An integrative review and theoretical examination of chronic illness mHealth studies using the Middle‐Range Theory of Self‐care of Chronic Illness

2020 ◽  
Author(s):  
Harleah G. Buck ◽  
Efrat Shadmi ◽  
Maxim Topaz ◽  
Paulina S. Sockolow
Keyword(s):  
Chronic Illness ◽  
Self Care ◽  
Integrative Review ◽  
Middle Range Theory ◽  
Theoretical Examination ◽  
Middle Range ◽  
Range Theory

scholarly journals A Middle-Range Theory of Self-Care of Chronic Illness

2012 ◽  
Vol 35 (3) ◽  
pp. 194-204 ◽  
Author(s):  
Barbara Riegel ◽  
Tiny Jaarsma ◽  
Anna Strömberg
Keyword(s):  
Chronic Illness ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

Self-care is Renouncement, Routine, and Control: The Experience of Adults with Type 2 Diabetes Mellitus

2020 ◽  
pp. 105477382096954
Author(s):  
Michela Luciani ◽  
Lorenzo Montali ◽  
Gabriella Nicolò ◽  
Diletta Fabrizi ◽  
Stefania Di Mauro ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Chronic Illness ◽  
Care Management ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

Type 2 Diabetes Mellitus can cause serious complications; it has a severe impact on the quality of life and high costs. One of the key strategies to manage diabetes is self-care, a complex multifactorial process influenced by personal, cultural, and systemic factors, that comprises self-care maintenance, self-care monitoring, and self-care management. Few patients perform adequate self-care. To deepen our understanding of patients’ experiences of self-care maintenance, self-care monitoring, and self-care management, we conducted the first qualitative study on this topic. This study used Interpretive Phenomenological Analysis, informed by the Middle-range Theory of Self-care of Chronic Illness, to explore the experience and meaning of self-care maintenance, self-care monitoring, and self-care management in adults with T2DM (n = 10). Three themes were identified: self-care is renouncement, self-care is routine, and self-care is control. A cross-cutting moral pattern connects the three themes. Our findings corroborate the Middle-range Theory of Self-care of Chronic Illness in the field of diabetes self-care and could inform practitioners in understanding the experience of self-care as a complex phenomenon and in developing tailored interventions.

scholarly journals Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

2019 ◽  
Vol 42 (3) ◽  
pp. 206-215 ◽  
Author(s):  
Barbara Riegel ◽  
Tiny Jaarsma ◽  
Christopher S. Lee ◽  
Anna Strömberg
Keyword(s):  
Chronic Illness ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

Testing a Middle -Range Theory of Heart Failure Self-Care

2021 ◽  
Vol 34 (4) ◽  
pp. 378-391
Author(s):  
Sumayya A. Attaallah ◽  
Rosalind M. Peters ◽  
Ramona Benkert ◽  
Hossein Yarandi ◽  
Sandra Oliver-McNeil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Latent Variable ◽  
Self Care ◽  
Middle Range Theory ◽  
Conditioning Factors ◽  
Middle Range ◽  
Patients With Heart Failure ◽  
Range Theory ◽  
Care Deficit

A middle-range theory of heart failure self-care, derived from the self-care deficit theory of nursing, was tested among 175 Arab American older adults with heart failure. The middle-range theory achieved good statistical fit, but not all hypothesized relationships were supported. Specifically, conceptualizing basic conditioning factors as a single latent variable was not supported. However, individual factors of depression, social support, and time living with heart failure had a direct effect on both self-care agency and quality of life. Understanding predictors and outcomes of self-care within a theoretical framework is essential in caring for patients with heart failure.

Factors Associated With Self-Care Among Patients Receiving Hemodialysis: A Cross-Sectional Observational Study

2021 ◽  
pp. RTNP-D-20-00042
Author(s):  
Juhyun Lee ◽  
Dabok Noh
Keyword(s):  
Renal Disease ◽  
End Stage Renal Disease ◽  
Self Efficacy ◽  
Self Care ◽  
Middle Range Theory ◽  
Health Motivation ◽  
Middle Range ◽  
Range Theory ◽  
Stage Renal Disease ◽  
End Stage

Background and PurposeThe global increase in prevalence of individuals with end-stage renal disease is a rising concern. Self-care is an essential and important component of chronic disease management. Poor self-care in patients receiving hemodialysis is associated with an increased risk of mortality and hospitalization. This study aimed to identify predictive factors for self-care in patients receiving hemodialysis based on a middle-range theory of self-care for chronic illness.MethodsAdult patients with end-stage renal disease receiving hemodialysis were recruited at an artificial kidney unit in a general hospital. Data from 131 patients were analyzed. Self-report questionnaires assessed hemodialysis-related knowledge, health motivation, self-efficacy, social support, access to care, and self-care.ResultsParticipants who had a family caregiver showed significantly higher selfcare scores than those who did not, and self-care scores were higher in patients who reported hypertension as a causal disease of end-stage renal disease than in those who did not. Self-care was significantly correlated with knowledge, health motivation, self-efficacy, social support, and access to care. The study’s regression model showed that self-efficacy, health motivation, and knowledge were predictive variables influencing self-care, and the explanatory power of this model was 55.9%.Implications for PracticeThe results support the middle-range theory of self-care for chronic illness. Strategies and education to improve self-efficacy, health motivation, and knowledge must be incorporated when designing self-care programs. Nursing interventions that patients can participate in with their family members might facilitate improving self-care.

A cancer specific middle‐range theory of symptom self‐care management: A theory synthesis

2018 ◽  
Vol 74 (12) ◽  
pp. 2935-2946 ◽  
Author(s):  
Mohamad Baydoun ◽  
Debra L. Barton ◽  
Cynthia Arslanian‐Engoren
Keyword(s):  
Care Management ◽  
Self Care ◽  
Middle Range Theory ◽  
Middle Range ◽  
Range Theory

Developing a Middle-Range Theory of Heart Failure Self-Care

2021 ◽  
Vol 34 (2) ◽  
pp. 168-177
Author(s):  
Sumayya A. Attaallah ◽  
Rosalind M. Peters ◽  
Ramona Benkert ◽  
Hossein Yarandi ◽  
Sandra Oliver-McNeil ◽  
...  
Keyword(s):  
Heart Failure ◽  
Clinical Practice ◽  
Self Care ◽  
Empirical Literature ◽  
Middle Range Theory ◽  
Nursing Science ◽  
Middle Range ◽  
Operational Systems ◽  
Range Theory ◽  
Orem's Theory

Middle-range nursing theories provide a bridge between the more abstract grand nursing theories, research, and clinical practice. As such, middle-range nursing theories derived from extant nursing theories are critical for developing and advancing both nursing science and practice. This paper describes the strategy used in developing a middle-range theory of heart failure self-care. After integrating theoretical and empirical literature, a hypothetico-deductive approach was used to develop the middle-range theory of heart failure self-care from Orem’s theory of self-care. Theoretical substruction was used to provide a graphic representation of the conceptual-theoretical-empirical structure demonstrating the congruence between the theoretical and operational systems.

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