Application of Middle-Range Theory in Treating Infected Wounds
It is important to understand how middle-range theory can help you in your everyday environment as a nurse. In the previous assignment, you identified a practical problem that emerged from the evidence in the extant literature or professional practice. In this assignment, you will explore and apply middle-range theory to solve the specific problem that you identified in the previous assignment.
DIRECTIONS:
Consider the problem that you described in the previous assignment and the instructor feedback about that assignment.
Write a paper (1,000 to 1,500 words) that describes how middle-range theory can be applied to the identified problem. The paper should include the following:
A brief summary of the problem.
A description of a middle-range theory that could be applied to the problem. Is this middle-range theory appropriate to your identified problem?
A brief discussion of the middle-range theory's origins.
A discussion of how the middle-range theory has been previously applied.
A discussion of the application of the middle-range theory to the identified problem. How would your practice change by incorporating this theory?
Prepare this assignment according to guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Institution
Date
Summary of the Problem- Wound Infection
Treating infected wounds is a top priority in hospital settings, but clinicians also need to implement evidence-based practice to improve wound management. Promoting healing and preventing problems associated with wound management improves patient outcomes, but hospitals also rely on different wound management practices and protocols. Nurses understand the importance of health promotion, and wound care not only promotes wound heal, but also prevent wound infections. When undertaking wound care procedures, nurses also prioritize the factors which influence wound healing. Failure to treat wound infections increases the risk of contamination, colonization and tissue damage. As such, nurses evaluate changes in the patients’ condition with emphasis on wound care management to reduce the risk of wound infection.
Description of the middle-range theory
Pender’s Health Promotion Model proposed by Nola J. Pender proposed that disease prevention and health promotion should be considered in holistic care. Increasing the well being of patients should be prioritized to improve outcomes, while health promoting behaviors prevent illnesses (Jackson, Tucker, & Herman, 2007). The theory supposes that people have unique characteristics and experiences, which influence their actions depending on their knowledge and motivation. However, it is possible to modify nursing actions through health promoting behavior to improve health outcomes and the quality of life. Perceived barriers to action are factors that directly influence behavior, and the more people are committed towards promoting health the more they are likely to exhibit health promoting behavior.
Pender’s Health Promotion Model is appropriate in wound care management to prevent infection, as the approach focuses on health promotion and wellness. As people are motivated to achieve optimal health, this improves their wellbeing as this integrates emotional, intellectual, physical, social and spiritual aspects. For health promoting theories like, the outcome is Health-related quality of life (HRQOL), and is related to improving the quality of life (McWen & Wills, 2011). Health promotion is effective when there is high motivation and commitment to make changes, which are associated with positive health behaviors. Health promotion extends to discharge planning where efforts are made where wound care management is effective to prevent potential complications. Since Pender’s Health Promotion Model highlights goal-directed behavior as being crucial to competent self care, the theory is humanistic.
INCLUDEPICTURE "http://nursingtheories.weebly.com/uploads/9/2/7/4/9274623/739760.jpg?510" \* MERGEFORMATINET
Pender’s Health Promotion Model’s origins
The Pender’s Health Promotion Model was proposed with the aim of improving the health of patients taking into account the lifestyle factors and changes that promoted health. Pender proposed the model in 1982 and it was revised 1996 to integrate more concepts and relationship than the initial proposition. The model emphasizes a multidimensional approach to promoting healthy where there is interaction between the environment and the individual, where health promoting behaviors are geared towards improving an individual’s well being (Yoost & Crawford, 2015). To Pender, considering the diseases component in health promotion should be prioritize, but should note necessarily be the principal element. Considering the capabilities, strengths, resources, resiliencies and potentials when promoting health make it easier to make adjustments depending on the environment. Not only did Pender’s model emphasize nursing interventions to reduce the risk of disease and infections, but also strengthen capabilities.
In evaluating whether there is wound infection, it is necessary to differentiate whether the wounds are chronic or acute. In cases when there is increasing pain this is an indicator that there is wound infection. Providing relevant information to patients empowers them to take control of their health, as they are better placed to understand different factors influence wound infection. Nutrition is also involved in wound healing, while identifying the goals and resources that meet the client needs to ensure that nurses have knowl...