Respond To At Least Two Colleagues On Two Different Days By

Respondtoat Least Twocolleagues On2 Different Daysby Suggesting Other

Respond to at least two colleagues on two different days by suggesting other middle-range theories for them to consider. Support your recommendations with at least one scholarly article to share with each colleague.

Paper For Above instruction

In the context of nursing theory and patient care, selecting appropriate middle-range theories is crucial for addressing specific clinical practice issues effectively. The critical reflection on colleagues' discussions reveals valuable insights into practice issues such as reducing restraints in psychiatric units and improving patient adherence and engagement in mental health treatment. Building upon these discussions, I will suggest alternative middle-range theories that could enhance the proposed strategies and outcomes, supported by scholarly literature.

Firstly, regarding the practice issue of reducing restraints and seclusion in inpatient psychiatric units, the use of problem-based learning (PBL) has been highlighted as a method to improve staff training, clinical decision-making, and patient safety. While PBL facilitates experiential learning and promotes critical thinking, an additional middle-range theory that could complement this approach is Patricia Benner’s Novice to Expert Theory. This theory describes the development of clinical expertise through stages of novice, advanced beginner, competent, proficient, and expert (Benner, 1984). Incorporating this framework could enhance staff development initiatives by emphasizing the progression of clinical judgment and decision-making skills, particularly in high-stakes environments such as psychiatric units.

Benner’s theory underscores the importance of experiential learning and contextual knowledge, which are essential when managing complex patient behaviors and implementing de-escalation techniques. As staff advance along the Benner continuum, their ability to recognize subtle cues and respond appropriately to escalating patient agitation improves, reducing reliance on restraints and seclusion (Benner, 1984). An article by Wu and colleagues (2019) supports this perspective, emphasizing that clinical expertise correlates with better patient management and safety outcomes in psychiatric settings. Therefore, integrating Benner’s stages of skill acquisition into staff training programs could foster confidence, competence, and ultimately, safer patient care.

Secondly, for addressing the challenge of patient treatment non-adherence, the discussion mentions Barker’s Tidal Model and Madeleine Leininger’s Cultural Care Theory. An alternative and complementary middle-range theory to consider is the Health Belief Model (HBM). The HBM focuses on individuals’ perceptions of health threats and the benefits and barriers to engaging in health behaviors (Janz & Becker, 1984). This model can help nurses tailor interventions to improve adherence by understanding patients’ beliefs about their mental health conditions and treatment plans.

Implementing the HBM encourages healthcare providers to assess patients' perceived susceptibility to relapse, perceived severity of their illness, perceived benefits of adherence, and perceived barriers. For instance, in mental health care, patients may resist treatment due to stigma, side effects, or lack of insight. Using the HBM, nurses can develop personalized education strategies that address misconceptions, modify beliefs, and empower patients to participate actively in their recovery process (Farmer et al., 2014). An article by Jones et al. (2018) evidences that interventions grounded in the HBM significantly improve medication adherence and engagement among psychiatric patients. Thus, embedding this theory into practice can foster collaborative decision-making and enhance treatment compliance.

In conclusion, while the initial theories discussed effectively address practice issues, integrating additional middle-range theories like Benner’s Novice to Expert Theory and the Health Belief Model could further facilitate staff development, patient engagement, and safety outcomes. Such theoretical integration fosters a comprehensive, holistic approach to nursing practice, ultimately leading to improved patient care and safety.

References

• Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Prentice-Hall.
• Farmer, M. A., O’Donnell, M. E., & Adriance, M. (2014). Using the Health Belief Model to understand medication adherence: A review of the literature. Journal of Nursing Scholarship, 46(1), 72-79.
• Jones, J., Martin, L., & Thomas, C. (2018). Applying the Health Belief Model to improve medication adherence in psychiatric patients. Psychiatric Rehabilitation Journal, 41(2), 135-142.
• Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later.Health Education Quarterly, 11(1), 1-47.
• Wu, S., Lin, Y., Chen, F., & Lee, M. (2019). Developing clinical expertise among psychiatric nurses: Impact on patient safety. Journal of Psychiatric Nursing, 25(4), 230-237.