Selecting and comparing two nursing theories
Choose the two theories for what they let you argue, not for what you admire. One question asks about inciting behaviour change and another asks about the ethics of integrating them — both need theories with an applied literature.
Editorial process
Last reviewed · August 15, 2026
Two theories, chosen for what they let you argue
Pick the pair before you write a word, because four of the questions here depend on the choice. You need two theories with a real applied literature and enough distance between them to make a comparison worth reading. Orem's self-care deficit theory against Watson's human caring is a productive pairing: one is instrumental and measurable, the other is relational and resistant to measurement, so every subsequent question has something to bite on. Pender's health promotion model against Roy's adaptation model works similarly. Avoid two theories from the same tradition, which produces a comparison with nothing at stake. The behaviour-change question then favours whichever of your two is explicitly about motivation and agency, so say which one carries that load and why the other does not. The same reasoning governs the integration question later, since two theories that disagree about where agency sits cannot simply be added together.
The pros and cons need to be specific to each theory rather than generic complaints about abstraction. A pro is that a theory gives you a vocabulary and a structure for assessment; a con might be that self-care deficit theory can slide into blaming a patient who lacks resources rather than motivation, or that human caring is hard to evidence when a manager asks what changed. The ethics question is the one most posts skip, and it is answerable: integrating two theories risks importing conflicting assumptions about autonomy, and applying a theory that frames self-care as a duty can shift responsibility onto patients whose barriers are structural. Say which of your two theories carries that risk. Then the comparison question wants intent, scope and goals separated — what each theory was built to do, how much of nursing it claims to cover, and what it counts as success — before you say which is more relevant to your future role.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Select theories on the basis of what they allow you to argue and evidence.
- 02Apply a theory to behaviour change rather than to description.
- 03Weigh each theory's strengths and limitations in specific rather than generic terms.
- 04Identify the ethical risk created by integrating frameworks with different assumptions.
- 05Compare theories on intent, scope and goals as separate dimensions.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01Two named theories with their relation to patient care.
- 02An account of how each could incite behaviour change.
- 03Specific pros and cons for each.
- 04A statement of the ethical issues raised by integrating them.
- 05A comparison on intent, scope and goals, with a reasoned choice for your future role.
- 06APA-formatted citations.
Relate, apply, weigh, then compare
Select and justify the pair
Name both theories and say why this pairing supports the questions that follow.
Relation to patient care and behaviour change
Show how each theory would shape care, and which one drives behaviour change.
Pros and cons of each
Give strengths and limitations particular to each theory.
Integration and its ethics
Explain how the two would combine and what ethical risk that creates.
Compare on intent, scope and goals
Separate the three dimensions and conclude which theory suits your future role.
Finding applied evidence for each theory
Recommended databases
- CINAHL
- PubMed Central
- Nursology theory repository
- Your course's nursing theory text
Search sequence
- 1.Check that both candidate theories have applied literature before committing — the pros and cons need evidence.
- 2.Search each theory's name with an intervention term to find implementations rather than commentary.
- 3.Look for a published critique of each theory; the cons section is stronger when somebody else has made the argument.
- 4.Read the theorists' own statements of intent, since secondary summaries flatten exactly the differences the comparison needs.
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
Nursing Theories & Models
Nursology · 2025
A curated repository for confirming each theory's intent and scope in its own terms rather than a summary's.
- 02
Trends and Hotspots in Nursing Theory Research Published from 1990 to 2022
Journal of Nursing Management · 2024
Maps which nursing theories carry sustained research attention, which is how to check a candidate has an applied literature.
- 03
Emerging Trends in Mid-Range Nursing Theories: A Scoping Review
Nursing Reports · 2025
A scoping review of mid-range theory, useful for locating both choices and for the scope dimension of the comparison.
- 04
2025 Code of Ethics for Nurses
American Nurses Association · 2025
The reference point for the ethics-of-integration question, particularly on autonomy and responsibility.
Review before submission
Common mistakes
- Choosing two theories from the same tradition, which leaves the comparison with nothing at stake.
- Giving generic pros and cons that would fit any theory.
- Skipping the ethics question, which is the one the marker will look for.
- Treating intent, scope and goals as one dimension rather than three.
- Describing the theories rather than applying them to behaviour change.
Submission checklist
- Do your two theories differ enough to compare?
- Have you said which one carries the behaviour-change argument?
- Are the pros and cons specific to each theory?
- Did you answer the ethics-of-integration question?
- Are intent, scope and goals addressed separately?
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.