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Imogene King: Theory of Goal Attainment

NUR 201

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on 27 September 2012

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Transcript of Imogene King: Theory of Goal Attainment

By Tracey Vogel and Gabriela Yakas Imogene M. King Application of the model to: 09/27/12
NUR 201
Tori Canillas-Dufau, RN, EdD Who was Imogene M. King? "As young children, we learned reasoning and decision making in problem identification and resolution." Youngest of 3 in a loving family who believed in open communication and respect
Her father also encouraged careful thought and logic when it came to making decisions
This is the basis for formulating her goal attainment theory and transaction process model 1947-1958: Med-Surg Nursing Instructor and Assistant Director of St. John’s Hospital School of Nursing
(Masters, 2012)
1966-168: Assistant Chief, Research Grants Branch, Division of Nursing, Washington D.C.
1968-1972: Director School of Nursing at Ohio State University
1961-1966: Associate Professor at Loyola University, Chicago
1971-1980: Professor at Loyola University, Chicago

("King international nursing," 2012) Professional Career 1923: Born in West Point, Iowa
1945: Nursing Diploma from
St. John's Hospital School, St. Louis, Mo.
1948: BSN from St Louis University
1957: MSN from St. Louis University
1961: EdD from Teacher’s College,
Columbia University, N.Y.

("King international nursing," 2012) Development of the Interacting Systems Framework

and the

Theory of Goal Attainment Core Concepts for: Core Concepts King began to explore different aspects of nursing that stayed the same although the world was changing around it (Masters, 2012).

She chose to explore four “universal ideas” including:
Social systems, health, perception, and interpersonal relationships (Masters, 2012).

Certain assumptions were made about human beings in order to develop her framework and theory:
Assumptions included that human beings are social, spiritual, sentient, rational, reacting, perceiving, controlling, purposeful, action oriented, and time-oriented (King, 2007).

King developed her conceptual frame work in 1971 entitled Interacting Systems Framework (Khowaja, 2006).

In 1981 she developed the Theory of Goal Attainment (Khowaja, 2006). The Interacting Systems Framework Core Concepts Three levels of interacting systems
Personal Systems:
Examples include self perception and personal growth and development

Interpersonal systems:
Defined as interactions between 2 or more people

Social systems:
Examples include healthcare systems, religious systems, educational systems, and family systems
Key concepts in social systems are organization, authority, power, status, decisions

(Killen & King, 2007) Each system interacts with each other and the environment as well as influencing behavior. All interactions are reflected in the outcomes at any of the levels. Theory Of Goal Attainment Focuses on nurse-patient (client) relationship and interactions in terms of attaining goals (Masters, 2012)

 *Perception of one another
 Communication between the two
 *Interaction between the two
 Decision making about goals
 Agreement in how to reach the goal
 *Transactions made between nurse and patient

 * = The core concepts in this model

(Khowasa, 2006) Early Life and Education (Killen & King, 2007) Person
Relating to conceptual framework of interactions with self, interpersonal and social systems

Internal: How does the person use internal energy to adapt to changing situations?
External: The surrounding situation in which humans grow, develop, and go about day to day living
The environment is constantly changing so in-order to have a successful transaction we must be able to adapt

How the person adjusts or reacts to the environment to live at the most optimal level possible

Based on the optimal human interaction to help one achieve their goals

(Masters, 2012) Using the Metaparadigm Major concepts as they relate to: By 1968 nurses had identified a need for more research because of the increase of diversity in the nursing (Seiloff, Frey & King, 2007).

King identified *ten important concepts that play a big role in cultural diversity and trans-cultural nursing because it provides a basis for how societies and nations communicate with one another (Killen & King, 2007).

*Self, role, perception, communication, interaction, transaction, growth and development, stress, personal space, and time.
Provides insight into the nature of human beings and nursing (King, 1999).

•How one perceives situation and communicates is based off their culture and past experiences making every human diverse in nature (Killen & King, 2007).

By using this theory it shapes our interactions by remembering that every individual is a human being with their own sets of values and should be treated with equal respect (King, 1999). This theory helps us to learn the basics of communication

Sets a standard for mutual goal setting with patients and ensure purposeful interaction (Killeen & King, 2007).

Helps the nurse implement and organize transactions to achieve a pre-set goal (Killeen & King, 2007).

Developing in the role as a professional nurse requires becoming more competent and autonomous throughout educational development. Retirement and Death 1990 Retired with title Professor Emeritus, after serving as Professor at University of South Florida, College of Nursing

Continued to speak at conferences around the world and consulted with students who were using and studying her theory

2007: Died on Christmas Eve

("King international nursing," 2012) Importance and application of King's Model Mr. B. is a 78 year old African American, married male who was referred to the home health nurse after his discharge from the local hospital and was prescribed a low sodium diet.

Apply King’s Framework and Theory during initial assessment
How is concept of perception applied in the personal system?
During the interpersonal phase, discuss the interaction and nurse’s role
(Masters, 2012)
Mutual goal setting
What goals are in Mr. B’s best interest?
What are his goals?
Are the nurse’s goals and Mr. B’s goals similar?
If not, what further communication and interaction are needed?
What are the priority goals?
What does Mr. B perceive the best way to attain goals?
Is Mr. B Willing to work towards attainment of goals?
What does the nurse perceive the best way to attain goals?
(Masters, 2012, pp. 116)

The nurse-patient transaction process will be repeated throughout their interactions for ongoing evaluation of goal attainment Objectives for this presentation:
Imogene M. King's historical background
Explore core concepts for:
Basis for Interacting Systems Framework and Theory of Goal Attainment
Model and framework's importance to nursing relating to:
Culture, diversity and competence development
Discuss how King's model and framework addresses:
Nursing research, education and practice
As a class, discuss:
Case study and analyze how knowledge and application of King's theoretical model and framework assists in professional role development (Houser & Player, 2007, p.108) Family Life (King, 2007) King believes that her theory and framework contain various concepts that can be used as the basis for research
Theory of departmental power by Christina Sieloff (1995) based on Kings concept of power
Mary Killeen (1996) used King's concept of perception to explore a theory regarding patient satisfaction
She stresses that "There is no particular research method for any theory, as the method used relates to the problem studied."
(Fawcett, 2001, p.313) King's Conceptual Framework has been used to create nursing curriculum for various nursing programs
Ohio State University undergraduate nursing program
Loyola University Chicago graduate nursing program
King points out that a theory alone should not be used as the basis for a nursing school curriculum. (Fawcett, 2001) The Transaction Process Model can be used in daily practice
Mutually-set goals are created and achieved
These outcomes now become evidence-based practice
(Fawcett, 2001) Culture & Diversity Competency in Nursing
& Professional Role Development Nursing Research Nursing Education Nursing Practice Case Study King's Conceptual Framework for Nursing (Houser & Player, 2007) Model of Nurse-Patient Transactions “Beneficence is observed when nurses use knowledge of growth and development, stress, and personal space in helping individuals maintain their health or regain it. Health, as the goal, implies doing good.” (Lane-Tillerson, 2007, pp. 295-296) King's Conceptual Framework for Nursing (King, 2007) Model of Nurse-Patient Transactions (Killen & King, 2007)
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