DNP 815 Week 3 DQ 1: comparing middle range theories
Middle range is the constraint that makes the post possible: these theories have measurable concepts, so the comparison can be about what each predicts rather than about how each sounds.
Editorial process
Last reviewed · August 15, 2026
Middle range is a level, and choosing well is half the work
Get the level right first, because choosing a grand theory undoes the whole post. Middle range theories sit between abstract conceptual models and practice-level prescriptions: they address a bounded phenomenon, their concepts can be operationalised and measured, and they can be empirically tested. Kolcaba's comfort theory, Pender's health promotion model, Mishel's uncertainty in illness theory, Lenz's theory of unpleasant symptoms, Reed's self-transcendence theory and Swanson's theory of caring are all at that level. Choose two that address something relevant to where you work, because the application requirement at the end is specific to your area and a theory with nothing to say about your patients will produce a strained example. A theory whose concepts your patients do not exhibit will produce a strained example, and a strained example is visible from the first sentence. It is worth ten minutes of checking before you commit to a pair.
Then perform both operations the prompt names, since compare and contrast is two instructions and many posts do only one. Comparing means finding what they share — both may treat the patient's subjective experience as the primary datum, both may have been developed inductively from clinical observation, both may specify an outcome a nurse can influence. Contrasting means finding where they diverge, and the most useful axes are the phenomenon each explains, the level at which each intervenes, how testable each has proved, and what each predicts that the other does not. That last axis is the strongest, because a difference that produces no different prediction is a difference in vocabulary. Then apply both to your specialty and say which fits better and why — a comparison that ends without a judgement has stopped one step short of what a doctoral post is expected to do.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Identify theories correctly at the middle range level.
- 02Perform both comparison and contrast rather than one.
- 03Distinguish theories by what each predicts.
- 04Apply both to a specific practice area and reach a judgement.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01At least two theories, correctly identified as middle range.
- 02What they share.
- 03Where they diverge, including what each predicts.
- 04Application to your specific area of nursing, with a judgement.
Two theories, compared and contrasted, then applied
The two theories
Name them, confirm the level, and state the phenomenon each addresses.
What they share
Identify common assumptions, origins or outcome focus.
Where they diverge
Contrast on phenomenon, intervention level, testability and prediction.
Application and judgement
Apply both to your specialty and say which fits better.
Finding theories tested in your own specialty
Recommended databases
- CINAHL
- PubMed Central
- Nursing Science Quarterly
- Your course textbook
Search sequence
- 1.Confirm each theory is classified as middle range before committing to it.
- 2.Search each theory AND your specialty for an existing application.
- 3.Find whether either has a validated instrument, which is evidence of testability.
- 4.Identify one prediction each makes that the other does not.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study
Revista Brasileira de Enfermagem · 2024
A bibliometric map of middle and micro-range nursing theories, which is how you confirm the level before choosing.
- 02
Application and Effectiveness of the Nola Pender Model in Nursing: A Narrative Review
PubMed Central, National Library of Medicine · 2025
One middle range model reviewed for application and effectiveness, which supplies the testability axis.
- 03
Applying the Pender's Health Promotion Model to Identify the Factors Related to Older Adults' Participation in Community-Based Health Promotion Activities
International Journal of Environmental Research and Public Health · 2021
The same model applied to a defined population, a model for the application section.
- 04
Reframing the environment domain of the nursing metaparadigm: Exploring space, place, and technology
Belitung Nursing Journal · 2024
A theoretical concept being reworked against practice, useful for arguing about fit rather than merit.
Review before submission
Common mistakes
- Choosing a grand theory or a conceptual model by mistake.
- Comparing without contrasting, or contrasting without comparing.
- Distinguishing theories by vocabulary rather than by prediction.
- Applying them to nursing in general rather than to your area.
- Ending without saying which fits your setting better.
Submission checklist
- Are both theories genuinely middle range?
- Have you done both operations the prompt names?
- Does your contrast identify a different prediction?
- Is the application specific to your practice area?
- Do you reach a judgement about fit?
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

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