Imogene King's Goal Attainment Theory PDF

THEORETICAL FOUNDATIONS OF NURSING IMO G KIN oal ENE Attainment & Conceptual System Eleen Grace Manalese-Castillo, RN IMOGENE M. KING, EDD, RN, FAAN “The Nightingale Tribute to Imogene King”  Born on January 30, 1923, West Poi...

THEORETICAL FOUNDATIONS OF NURSING IMO G KIN oal ENE Attainment & Conceptual System Eleen Grace Manalese-Castillo, RN IMOGENE M. KING, EDD, RN, FAAN “The Nightingale Tribute to Imogene King”  Born on January 30, 1923, West Point Iowa  Died on December 24, 2007  1945 – BSN in SON St Lous, Missouri  1957 – Master of Science in Nsg, St. Louis University  A professor, director of School of Nsg, Ohio State University, chief nurse in US, DOH IMOGENE M. KING, EDD, RN, FAAN “The Nightingale Tribute to Imogene King”  1964 – Her first journal “Nursing Science “ – Martha Rogers edited  1961 - Doctoral Degree – Columbia University  Professor Emiritus  Fellow in American Academy of Nursing  Active member of various nursing organizations  GOAL ATTAINMENT THEORY 1960- King’s concept as nurse and patient communicate information, set goals together and then take actions to achieve goals “Nursing is a process of action, reaction, and interaction whereby the nurse and client share information about their perception in nursing situation”. Imogene King  GOAL ATTAINMENT THEORY Basic concept of the theory: Nurse and patient communicate information, set goals together, and then take actions to achieve those goals. 1971 Book “Toward a Theory for Nursing: General Concepts of Human Behavior” during the Conceptual System as herself: What is the goal of nursing? What are the functions of nurses? How can nurses continue to expand their knowledge to provide quality care?  GOAL ATTAINMENT THEORY A process of human interactions between nurse and client whereby each perceives the other and the situation, and through communication, they set goals, explore means, and agree on means to achieve goals.” I. King Interpersonal relationship allows the person to grow and develop in order to attain certain life goals. Factors that affect the attainment of goals are roles, stress, space, and time KING’S CONCEPTUAL KING’S MODEL CONCEPTUAL SYSTEM  3 INTERACTING SYSTEMS AND THEIR CONCEPTS INTERPERSONAL PERSONAL SYSTEMS SOCIAL SYSTEMS SYSTEMS Pperception, self, growth and interaction, organization, development, body communication, authority, power, image, space, and transaction, role, and status, and time. stress. decision making.  PERSONAL SYSTEMS (individuals) PERCEPTION it is the process in which data obtained through the senses and from memory are organized, interpreted and transformed. What number do you see? PERSONAL SYSTEMS (individuals) PERCEPTION Characteristics: Perception is universal. It is experienced by all subjectively. Perception is based on activity in the present that is based on available information. PERSONAL SYSTEMS (individuals) SELF self is made up of those thoughts and feelings related to one’s awareness of being a person. PERSONAL SYSTEMS (individuals) GROWTH and DEVELOPMENT the changes in behaviour at the cellular and molecular levels in the individual Usually occurs in an orderly manner, one that is predictable but has individual variation.  PERSONAL SYSTEMS (individuals) BODY IMAGE King indicates that body image includes both the way one perceives one’s body and others reaction to one’s appearance. it is personal, subjective, acquired, or learned. It is dynamic and changing as the person redefines self.  PERSONAL SYSTEMS (individuals) SPACE It is universally the same, subjective, and is defined by the physical area known as territory and by the behaviour of those who occupy it. definitions of space are influenced by culture.  PERSONAL SYSTEMS (individuals) TIME an interval between the two events that is experienced differently by each person. it is characterized as universal. unidirectional or irreversible as it moves from past to future with a continuous flow of events measurable and subjective because it is based on perception  INTERPERSONAL SYSTEMS (group) when personal systems come in contact with one another. formed by humans beings interactions. Two interacting individual forms a dyad, three forms a triad.  INTERPERSONAL SYSTEMS (group) INTERACTION It is defined as the observable behaviour of two or more persons in mutual presence. It is characterized by values, mechanism for establishing human relationships, being universally experienced, being influenced by perception. Contains verbal and non-verbal communication.  INTERPERSONAL SYSTEMS (group) COMMUNICATION Exchange of information between persons. Develops and maintains human relations and facilitates ordered functioning of human groups. Can be face-to-face, through electronic media and through written word; verbal and nonverbal. Intrapersonal communication can affect the person’s social exchange.  