1. What is the difference between a grand theory and a middlerange theory in nursing? Provide an example of each.
- A grand theory is a broad and abstract framework that explains
and guides nursing practice, research, and education. A grand
theory attempts to describe the nature and goals of nursing as a
whole, and often incorporates concepts from other disciplines
such as psychology, sociology, or philosophy. A middle-range
theory is a more specific and testable theory that addresses a
particular phenomenon or aspect of nursing practice. A middlerange theory is derived from or consistent with a grand theory,
but focuses on a narrower scope and level of abstraction. An
example of a grand theory is Orem's self-care deficit theory,
which states that nursing is required when people are unable to
meet their own self-care needs. An example of a middle-range
theory is Mishel's uncertainty in illness theory, which explains how
people cope with the unpredictability and ambiguity of chronic
illness.
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