Discuss why the authors of the Theory of Self-Care of Chronic Illness (Riegel, Jaarsma, & Stromberg, 2012) categorized their theory as middle range. Also, discuss whether you agree with this categorization and provide your rationale.
Riegel et al. (2012) inducted the Theory of Self-Care of Chronic Illness (TSCCI) while working with heart failure patients along with their self-care (practice-specific theory). They subsequently categorized TSCCI as middle-range theory (MRT) based on the scope and level of theory rather than the purpose or source/disciplines (McEwen & Wills, 2019). I agree that TSCCI fits the MRT rather than practice (specific) or grand theory (generalized). TSCCI focused on individuals specific to some degree but not narrowed the scope as their previous studies of a specific group of illness-specific while Orem’s focused on general self-care. TSCCI has a limited number of concepts while propositions are clear. It paves for testable hypotheses in different clinical practices. The MRT, grand theory, and practice specific theory are interrelated (McEwen & Wills, 2019, p. 75; Walker & Avant, 201, p.21).
Discuss the strategy for theory development used for the development of the Theory of Self-Care of Chronic Theory, and the process (steps) used for development of this theory.
Riegel et al., (2012) utilized practice to theory approach to inductively develop TSCCI as MRT from their clinical practice challenges of self-care for heart failure patients (practice/situation-specific). The challenges the patients faced were self-care levels, and the patient’s decisions coincide with the chronic illness (Riegel et al., 2012). They did not believe Orem’s self-care was useful to describe illness-specific, but their previous study is relevant.
Researchers clearly stated the processes for their theory: 1. Concept development by clarifying and define self-care management, monitoring, and maintenance as a process then specify self-care monitoring as a bridge between self-care management and self-care maintenance with linkages and their revised model 2. Three assumptions of self-care. 3. 7 suggested Propositions to test in practice. 4. 8 affecting factors (facilitating and barriers) of self-care. 5. Presented both intended and unintended consequences/outcomes for future research.
Discuss the purpose of the Theory of Self-Care of Chronic Illness, and the context for use. Were the purpose and context explicitly stated in the article?
Authors explicitly stated the purpose and context of TSCCI are to “describe MRT of self-care that addressed the process of maintaining health with health promotion practices within the context of management required of chronic illness” (Riegel et al., (2012). Both presented in abstract, introduction, and conclusion sections. Reigel et al. (2012) did not believe Orem’s self-care was useful to describe self-care for chronic illness. Therefore, using their practice experience as a situation/practice specific theory to induct into MRT. They left possibilities for practice testing in other clinic settings.
Discuss whether the concepts in the Theory of Self-Care of Chronic Illness were theoretically and operationally defined. If so, identify the theoretical and operational definitions of the key concepts used in this theory.
TSCCI is an operational definition concept. Researchers defined and explained in-depth between the critical concepts of self-care management, monitoring and maintenance, and testable in other groups of patients with any chronic illness. They used literature and previous work models in heart failure to measure the concepts and formed a new self-care model with self-monitoring as a bridge between self-care management and self-care maintenance.
How are the concepts in this theory linked? Was there a model showing linkages of concepts?
Researcher did not think their concepts; self-care management, self-care monitoring and self-care maintenance; need to organize in any orders. They defined, evaluated, refined, and clarified how each concept has similarities, differences, and their linkage and referents for testability. They refined the concept and propositions of their previous studied model to create a new model to apply to TSCCI.
Discuss how the assumptions made by the authors contribute to the theory development.
The authors explicitly stated each of their three assumptions as true to accept the knowledge, support, and structure their testable propositions (Jacox, 1974; Powers & Knapp, 2010. These assumptions are part of the self-care for illness-specific.
Assumption 1: Authors defined general self-care and how it is different from illness-specific. Assumption 2: Authors brought back the decision making as a value position that someone can make a decision.
Assumption 3: Authors make a value position of how self-care with comorbidities instead of a specific illness and its complication from other providers’ advice.
Plagiarism Free Papers
All our papers are original and written from scratch. We will email you a plagiarism report alongside your completed paper once done.
All papers are submitted ahead of time. We do this to allow you time to point out any area you would need revision on, and help you for free.
A title page preceeds all your paper content. Here, you put all your personal information and this we give out for free.
Without a reference/bibliography page, any academic paper is incomplete and doesnt qualify for grading. We also offer this for free.
Originality & Security
At Homework Valley, we take confidentiality seriously and all your personal information is stored safely and do not share it with third parties for any reasons whatsoever. Our work is original and we send plagiarism reports alongside every paper.
24/7 Customer Support
Our agents are online 24/7. Feel free to contact us through email or talk to our live agents.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
We work around the clock to see best customer experience.
Our prices are pocket friendly and you can do partial payments. When that is not enough, we have a free enquiry service.
Admission help & Client-Writer Contact
When you need to elaborate something further to your writer, we provide that button.
We take deadlines seriously and our papers are submitted ahead of time. We are happy to assist you in case of any adjustments needed.
Your feedback, good or bad is of great concern to us and we take it very seriously. We are, therefore, constantly adjusting our policies to ensure best customer/writer experience.