INTERPERSONAL SYSTEMS (group) TRANSACTION a series of exchanges between human beings and the environment that includes observable behaviour that seek to reach goal of the participants.  INTERPERSONAL SYSTEMS (group) ROLE it consists of a set of expected behaviour of those who occupy an identified position in a social system. Nurse’s role is defined as the interacting with one or more others in a nursing situation in which the nurse as a professional uses the skill, knowledge, and values in order to identify goals with others and help them achieve the goals.  INTERPERSONAL SYSTEMS (group) STRESS it is universal and dynamic as a result of open systems being in continuous exchange with the environment. it is subjective; it is an ever changing condition in which an individual through environmental interaction seeks to keep equilibrium to support growth and development and activity.  SOCIAL SYSTEMS (society) Social Systems interpersonal systems join together to form a larger system known as social systems (eg.religious, educational, health care systems). includes the role, behaviour and practices defined by the system for sustaining desirable attributes and for creating methods to maintain the practices and rules of the system.  SOCIAL SYSTEMS (society) ORGANIZATION the environment in which the system exist and that influences the availability of resources both human and material. it also includes the family members, administration, officers and members.  SOCIAL SYSTEMS (society) AUTHORITY it can be associated with the position in which the position holder distributes the rewards and sanctions. it can be held by professionals through their competence in using special knowledge and skills it is associated with power.  SOCIAL SYSTEMS (society) POWER characterized as universal, situational, necessary in the organization. it is necessary to avoid chaos in society and increases group integration. has a direct association with authority and decision making.  SOCIAL SYSTEMS (society) DECISION-MAKING it is necessary to provide order in an individual or group living and working. it is goal directive and continuous process. it is a process through which choices related to goals are made and actions are taken to move towards the goal.  SOCIAL SYSTEMS (society) STATUS relationship of ones place in a group to others in the group or of a group to other grou status is accompanied by advantages, accountability, and requirements. KING’S CONCEPTUAL MODEL of INTERACTION  PROPOSITIONS 1. If perceptual accuracy is present in nurse-client interactions, the transaction will occur. 2. If the nurse and patient make the transaction, the goal/goals will be achieved. 3. If goals are attained, satisfaction will occur. 4. If goals are attained, effective nursing care will occur. 5. If transactions are made in nurse-client interactions, growth and development will be enhanced.  PROPOSITIONS 6. If role expectations and role performance as perceived by the nurse and the client are congruent, transactions will occur. 7. If role conflict is experienced by the nurse or client or both, stress in the nurse-client relationship will occur. 8. If nurses with special knowledge and skills communicate appropriate information to clients, mutual goal setting and goal- attainment will occur.  MAJOR ASSUMPTIONS The focus of nursing is human beings interacting with their environment, leading to a state of health for individuals, which is an ability to function in social roles.  MAJOR ASSUMPTIONS Perceptions of nurse and of client influence the interaction process Goals, needs, and values of nurses and client influence the interaction process Human beings are open systems interacting with their environment constantly. Individuals have a right to knowledge about themselves. Individuals have a right to participate in decisions that influences their life, their health and community services.  MAJOR ASSUMPTIONS Health professionals have a responsibility to share information that helps individuals make informed decisions about their health. Individuals have the right to accept or to reject health care. Goals of health professionals and goals of recipients of health care may be incongruent.  “Mutual goal setting is based on nurses’ assessment of client’s concerns, problems, and disturbances in health, their perceptions of problems and their sharing of information to move toward goal attainment.” Imogene M. King, 1981 REFERENCE/SOURCE: Alligood, M. (2022). Nursing Theorist and their Works, Tenth Edition. Elsevier Inc. Rohini, T. (2021). https://www.youtube.com/watch?v=kZgyr7iMLS E