NURS 8114 Exploring Middle Range Theories and Framing Practice Issues Essay
NURS 8114 Exploring Middle Range Theories and Framing Practice Issues Essay
Nurses play an important role in the promotion of optimum health and wellbeing of the diverse populations that they serve. Nurses constantly explore issues in their practice that influence care outcome. An issue of interest for me is the low retention rates of nurses that work in the intensive care units. The existing evidence shows that most ICU nurses experience work in a complex environment characterized by the increased need to address the care needs of acutely ill patients. The nurses are also predisposed to occupational stress because of the decisions they must make regularly to promote the health of their patients. There is also the issue of high workload among the ICU nurses, which increase their risk of burnout, low job dissatisfaction, and high turnover rates (Xu et al., 2023). I am interested in learning about the factors that contribute to low retention rate among ICU nurses in the practice site. The information will inform the strategies adopted to improve their retention rates in the organization as well as other institutions globally.
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Middle range theories may help me investigate the issue of low retention rate among ICU nurses. One of the middle range theories that may inform the investigation of the topic is the health belief model. The health belief model is a framework that explains how individuals change their behaviors. It asserts that factors such as perceived severity, cues to action, and perceived barriers may affect behavioral change (Green et al., 2020). These factors may also influence the retention rates among nurses since they are likely to engage in specific behaviors based on their subjective experiences in their organizations. For example, ICU nurses leave their organizations if they perceive an increased risk to poor mental health status due to increasing demands in their caring roles.
The other middle range model that may influence the investigation is the behavioral system model by Dorothy Johnson. The behavioral system model asserts that individuals or systems have purposeful, individualized, and repetitive ways that influence behaviors. The model recognizes the need for the adoption of strategies that promote effective and efficient functioning in health organizations to achieve optimum outcomes. The model can enable the understanding of determining factors for individual’s functioning, including motivation in healthcare systems (Alligood, 2021). For example, system considerations such as providing ICU nurses with a nurturing environment and stimulating their personal and professional growth contribute to their increased job satisfaction and reduction in reduction in their turnover rates.
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References
Alligood, M. R. (2021). Nursing Theorists and Their Work E-Book. Elsevier Health Sciences.
Green, E. C., Murphy, E. M., & Gryboski, K. (2020). The Health Belief Model. In The Wiley Encyclopedia of Health Psychology (pp. 211–214). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781119057840.ch68
Xu, G., Zeng, X., & Wu, X. (2023). Global prevalence of turnover intention among intensive care nurses: A meta-analysis. Nursing in Critical Care, 28(2), 159–166. https://doi.org/10.1111/nicc.12679
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I need to submit discussion post for NURS 8114 under my DNP program. In addtion to references related to the course work, I included my personal and professional statement and CV for further details about me. Although the personal and professional statement is not updated but most of my educational achievements and backgrounds are indicated in there.
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