Imogene King Goal Attainment Theory Deciding to pursue a career in nursing, is often done form a place of giving. Giving of oneself to better the wellbeing of another. The process of providing care starts with an assessment of the situation and developing goals. Goal development happens with the patient present and takes efforts on the part of the nurse and patient. Imogene King created a systems approach to help the nurse-patient relationship and further created the goal attainment theory. Kings Conceptual System The systems theory is an interactive system that helps further the nurse-patient relationship. This approach is based on three systems. Included in the three systems is individual, interpersonal and social (“Goal …show more content…
The objective is to apply the theory to help solve the problems that are identified. King’s theory is easily applicable to many situations. In the end, it is about defining goals and achieving them. This process incorporates the goal attainment theory because it involves the patient and the nurse who has defined a problem and work together to alleviate the problem. A clinical quality problem might be related directly to a patient or affect them indirectly. Potential practice quality improvement. Using King’s theory of goal attainment to address a quality problem could be used for a wide range of issues. This process starts with (a) gathering data and making an assessment; (b) using the data gathered and creating a diagnosis; (c) creating and implementing interventions; (d) and ending with an evaluation of the process. In this example from the article Integration of Nursing Theories into Practice, (2014), is Mrs. Star who presents to the clinic for an appointment. • Assessment: Nurse perception- well groomed, comfortable, makes good eye contact. She is 25 years old, married and is 6 months pregnant. She is new to the area. Mrs. Star preception- says she is healthy, is a teacher, asks questions about delivery. Feels well with little or no nausea. • Nursing Diagnosis: Knowledge deficit about health care resources and childbirth related to recent move and being a first time …show more content…
Quality Improvement Initiative King’s conceptual system model is made up of three systems, personal interpersonal and social. The committee would be part of the interpersonal system. This committee is made up of individuals who come together to form a group to develop and achieve goals (Smith & Parker, 2015). A formed committee would benefit from the use of King’s conceptual model and goal attainment theory to achieve their objectives. An example of this is a committee put forward to help increase communication when changes are made on a general medical floor. • Assessment: Nurses often feel uninformed when changes are made. Not being made aware of important changes can affect patient care. • Nursing Diagnosis: Communication breakdown due to ineffective delivery of new changes related to patient care. • Goal setting: Implement an education book that is placed near the nurse 's station and nurses are responsible to read the changes and sign off when they have read it. • Evaluation: Nurses are better informed and are up to date with new
Individualised approach to care planning essay The care planning process is a fundamental part of nursing, Barrett et al (2012) emphasises the importance of the process by recognising it as a clinical skill that needs to be learnt and developed. Care planning enables information to be gathered, taking in to consideration an individual’s biological, psychological, sociocultural, environmental and politico economic status. These factors are incorporated in to the care planning process to enable an individualised care plan that meets the holistic needs of the individual (Doenges and Moorhouse, 2012). The aim of this assignment is to explain and explore an individual approach to care planning and how using a nursing process and nursing model collectively will provide a holistic approach to care.
For this paper, there are 2 interviews required that are related to the nursing careers. The two interviews that were conducted were from a Charge Nurse, and from a Head Nurse. Each of the interviews are discussed in detail below, separately. The charge nurse is a person who has the duty of a specific department in a healthcare institution for their assigned shift.
Introduction During nursing practice, a nurse faces several clinical issues. This paper aims at selecting and reviewing a clinical issue for further study to be made in the final year project along with the significance of selection. It also provides guideline to resolve this problem. Clinical Issue Analysis Nursing requires a proper and suitable approach for effective and influential practices.
Imogene King’s goal attainment theory focuses on the importance of the relationship between the nurse and patient along with the impacts it can have on attaining goals. There are many concepts within each system that King believes influence the outcome of the goals. The process of the nurse and patient relationship begins with the nurse. Then the patient along with the nurse both having their own experiences or thoughts on a situation, which can be completely different.
