Clinical Theory Practice 21st Century Points: 50 Essay

Length: 3 pages Sources: 5 Subject: Health - Nursing Type: Essay Paper: #3521326 Related Topics: Grand Theory, 21st Century, Clinical Research, Rheumatoid Arthritis
Excerpt from Essay :

Clinical Theory Practice 21st Century Points: 50 Due: Day 7 Directions: •Reflect type theory (grand, mid-range, situation-specific) applicable clinical nursing practice 21st century. •Include rationale type theory chosen.

Nursing theories are conditioned by practice and research, which clarify and modulate it for the final purpose of building a theoretical framework to guide general clinical practice (Meleis, 2011). The present paper is focused on presenting situation-specific theory as ideal for nursing clinical practice in the 21st century.

Theory developed on the basis of practice bears the name of prescriptive, micro, practice or situation-specific theory (Parker, 2001). By and large, this type of theory is designed to focus on particular nursing situations which emerge during clinical practice, with special focus on certain populations or fields of practice, and is supposed to employ limited scope and focus in elucidating any given situational dilemmas (Meleis, 2010).

Practitioners' daily experience in a clinical onset can be perceived a fundamental source of nursing theory. In fact, it can be stated that the depth and complexity of nursing practice can be fully quantified on the condition that nursing phenomena and co-relative aspects surrounding particular nursing situations are sufficiently described and explained. Furthermore, situation-specific theory is shaped through variations of reflective practice, specifically nurses' active process of quiet reflection on their clinical practice,...


In addition, grand and middle-ranged theories cannot successfully complement health-care systems by guiding nursing care in the instance of ever-increasing diversity in clients. Moreover, grand theories and middle-range theories by nature disregard sociopolitical, cultural, and historic contexts pertaining to every client-nurse interaction (Im & Meleis, 1999).

By contrast with grand and middle-range theories, situation-specific theories are ideal for the clinical environment because they pose the least abstraction or generalization and they address practical social, historical and cultural issues. In order to illustrate this, the relevant example of Meleis's situation-specific derivation of middle-ranged transition theory is most relevant. Specifically, the matter of menopausal transition of Korean immigrant women was based on a cross-sectional study, researchers' practical knowledge, their previous experience related to this population, and conceptualization. As a result, the concepts thereby included in the transition theory refer to the Korean culture in particular, and the menopausal experience of Korean immigrant women with a low income, while avoiding the transcendence of socially or politically limiting situations (Meleis, 2001).

If further compared with grand theories and middle-range theories, situation-specific theories prove to be more clinically specific, due to their clear focus on the nursing phenomenon, which is strictly relevant to clinical practice,…

Sources Used in Documents:


Gray, J., & Forsstrom, S. Generating theory for practice: The reflective technique. In Gray, J., & Pratt, R. (Eds.). (1991). Towards a discipline of nursing. Melbourne: Churchill Livingstone.

Im, E.O., & Meleis, A.I. Situation-specific theories: philosophical roots, properties, and approach (1999). In Advances in Nursing Science, 22(2), 11 -- 24.

Meleis A.I., Im E. From fragmentation to integration: Situation specific theories. (2001). In Chaska NL, ed. The Nursing Profession: Tomorrow's Vision. Thousand Oaks, CA: Sage Publications.

Im, E.O., & Meleis, A.I. Development of Situation-specific Theories. An Integrative Approach. (2005). In Advances in Nursing Science, 28(2), 137 -- 151

Cite this Document:

"Clinical Theory Practice 21st Century Points 50" (2013, May 30) Retrieved June 30, 2022, from

"Clinical Theory Practice 21st Century Points 50" 30 May 2013. Web.30 June. 2022. <>

"Clinical Theory Practice 21st Century Points 50", 30 May 2013, Accessed.30 June. 2022,

Related Documents
21st Century, the Term Marriage
Words: 3923 Length: 15 Pages Topic: Psychology Paper #: 79721412

Further, "Just as the models of family therapy are, unsurprisingly, isomorphically represented in their corresponding training models and methods, so the development of the clinical reality of family therapy can serve as a methaphor for the training and supervision area." However, in 1988 MFT was truly in its earliest states and not much time had gone by since supervision and training was mostly something that was done and not giving

Environmental Issues Faced in 21st Century Aviation
Words: 20526 Length: 62 Pages Topic: Transportation Paper #: 317773

Environmental Issues Faced in 21st Century Aviation Reducing Communication and Coordination Tools and Metrics Technology, Operations and Policy Demand Aviation and the Environment Effects on the health Local Air Quality Climate Change Total Climate impacts from aircraft Interdependencies Mobility, Economy and National Security Interactions between Government, Industry and Groups Aviation Greenhouse Gas Emissions Economic Impact SPCC Regulations Local Airport Issues De-icing Fluids A Framework for National Goals Realities and Myths Metrics Recommended Actions Environmental Issues Faced in 21st Century Aviation Environmental awareness in regards to 21st century aviation among the public and politicians has

Psychoanalytic Theory
Words: 3827 Length: 12 Pages Topic: Psychology Paper #: 23266098

Theory Classical psychoanalysis is the most challenging of all the psychotherapies in terms of time, cost and effort. It is usually conducted with the patient lying on a couch and with the analyst seated out of his/her sight, to hear what the patient has to say. The treatment sessions last about 50 minutes and are normally held four or five times a week for at least three years. The primary

Watson's Nursing Caring Theory the
Words: 3295 Length: 12 Pages Topic: Health - Nursing Paper #: 16302880

Jean Watson and in reality "belonging becomes an ethic in itself and guides how we sustain our being in the world." Dr. Watson emphasizes the fact that the practices of nursing have experienced evolution and this has allowed certain distortions in the nursing practices. Dr. Watson brings to attention 'Palmer's epistemology as ethics' yet the epistemology, in the view of Palmer to be 'informed by cosmology' has great power

Environmental Theory and Emancipatory Knowledge
Words: 5800 Length: 20 Pages Topic: Health - Nursing Paper #: 66395592

Nightingale met a friend Richard Monckton Miles in 1842. Then in 1844, Nightingale asked Dr. Howe if she could do a charitable job in a hospital like the catholic nuns, and refused her marriage to her cousin, Henry Nicholson. By 1845, Nightingale started training herself in the nearby Salisbury Hospital, but her parents were not happy about it, seeing nursing as an inappropriate job for a well to do

Why Only Christian Psychologists Can Practice "True Psychology"
Words: 19429 Length: 71 Pages Topic: Psychology Paper #: 78576075

Soul: Why Only Christian Psychologists Can Practice "True Psychology" Today, there are more than one hundred thousand licensed psychologists practicing in the United States. These mental health professionals are in a unique position to provide individuals, groups, and American society with valuable counseling services for a wide range of mental health issues and mental disorders. This study uses a triangulated research approach to demonstrate that true psychology can be done