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Toward a Middle-Range Theory of Adaptation to Chronic Pain

Karen S. Dunn, RN; PhD

Assistant Professor, School of Nursing, Oakland University, Rochester, Michigan

Merton postulated that to significantly advance disciplinary knowledge, scholarship must include the development of middle-range theories that derive hypotheses, can be empirically investigated, and are linked to extant theories. The purpose of this paper is to present the strategies used to develop a middle-range nursing theory of adaptation to chronic pain based on Merton’s description. Analysis and synthesis of the theoretical and research literature provided the foundational, theory-building strategies used to develop the adaptation to chronic pain model. Theoretical substruction was then used to deduce the adaptation to chronic pain model from Roy’s adaptation model.

Key Words: chronic pain • coping • Roy adaptation model • theoretical substruction

Nursing Science Quarterly, Vol. 17, No. 1, 78-84 (2004)
DOI: 10.1177/0894318403260474
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K. S. Dunn
Testing a Middle-Range Theoretical Model of Adaptation to Chronic Pain
Nurs Sci Q, April 1, 2005; 18(2): 146 - 156.
[Abstract] [PDF]