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Middle-Range Theories: Frameworks for Examining a Nonsurgical Cosmetic Problem
1Hermine Warren, DNP, APRN, CANS, CNM, is a doctor of nursing practice who has been in nursing since 1974, with an advanced practice degree since 1980. She is also a certified aesthetic nurse specialist in Southern California, an educational/clinical trainer for two top pharmaceutical companies, and has maintained a clinical practice in the nonsurgical cosmetic subspecialty field since 2004.
Abstract:
The advent of evidence-based research has called for nursing to focus and create additional pathways that enable exploration of specific practice problems. This change of direction has presented an increased opportunity for analysis and scientific research that are pertinent to nursing. Although grand theory has historically been used to define and guide nursing research, currently many theorists have applied middle-range theories for these purposes. This level of theory provides substantive structures and foundations that may facilitate the ability to observe, test, and interpret phenomena so that a higher level of evidence-based research may be translated into practice. This article addresses and describes a selected clinical practice problem, reviews and assesses 2 middle-range theories, and finally, provides evaluation of the theories that will reaffirm how they support the practice problem.
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