Using the middle range theory and nursing search in CINAHL, I found an article about hypertension care. A middle-range theory in hypertension care was developed to pilot and mentor nurses in their practice to improve patient care. The concepts of self-care, coping, adherence, communication, and shared decision-making are interlaced with Orem’s theory of nursing. Nursing in hypertension care involves measuring and monitoring blood pressure, lifestyle changes, patient counseling, and the provider’s translator. Medication compliance and lifestyle modification express self-care.
A middle-range theory is developed from practice and research, and other theories can also be incorporated. The development process includes a comprehensive review and literature search to look for concepts reflecting lifestyle change counseling and taking medications to assist an individual in self-care, including citing original literature. Self-care is an act of individuals who has the capability to take care of themselves in their environmental situations (Drevenhorn, 2018). Self-care for health promotion requires that individuals have the ability to take care, sustain and improve their own’s health. Orem’s self-care deficit theory of nursing is incorporated as a natural component in the proposed middle-range theory, and it arises when the capabilities of self-care are not meeting the demands due to existing limitations. The nursing supportive-educative system agencies help patients regain their self-care.
Drevenhorn, E. (2018). A Proposed Middle-Range Theory of Nursing in Hypertension Care. International Journal of Hypertension, 1–11. https://doi-org.lopes.idm.oclc.org/10.1155/2018/2858253
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