title: Caregiving Effectiveness Model evolution to a midrange theory of home care: a process for critique and replication.
abstract: A clinically relevant model, grounded in nursing theory, has evolved to become a midrange theory. This article describes the processes used to derive, validate, revise, and test the Caregiving Effectiveness Model. Testing of this midrange theory used prospective longitudinal research with family members caring for patientsrequiring lifelong, complex, technology-based home care. It presents the conceptual critiques and statistical procedures and discusses derivation of model-generated nursing interventions and implications for use of these validation processes in developing nursing knowledge. The article summarizes limitations of the model and presents recommendations for future research.
authors.affiliation: University of Kansas School of Nursing, Kansas City, Kansas, USA.
authors.forename: Carol E
authors.initials: CE
authors.lastname: Smith
authors.forename: Karen
authors.initials: K
authors.lastname: Pace
authors.forename: Chiemi
authors.initials: C
authors.lastname: Kochinda
authors.forename: Susan V M
authors.initials: SV
authors.lastname: Kleinbeck
authors.forename: Julie
authors.initials: J
authors.lastname: Koehler
authors.forename: Sue
authors.initials: S
authors.lastname: Popkess-Vawter
mesh_terms: D000223:Adaptation, Psychological; D017028:Caregivers / Q000193:education / Q000523:psychology; D002908:Chronic Disease / Q000451:nursing / Q000523:psychology; D003152:Community Health Nursing / Q000592:standards; D003863:Depression / Q000523:psychology; D005190:Family / Q000523:psychology; D006293:Health Promotion; D006304:Health Status; D006701:Home Nursing / Q000523:psychology / Q000592:standards*; D006801:Humans; D008603:Mental Health; D016294:Models, Nursing; D008960:Models, Psychological; D009042:Motivation; D015403:Nursing Evaluation Research / Q000379:methods*; D009742:Nursing Theory; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic; D011446:Prospective Studies; D011788:Quality of Life; D013675:Technology, High-Cost