Assignment 2: 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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These guidelines were developed by the author as a master’s student project for NURS 7000 Theoretical Foundations for Nursing Practice. They were designed to provide nurses with proposed clinical practice guidelines (CPGs) for the clinical application of this middle range theory based on the best available evidence at the time these were written. They were not developed by an expert panel. This document is not intended to impose a standard of care that prevents a variance in a specific situation. They are proposed guidelines that should only be used according to the nurse’s judgment of their usefulness with each individual patient and situation.

1American Association of Critical Care Nurses’ (2011). Evidence Leveling System
A	Meta-analysis of multiple controlled studies or meta-synthesis of qualitative studies with results that consistently support a specific action, intervention or treatment
B	Well designed controlled studies, both randomized and nonrandomized, with results that consistently support a specific action, intervention, or treatment.
C	Qualitative studies, descriptive or correlational studies, integrative reviews, systematic reviews, or randomized controlled trials with inconsistent results.
D	Peer-reviewed professional standards, with clinical studies to support recommendations.
E	Theory-based evidence from expert opinion or multiple case reports.
M	Manufacturer’s recommendation

Benefits/Harms of Implementing the Guideline Recommendations

Potential Benefits

Potential Harms

Strength of Recommendation Rating Scale
A (High) Recommendation	Meta-analysis of high quality well-controlled studies or of qualitative studies that consistently support action, intervention, or treatment; relevant to practice
B (Moderate) Recommendation	High quality evidence with minor differences in findings; Based on Level B, C, or D evidence: relevant to practice
C (Weak) Recommendation	Limited or low quality evidence; based on consensus of usual practice.
NR Not Recommended	Unable to recommend based on current evidence; weak evidence or heterogeneity of findings;


Assessments	Assess all women admitted to Labor and Delivery for risk factors (single, minimal support system, hx of depression) for PPD (Smith, 2020 [A]; Jones, 2025 [B]) The [A] or [B] after the author, year is the weight of that evidence from your evidence table. Notice how well the CPG will now be supported with graded evidence.	A



Interventions


Text

Decision options

Clinical Practice Guidelines

Strength of Recommendation

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Assignment 2: Xyz Middle Range Theory

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