Reply1

Practice theories shape and form nursing interventions and patient education. Practice theories are formed from grand or middle range theories, research, and/or clinical practice (McEwen & Wills, 2018).

As a nurse practitioner, I plan to specialize in obstetrics and gynecology. Doering and Dufor created a practice-level theory that focuses on fatigue and sleep in women during the 6 months of post-partum. Doering and Dufor studied the women’s perseverance towards normalcy. It was found that in the early weeks of post-partum, women should be taught about social support to prevent severe fatigue and to promote sleep. Post-partum women need to establish a routine with their newborn infant to maximize sleep opportunities (McEwen & Wills, 2018).

About one in five women will experience postpartum depression. It is important for healthcare professionals to recognize the signs and symptoms and risk factors of postpartum depression. It is also important to educate patients on the range of emotions and how to seek help. Beck’s Postpartum depression is a middle range theory (Marsh, 2013).

By using Beck’s middle range theory and Deoring and Dufor’s practice theory, I can educate my patients on how to adjust to a new life and routine after having a baby. As a nurse practitioner, I will emphasize the importance of attending scheduled appointments. I can assess my patient’s mental and physical well-being. I can help the patient identify people in the patient’s life who can support the patient during their transition as a new parent. I can also refer them to local support groups.

Reply2

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Hello Maria

It is indeed a fact that nurse-managed centers is of great benefit to the medically underserved low-income communities. it provides quality, affordable healthcare to many poor people who are most likely uninsured. NMHCs serve the patients least likely to receive ongoing health care services including uninsured, underinsured, or patients living in poverty who are unable to pay for care and thus charged on a sliding scale or treated for free. As you discussed, the main challenge that NMHCs face is financial constraints that should be solved by among others, formulating legal policies to force federal government to allocate more funds because they are of help to people of low economic status