“…Level 4 -tests concepts relationship statements of a theory 5 only 3% of the studies actually tested concepts of hypotheses of an exphat theory (level 4) Moody et al (1988) also noted that the use of nursmg theones m research mcreased by 5% from the penod 1977-1981 to the penod 1982-1986 -from 8% to 13% of papers The most frequently used theones were those of Orem, Rogers and Roy Acton et al (1991) also noted a lack of empincal validation of nursmg theones through research, they gave particular attenhon to the cntena used to evaluate theorytesting research They reviewed nursing literature and bterature m the social saences as well, pnmanly works published between 1986 and 1990 Drawing extensively upon the work of Silva (1986), and also upon Walker & Avant (1988), Chinn & Jacobs (1987), Nieswiadomy (1987) and Serlm (1987), Acton et al (1991) presented the rationale for applymg each of 15 cntena to a research report They gave examples of six reports of research that tested a nursing theory (Mishel & Braden 1988, Smith 1988, Frey 1989, Frey & Deynes 1989, Braden 1990, Klme-Leidy 1990 THESTUDY Purpose It has been over 5 years smce Silva (1986) reported on the state of theory testing In order to determme whether any changes had occurred, the authors conducted a parhal replication of Silva's work, limited to one theonst Usmg Silva's cntena, the inveshgahon analysed published research in which the mvestigators indicated havmg tested Orem's self-care theory through empincal research…”