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Posted: September 4th, 2023

Grand nursing theories

Nursing theory


There is a strong relationship between nursing theory, research, and practice. Nursing theory is foundational to nursing research and practice, and theory is also informed and developed by the results of research and practice. Nurses may select a theory to describe or explain phenomena encountered in practice, and during application in practice the theory is further defined. Nurse researchers test theories’ applicability in practice through clinical research, and nurse scientists develop new theories to explain research findings.


In this assignment, you will identify a grand nursing theory used in a research article and a middle-range nursing theory used in a research article. You will examine how each theory was applied within the research study and then analyze the utility of grand and middle-range nursing theories to advance the discipline of nursing and its impact upon your advanced nursing practice.

Assignment Details

Introduce the reader to the content of this paper with an introductory paragraph.

Provide general background information about grand, middle and practice theories.

Examine a research article in which a Grand Nursing Theory was applied in the research. Describe how the theoretical concepts and propositions were used.

Examine a research article in which a Middle Range Nursing theory was applied in the research. Describe if the theory was used as a descriptive, explanatory, predictive, or prescriptive theory in the research.

Explain the importance of theory to your advanced nursing role(MSN/MBA) and how research informs and advances the discipline of nursing.

Reference the Grading Rubric for this assignment found in the Course Resources area for further guidance.

Assignment Requirements

Minimal page requirement is 3 pages of content (no more than 5 pages) not including the title and reference pages.

Five (5) credible sources of support are required.

Use APA 7th Edition for format and style.

Utilize spelling and grammar check to minimize errors.

Your assignment should:

Employ the conventions of standard academic English (correct grammar, punctuation, etc.);

be well-ordered, logical, and unified, as well as original and insightful;

display superior content, organization, style, and mechanics.

Grand nursing theories are broad in scope and provide a conceptual framework for nursing practice. They often address the overall nature and purpose of nursing, the nurse-patient relationship, and the impact of nursing on the health and well-being of individuals, families, and communities. Examples of grand nursing theories include Florence Nightingale’s Environmental Theory, Hildegard Peplau’s Interpersonal Theory, and Jean Watson’s Theory of Human Caring.

Middle-range nursing theories are more specific and focused on particular aspects of nursing practice and phenomena. They are narrower in scope compared to grand nursing theories and provide more specific guidance for nursing interventions and outcomes. Middle-range nursing theories are often derived from or influenced by grand nursing theories. Examples of middle-range nursing theories include Dorothea Orem’s Self-Care Deficit Theory, Imogene King’s Goal Attainment Theory, and Katharine Kolcaba’s Comfort Theory.

When a grand nursing theory is applied in research, researchers use the theoretical concepts and propositions to guide their study design, data collection, analysis, and interpretation. The theoretical framework helps researchers understand and explain the phenomena they are studying, and it provides a basis for making connections between theory and practice. For example, in a study applying Jean Watson’s Theory of Human Caring, the researcher may explore the impact of caring interventions on patient satisfaction and well-being. The theoretical concepts of caring, presence, and healing would be used to guide the development of research questions, data collection methods, and interpretation of findings.

In research articles where a middle-range nursing theory is applied, the theory can be used in various ways. It can be used descriptively to provide a framework for understanding and describing a specific nursing phenomenon or situation. It can be used explanatorily to explain the relationships and processes involved in a nursing phenomenon. It can also be used predictively to anticipate the outcomes of nursing interventions or to predict the occurrence of certain phenomena. Additionally, middle-range nursing theories can be used prescriptively to guide nursing practice and interventions based on the theory’s principles and concepts.

Theory is important to advanced nursing roles, such as those with an MSN/MBA, as it provides a framework for understanding, analyzing, and improving nursing practice. Theories guide decision-making, inform interventions, and shape the overall approach to patient care. Advanced nursing practice often involves complex healthcare systems, interdisciplinary collaboration, and leadership responsibilities. The use of theory can help advance nursing practice by providing a common language and framework for communication and collaboration among healthcare professionals. Theory also facilitates the development of evidence-based practice by guiding research and generating empirical evidence to support nursing interventions and outcomes.

Research is essential for advancing the discipline of nursing. It helps validate and refine existing theories, contributes to the development of new theories, and provides evidence for improving nursing practice. Research findings inform and influence nursing education, policy development, and clinical guidelines. As an advanced practice nurse, research allows you to stay up-to-date with the latest evidence-based practices, contribute to knowledge generation, and improve patient outcomes through the application of research findings in your practice.

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