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By: Stefanie Wisniewski
Slide 2: Imogene King
1923 D.O.B. 1945 Diploma in nursing, St John’s Hospital School of Nursing 1948 Bachelor of science, Saint Louis University 1957 Maters, Saint Louis University 1961 Doctors of education degree, Teachers College of Columbia University 1980 Honorary doctor of philosophy degree , Southern Illinois University 1996 American Nurses Association (ANA) Jessie M. Scott Award 2004 inducted into the ANA hall of fame 2007 Christmas eve, passed away Two books Toward a Theory for Nursing: General Concepts of Human Behavior A Theory for Nursing: Systems, Concepts, Process
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Slide 3: поднять ТИЦ
Theory Overview
In my own words: King’s theory of goal attainment focuses on the relationship between the nurse and client. King’s theory explains how the nurse-client relationship can influence goals that are set and their level achievement. King’s conceptual systems lay the foundation for her theory by establishing interacting systems in which humans function. Kings statement of the main premise of her theory: “Theory of Goal Attainment is a theory of nursing [that] deals with phenomena called process and outcomes. The process that is critical, independent variable is mutual goal setting. The theory “defines outcomes in the form of the goals to be attained”
Slide 4: Conceptual Framework
Slide 5: Concepts of Conceptual Framework
Personal Perception, self, growth & development Interpersonal
Interaction, communication, transaction, role & stress
Social systems Organization, authority, power, status & decision making
Slide 6: Concepts of Goal Attainment
Main concepts within King’s theory of goal attainment Self, perception, communication, interaction, transaction, growth and development, stress, time, personal space and role Used to design the model for the nurse-client interaction Mutual goal setting is based on
Nurses’ assessment of the client’s concerns, problems, and
disturbances in health Nurses’ and client’s perceptions of the interference Sharing information (between nurse and client) whereby each functions to help the client attain the goals identified
Slide 7: Transaction Process Model
Slide 8: Assumptions are based on King’s personal philosophy, that King’s assumptions Nursing
Assumptions the environment humans are open systems in transaction with
Person
“Nursing is an observable behavior found in the health care systems in society” Spiritual beings, have the capacity to think, make choices and select alternatives, have the ability to record their history, are open systems in transaction the environment, are unique and holistic and that persons differ in their needs, wants and goals “Implies continuous adjustment to stress in the internal and external environment through optimum use of one’s resources to achieve maximum potential for daily living” Must understand how humans interact with the environment and its influence on health
Health
Environment
Slide 9: Influence
VonBertalanffy general systems theory Focuses on relationships within the world, not individual aspects and his theory emphasized holism
Slide 10: Internal Criticism
Adequacy Addresses the nurse-client interaction Clarity States its main components Provides definitions Confusion
Multiple systems and models
Consistency Provides & maintains the same definitions for its key concepts Logical Development Has been proven that the nurse-client interaction is a vital component King’s theory explores this relationship Level of Theory Development Middle range theory Utilized within both research & practice
Slide 11: Complexity 10 major concepts Discrimination Lead to setting measurable goals/outcomes in nursing Relaity Convergence Underlying assumptions about nursing, persons, health and the environment hold true Pragmatic Easily used within the nursing field & influences positive patient outcomes Scope Applicable to all patients 70% communication is nonverbal Significance Explains how nurses can interact with their patients to achieve goals Utility Widely accepted into nursing Viewed within research studies and nursing schools
External Criticism
Slide 12: Practice Problem
Applying King’s theory of goal attainment to neonatal intensive care units
Work with parents towards setting and attaining goals Application of King’s theory of goal attainment Nurses can work together with parents to attain goals for both them & their infant Conflict: Parent’s often struggle to fulfill their roles in King’s
conceptual systems model
Allow parents to actively participate
Can more readily fill their roles Make informed decisions.
King’s theory can guide us in working as a team with parents Set mutual goals with the parents and attain these goals
Slide 13: Dynamism in Practice: Parenting Within King’s Framework
Slide 14: King's Theory in Practice With Elders
Slide 15: Published in 1994 Explores the use King’s theory of goal attainment in
King's Theory of Goal Attainment as a Framework for Managed Care Implementation in a Hospital Setting
changing how patient care is manages CareMaps
Used to describe interventions that need to be taken by the
health care team to achieve specified patient outcomes
Results Applying King’s theory of goal attainment, the nurse-client interaction can allow for clients to become more involved in their care. This then allows for the goals based on the care map and the client’s wishes to be met
Slide 16: Reference
Evans, C. (1991). Imogene King: a conceptual framework for nursing. London, Sage publications, Inc. Frey, M.A., & Sieloff, C.L. (1995). Advancing King's systems framework and theory of nursing. London, Sage Publication, Inc. Hampton, D.D. (1994). King's theory of goal attainment as a framework for managed care implementation in a hospital setting. Nursing Science Quarterly 7 (170). Retrieved November 20, 2009, from SAGE database doi: 10.1177/08943184900700409. King, I. M. (1971). Toward a theory for nursing: general concepts of human behavior. John Wiley and Sons, Inc. King, I.M. (1997). King's theory of goal attainment in practice. Nursing Science Quarterly 10(108). 180. Retrieved November 20, 2009, from SAGE database doi: 10.1177/08943184970100041. King, I.M. (1999). A Theory of goal attainment: philosophical and ethical implications. Nursing Science Quarterly, 12(4), 293-296. Retrieved November 20, 2009, from SAGE database doi: 10.1177/08943189922107205. Lavin, Mary Ann, Killen & Mary. (2008). Tribute to Imogene King. Retrieved November 20, 2009, from http://findarticles.com/p/articles/mi. Mitchell, G. (n.d.) Bertalanffy’s general systems theory. Retrieved November 21, 2009, from http://www.trans4mind.com/mind-development/systems.html. Norris, D.M., & Hoyer, P.J. (1993). Dynamism in practice: parenting within king's framework. Nursing Science Quarterly, 6(79). Retrieved November 20, 2009, from SAGE database doi: 10.1177/089431849300600207. Tomey, A.M., & Alligood, M.R. (2006). Nursing theorist and their work (6th ed). St. Louis, MO: Elsevier. Woods, E.C. (1994). King's theory in practice with elders. Nursing Science Quarterly 7 (65). Retrieved November 20, 2009, from SAGE database doi:10.1177/089431849400700206.