which will promote the planning and implementation of nursing care. For nursing care to be successful they must view the nurse/patient relationship as a partnership being aware both are working together for a common goal (Barker, 1998). Also, interpersonal relations are used in all areas of nursing, which is why it is so important for the future of nursing, because without these relationships we would not be effective in our profession. These relationships are needed to
References: Barker, P. (1998). The future of the Theory of Interpersonal Relations? A personal reflection on Peplau’s legacy. Journal of Psychiatric and Mental Health Nursing, 5, 213-220. doi:10.1046/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. doi:10.1046/j.1365-2648.1995.21010110.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. doi:10.1111/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. doi:10.1111/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. doi:10.1111/j.1365-2646.1990.tb01708.x