How Middle Range Theory Illuminate Concepts in Health and Health Care Delivery

How Middle Range Theory Illuminate Concepts in Health and Health Care Delivery

How Middle Range Theory Illuminate Concepts in Health and Health Care Delivery 150 150 Nyagu

Discussion Post 1

Applying Middle Range Theories to Practice
Middle range nursing theory consists of many theories that are more specific in focus and offer more concrete connections between Grand Nursing Theories and Nursing Practice (Fawcett, J., & Garity, J. 2009). The concepts of Middle-Range theories are less abstract and can be verify through testing. McEwin, M., & Wills, E. M. (2019) stated that Middle range theory lies between the grand nursing models but are more restricted and concrete in ideas. This means that they are composed of relatively concrete concepts and propositions that can be defined and empirically tested. Jacqueline Fawcett I (2004) submitted that Middle-range theories are more concrete and narrower than grand theories; they are made up of a limited number of concepts and propositions that are written at a relatively concrete and specific level. Jacqueline Fawcett I (2004) pointed out that the development of knowledge is gradually moving from the conceptual models and grand theories to the development of middle-range theories that are less abstract and more empirical or practice based. Examples of Middle range theories that are commonly used include but not limited to Orlando’s theory of the deliberative nursing process, Peplau’s theory of interpersonal relations, and Watson’s theory of human caring (Jacqueline Fawcett I 2004). It is important to know that middle-range theories are needed to deal with all of the phenomena encompassed by any one conceptual model because each theory deals with only a limited aspect of the total reality encompassed by a conceptual model. Each conceptual model, then, is more fully specified by several middle-range theories (Jacqueline Fawcett I 2004). Due to its importance in practice, Middle range theories should be user friendly in language and style, and they need to be made available in journals for all research nursing students to read (McEwin, M., & Wills, E. M. 2019).

Fawcett, J., & Garity, J. (2009). Evaluation of Middle range theories. Evaluating research for evidence-based nursing. Retrieved from:
McEwin, M., & Wills, E. M. (2019). Theoretical basis for Nursing. (5th ed.). Philadelphia, PA. Wolters Kluwer Health.

Jacqueline Fawcett I (2004) Middle range nursing theories are necessary for the advancement of the discipline. Retrieved from:

Discussion Post 2

How Middle Range Theory Illuminate Concepts in Health and Health Care Delivery

Middle-range theories are more suitable for application to nursing practice in that the middle range theories are more testable and geared toward particular patient populations (McEwen & Wills, 2019). Concepts used for middle range theories are fewer and more specific than that of other theories, models, or frameworks (McEwen & Wills, 2019). With middle-range theories applying to specific phenomena, it focuses on explaining the specifics of the phenomena such as conditions, diagnosis, and symptoms (Gray & Grove, 2017).

Role in Developing Middle Range Theories/ Importance in Advancing Nurse Science and Improving Clinical Practice

As a nurse manager, middle-range theories are utilized to address issues within practice and elaborate on current research. In pediatric oncology, much of the phenomena that exists is that of symptom management. Reflecting on practice care involving symptom management, much of the some of the practice is based on the Symptom Management Theory in which the three components being addressed include the symptom experience, symptom management strategies, and outcomes (Linder, 2010). The DNP role in middle-range theories is that of development of scholarly writings and research to advance nursing practice.


Gray, J., & Grove, S. (2017). Burns and Grove’s the practice of nursing research (8th ed.). Elsevier.

Linder, L. (2010). Analysis of the UCSF Symptom Management Theory: Implications for Pediatric Oncology Nursing. Journal Of Pediatric Oncology Nursing, 27(6), 316-324.

McEwen, M., & Wills, E. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.