Nurses ought to use a holistic approach to explore any problems that reduce patient’s quality of
King 's Conceptual System Theory A primary concept of nearly all nursing theories is the belief that humans are the center of nursing care. No matter what setting nurses are practicing in, the goal is to optimize patient outcomes by holistically caring for patients, families, and their environments. Imogene King took this idea, divided in into three systems: personal system, interpersonal system, and social system, and related the systems to goal attainment and specific concepts. Three Systems of King’s Conceptual System
Arrange patient details on abnormal results of physical and psycho-social assessment treatment, medications and laboratory results. Then develop goals and outcomes and list what can do to address each problem. Following these steps will help nurses or students to think critically and it will help to improve clinical experience and outcome of the patient. One research article published in pub med in 2010 regarding “Concept mapping” for applying theory to nursing practice. That theory-based practice believe that this will improve clinical outcomes and nurse satisfaction.
Her model of nursing was progressive for the time in that it refers to a nursing diagnosis during a time in which nurses were taught that diagnoses were not part of their role in health care. There are specific characteristics identifiable in the Twenty-One Nursing Problems. The theory has interrelated the concepts of health, nursing problems, and problem-solving. Problem-solving is an activity that is inherently logical in nature. The framework focuses on nursing practice and individual patients.
Introduction: As a first year student I have very specific goals in mind that I hope to achieve through my work in college. My main hopes for the future are that I pass all of my exams in the coming years, graduate and receive my honours degree in general nursing, become a registered nurse and finally get a job as a nurse. Throughout this essay, I have detailed my strengths and the opportunities that will help me finalise these goals along with my weaknesses and the threats that will hinder my progress. Strengths:
With this, a nurse would be able to efficiently work with others to discuss plans for a patient and how to get the right plan if the nurse wasn’t able to do the right part. Knowing when you are wrong and how to take advice and collaborate with others is a major way nurses are able to be such strong leaders. A powerful nurse is one who is looked up to and when there is a question about what is wrong and right or how to do a clinical skill, this nurse will know the answer almost 90% of the time. Most powerful nurses have a lot of experience and know what will make the patient better or how to deal with family members or sometimes doctors. These nurses are looked up to on that floor and are described as very diligent nurses.
Theory Description The nursing theory chosen is that of need theory by Virginia Henderson. Henderson has contributed a lot in nursing throughout her journey as a nurse. She intended to define the unique focus of nursing practice, but at the end, it ends up being one the nursing theories that are being used in every clinical setting. Her contribution has helped shaped the way nurses care for their patients and the components she developed help serves as guidelines which nurses used to care for patients.
As patient diversity and illness complexity increase, so does the demand for nurses who have pertinent competencies and skills. In fast-paced environments, clinical information may arrive in piecemeal or incrementally, compelling nurses to speedily and competently recognise complications, including subtle signs of deterioration, even without complete data (Jacob, Duffield, & Jacob, 2017). Patient outcomes have been associated with nurse surveillance, a skill which may depend on the nurse level (i.e. Enrolled versus Registered Nurse), education, clinical proficiency and workplace experience (Brier et al., 2015). Consequently, patient assessment, communication and relationship skills are essential to work readiness which shapes nurse satisfaction
The attention to the need in nursing for theories addresses knowledge of order, knowledge of disorder, and knowledge of control (Meleis, 2018). Self-transcendence theory addresses knowledge of the process, which included the nursing process and nurse-patient interactions (Reed, 2008). In addition, it addresses the knowledge of order for phenomena that are central to objects, events, and interactions in a healthy context (Reed, 2008). Abstractness, the eighth theory dimension (Meleis, 2018), is evaluated by the length of reduction and deduction between its propositions and it would be at the high end (Reed, 2008). The method of theory development is the ninth internal dimension (Melesi, 2018).
To ensure that the health care team is working efficiently, the members must communicate to each other, and work together to provide the best for their patients. Each member in the group, works together to achieve the same common goal, by following the group norms “unwritten behavioural rules” (Arnold & Boggs, 2016, p.138). This quality is important in the discipline of nursing due to the fact that this profession is based on providing the best, most efficient care toward the patient, that provides them with the best health
In the nursing practice, there is a need to improve satisfaction in patients, which is only achieved after the nurses have adopted various patient-centered concepts,