While all of King's framework may not be applicable to rural nursing theory, some of the applicable themes have been identified. Nursing Now: Today 's Issues, Tomorrow 's Trends. The nurse and patient communicate to identify areas that need to be addressed and establish a problem list. Women make up about 52% of these residents Office of Technology Assessment, 1994. The central focus of King's framework includes three interacting systems with each system having its own distinct group of concepts and characteristics.
This is especially true in the emergency department as evidenced by patients returning for follow-up visits who have not followed their discharge instructions, and hence, their health has suffered. Major Concepts and Subconcepts Nursing Nursing is a process of action, reaction, and interaction whereby nurse and client share information about their perceptions in the nursing situation. Nursing Science Quarterly, 7, 65-69. A classic example of this in an emergency room setting involved a young college student who had a traumatic amputation of an arm due to a motor vehicle accident. This paper used the hybrid model of concept explication to combine findings from fieldwork and synthesis of the literature in understanding close sibling relationships. Examples of social systems include the family, the school, and the church. Once the results of the research are available it can be applied to practice Catalano, 2006.
A clinical example of this occurred recently when a middle-aged woman who was experiencing acute pulmonary edema was brought to the emergency department by her husband. But it focuses on the Interpersonal System and the interactions, communications and transactions between two individuals, the nurse and the patient. They then set goals to attain, maintain and restore health. Social systems are groups of people within a community or society that share common goals, interests, and values. Future directions for rural nursing theory.
Journal of Family Relations, 36, 450-455. After transactions have occurred and goals have been defined by the nurse and patient together, both parties work toward the stated goals. Individual Individuals are social beings who are rational and sentient. Rural clients are not immediately receptive to newcomers in their community, which presents an obstacle for the nurse when setting goals with clients. Further theoretical exploration occurred with the development of different case models. This statement supports this author's belief that King's conceptualizations about nursing can be implemented in the rural setting. Viewpoints Many people believe King's theory of goal attainment to be a productive and empowering way for nurses and patients to interact.
While working as a staff nurse she also started a course work toward a Bachelor of Science in Nursing education, which she received from St. The primary complaint of emergency room patients is the length of waiting time. King conceptualizations in the early 1960's continue to guide the practice of nursing. In an environment that requires one to be reactive and responsive, clients often perceive nurses as being too busy or too hurried. The way that people relate and communicate and interact will change due to the rapid advancement of technologies. This research was guided by Imogene King's Goal Attainment Theory and conceptual framework of three interacting systems. Interactions are defined as the observable behaviors of two or more individuals in mutual presence.
The third and final interacting system in King's model is the social system. Growth and development is another concept that is applicable to rural nursing. Communication is required to verify the accuracy of the perception, as well as for interaction and translation. She then continued her education with a Bachelor of Nursing in 1948, a Masters in nursing in 1957 and a Doctorate in Education in 1961. The nurse then provides information to the group and sets goals for all the participants. Problems are researched and solutions are identified.
King believes that the main function of nursing is to increase or to restore the health of the patient, so then, transactions should occur to set goals related to the health of the patient. King used ten major concepts from the personal and interpersonal systems to support the Theory of Goal Attainment. Team-teaching was selected as a major strategy whereas each students need to be keen with the concept of the conceptual framework. King believes, however, that it is very important for nurses to have an understanding of the theoretical basis for their behaviors and nursing actions. It should emphasize expansion of knowledge of individuals regarding each dimension of the personal, interpersonal, and social systems, and then knowledge about families and health-care systems. Imogene King is a nursing theorist who has made significant contributions to the development of nursing knowledge. Specific clinical examples are presented to support King's work in practice.
These are groups of people within the community or society that share a common goals, values and interests. The planning phase arises after the diagnosis. Theory of Goal Attainment focuses on this process to guide and direct nurses in the nurse-patient relationship, going hand-in-hand with their patients to meet the goals towards good health. The personal and interpersonal functions in the environment are identified as the social system. King began developing her theory while working as an associate professor of nursing and in 1971 she published Toward a Theory of Nursing: General Concepts of Human Behavior.
This is also the basic assumption of the nursing process. She also has many years of nursing experience including nursing in hospitals, physician's offices, and schools. Selected qualitative data from ethnographic studies and quantitative data from a survey are presented, contrasted, and discussed. Her theory deals with a nurse-client dyad, a relationship to which each person brings personal perceptions of self, role, and personal levels of growth and development. King began developing her theory while working as an associate professor of nursing and in 1971 she published Toward a Theory of Nursing: General Concepts of Human Behavior.
Determine the employee and environmental characteristics 2. Quality of Life and Goal Attainment. She has served on committees for the American Nurses Association at the local, state and national level. The theory of goal attainment also does describe a logical sequence of events. King 1981 viewed perception as the most important variable because perception influences behavior. The nurse and patient also decide on a way to work toward the goal that has been decided upon, and put into action the plan that has been agreed upon.