Assignment: Xyz Middle Range Theory

The Application of xyz Middle Range Theory to Practice scientific poster includes:

brief description of a specific middle-range nursing theory
model of the theory (if available)
instruments used to measure this theory (if any)
evidence supporting the theory (if any)
grade evidence using the AACN (2009) standards
Proposed clinical practice guidelines to apply this theory to practice using the IOM (2011a) standards.

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The poster is set up for you exactly as it should be. To see the poster online in the module, view as page. You have to download the template to your computer to actually see it. Please don’t change the set-up. It has been set up for you to simply “fill in the blanks” beginning with the name of your theory, your name, and your university at the top of it. When you have completed all of the poster, save it with your name, application of x theory and put it in the dropbox. Note that you can’t print a 3’x6′ poster on your home printer. If you want a print of the poster, send it to the directions on the poster, pay them $68 and they will send you a print of your poster that you can use in your hospital or for a poster presentation at a conference. [You have colleagues who wonder what you learn in graduate school 🙂 and they support you in some ways in this endeavor, displaying your poster is a way of giving back to them and improving practice]. The great news is that after you finish this, you will know how to do a professional scientific poster. That will never again be a problem for you. Posters are a great way to convey information.

Filling in the blanks on the poster
Notice as you click on an area, it will come up to normal size so that you can work on it. I don’t recommend using a font less than 10, but 12 is better. I used 10 in the example in the Evidence Table. 🙂 Please remember to save your work everytime you work on this. Otherwise, you are going to be very, very upset. The grading rubric is going to give you very detailed instructions. Use them. 🙂 Occasionally, on the poster, I’ve given you directions, such as in the methods section or given you an example (Evidence Table). Remove the directions and the example and write in the methods and evidence that you used. The reference in Reference must stay as it is because it references the evidence weighting table. Assignment: Xyz Middle Range Theory

Part I
The first part of Part 1 requires you to look up how often this problem occurs, who it effects and why it is important. The sentence format is written for you. [The quickest, easiest sources will be Healthy People 2020 or CDC. Remember to (author, year) this and put the reference in References].

Most of you will either have a description of the theory in Part 1 in the table or a model displaying this. Information for the table in Part I will come from your presentation. Simply cut and paste. Notice that words are a premium on a poster, so you cannot have lengthy sentences, especially in the propositions area. You can use phrases. NOTE: If you have a great model that displays the concepts and their relationships (propositions), you don’t need this table because a good model does that for you. Be sure and label the model as Figure 1. xyz Model. You can delete the table. However, list the assumptions if there are any. If there isn’t a model of your theory, can you construct one? If not, there isn’t one. The model will not be a part of your paper. If you don’t have a model that shows the concepts and relationships, you need the table.

Instruments in Part I refers to Instruments that measure this theory. For example, Kolcaba’s comfort theory has a comfort scale. Name it in the instrument section and provide the complete reference in the References section of the poster.

Part II
Part II is the Evidence Table. Some of you are using theories with very little evidence. You will have very little there. Some of you will use theories with a LOT of evidence. Notice that you can’t use all of that. You will have to select the 9 studies that provide the best, more generalizeable evidence. NOTE: If you have an evidence table with < 9 studies on it, be prepared for a very low grade UNLESS there is very little published about this theory. Students MAY NOT arbitrarily decide to limit a theory, such as Pender’s HPM to a selected population such as adolescents or Kolcaba’s Comfort theory to “cardiovascular nursing” unless of course, the students plans to have a very low grade on this poster. THIS poster is about applying this theory to THE practice of nursing, not the student’s practice. This is in red for a reason. The words in all caps are not accidental. Note that by simply clicking on the sides of each cell, you can make them wider/narrower. If you click on the bottom line of a row, you can move it up or down. All of your evidence has to be weighted on the table using the weighting metric that was selected for this project.

Part III
Writing the practice guidelines. This is the new part and the fun part. You selected this theory because you think it is important for practice. How would nurses do that? What guidelines should nurses use in their practice to use this theory?

The practice guideline part of the poster was set up using the Emergency Nurses Association practice guidelines synopsis format. There is an example of an ENA CPG in Additional Resources. Notice that ENA conceptually organizes the practice guidelines in their synopsis. They aren’t just a list of disorganized “stuff”. I’ve given you Assessment, Intervention, and so on. You can easily change those to fit your theory by simply clicking on the word, deleting it and writing your own. When you click on it, it will appear horizontally and then go back to it’s vertical place. 🙂 Example: A recipe is a set of practice guidelines that have been conceptually arranged by Ingredients and Method.Assignment: Xyz Middle Range Theory

How I recommend writing the CPGs
1) Take your middle range theory and on a blank document simply write down the things that nurses should do to implement this theory. Write them all down as you come to them in the theory.

2) Once you have them all written out, edit them to make them succinct and salient (short, sweet, and to the point). Delete the redundant ones. Remember simpler is better when writing CPGs. Cite the evidence supporting each CPG with (author, year) and it’s evidence weighting following the CPG. Ex: (Smith, 2020) [A] Now you have answered the eternal questions of “where did you get that?” and “how strong is the evidence?”. [Although ENA does not cite their synopsis with evidence, you’ll be glad you did if you ever use this poster].

3) Once you’re happy with those, look at how they could be grouped. What fits together. Cut and paste them into those groupings. Do they fit together. What is the common ground that makes them fit together. The common ground for each grouping is your conceptual organizer. You are only looking for 2 or 3 conceptual organizers.

4) Now, you can grade or weight the CPG using the metric at the bottom. Notice that the grade is based on the preponderance of evidence supporting this action This is your judgment but it is based on this metric.

Complete the benefits and harms section at the bottom of this section. For this poster, you are providing the benefits and harms of implementing these CPGs vs usual practice. There may be no harms. If so, say None.

The qualfying statement at the bottom of Part III has been written for you. Leave it exactly as it is. You might want to read it because you always want to accompany practice guidelines with a qualifying statement. Notice that one of the qualifiers is that these CPGs were not developed by a panel of experts because they were not. [Just a point for you to know when you write CPGs in your professional life, you always want to have the qualifier that these are based on the best available evidence at the time they written and that the nurse should always consider their applicability to the facts of the particular patient before using these]. Assignment: Xyz Middle Range Theory

Part IV
The first part of Part IV is the hardest part. Provide the “elevator speech” or the “sound byte” for why this theory should be used. Make it simple, succinct, and persuasive.

The references are your complete references (in perfect APA format). Leave the reference that is on the template there. It references one of the metrics that were used. For space reasons, single space your references without indentation. Double space between references.

The contact information is your contact information with your university email address, not your RODP email address. We want people to know how to contact you to tell you how awesome your poster is.

Please complete your faculty member’s name and his/her university email address. This is important because if you use this poster anywhere else, we have to provide the faculty member that someone should contact if s/he is concerned about the content of the poster. The course designer’s name and contact information is provided so that someone would know who to contact with concerns about the project itself or the structure of the poster.

Images
If you have white space on the poster in a section, think about using some images. Again, Google images is your best source. If you don’t have space, that is fine. A picture is always worth a thousand words.

When you are done, you will be so proud of your work and so will we. Please let me know if you have any questions. I’m glad to help you. Assignment: Xyz Middle Range Theory