Kings theory20(1)

1st Year M.Sc. Nursing
Advance Nursing Practice

1. Presented by:- HIMANI S. VARIYA F.Y M.Sc Nursing Roll No. 25 Imogene King's Theory

2. Imogene King-theorist Born in 1923 in west point, Lowa. Completed her diploma nursing education in 1945, at St. John's Hospital in St Louis, Missouri. Completed her B.sc nursing from St. Louis University in 1948 Completed her M.sc nursing from St. Louis University in 1957 Completed her ph.D from Teacher’s college, Columbia University She has practiced as a staff nurse, nurse educator, and nurse administrator. She formulates her theory when she was an associated professor of nursing at Loyola c in Chicago .

3. King’s Theory of Goal Attainment Imogene King’s concepts focus on these methods to help nurses in the nurse-patient relationship.  King used a “systems” approach in the development of her dynamic interacting systems framework and in her subsequent Goal-Attainment Theory. King emphasizes that both the nurse and the client bring important knowledge and information to the relationship and that they work together to achieve goals.  

4. King’s Conceptual Framework Several basic assumptions Three interacting systems Several concept relevant for each system

5. 1.BASIC ASSUMPTION Nursing focus is the care of human being Nursing goal is the health care of individuals & groups Interacting systems: personal system, Interpersonal system, Social system Concepts are given for each system: concept for personal system, concept for interpersonal system, and concept for social system.

6. Conceptual framework

7. 3 Interacting systems : The conceptual system is composed of 3 interacting systems :

8. Several concepts relevant for each system A.Concepts for Personal System

9. B. CONCEPTS FOR INTERPERSONAL SYSTEM

10. 3.CONCEPTS FOR SOCIAL SYSTEM

11. King’s theory of goal attainment Original concepts:- interaction, perception, communication, transaction, self role, stress, growth and development, time and space. In 2001, king added decision making and omitted growth and development, stress, time and space.

12. Concept of king’s theory

13. Transaction process model

14. Nursing paradigms

15. Human being /person Is social being who are rational and sentient. Person has ability to: Perceive Think Feel Choose Set goals Select means to achieve goals and To make decision  

16. According to King, human being has three fundamental needs :

17. Health According to King, health involves dynamic life experiences of a human being, which implies continuous adjustment to stressors in the internal and external environment through optimum use of one’s resources to achieve maximum potential for daily living.  

18. Environment Environment is the background for human interactions . It involves: (a)  Internal environment: transforms energy to enable person to adjust to continuous external environmental changes. (b)  External environment: involves formal and informal organizations. Nurse is a part of the patient’s environment.

19. Nursing Definition: “A process of action, reaction and interaction by which nurse and client share information about their perception in nursing situation.” and “ 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.”

20. Propositions of King’s Theory If nurse and client make transaction, goal will be attained If goal are attained, satisfaction will occur If transactions are made in nurse-client interactions, growth & development will be enhanced If role expectations and role performance as perceived by nurse & client are congruent, transaction will occur

21. Continue………. If role conflict is experienced by nurse or client or both, stress in nurse-client interaction will occur  If perceptual interaction accuracy is present in nurse-client interactions, transaction will occur If nurse with special knowledge skill communicate appropriate information to client, mutual goal setting and goal attainment will occur.

22. THEORY OF GOAL ATTAINMENT AND NURSING PROCESS Nursing process method Nursing process theory A system of oriented actions A system of oriented concepts Assessment Perception, communication and interaction of nurse and client Planning Decision making about the goals. Be agree on the means to attain the goals Implementation Transaction made Evaluation Goal attained

23. Assumption Nurse and client communicate information Set goal mutually Act to attain those goals

24. Assessment Occur during interaction Collects data regarding growth and development, perception of self and current health status Perception is the base for collection and interpretation of data Communication required to verify accuracy of perception, for interaction and transaction

25. Nursing diagnosis Data collected are used to make nursing diagnosis Acute pain related to surgical incision Risk for infection related to surgical incision Bed rest related constipation, narcotic pain relievers and nil by mouth or soft diet Deficient knowledge regarding the treatment and home care Health maintenance, ineffective

26. Planning Planning for intervention to solve problems In goal attainment planning is represented by setting goals and making decision

27. Implementation Implementation involves actual activities to achieve goal In goal attainment it is continuation of transaction

28. Evaluation Finding out whether goals are attained or not Evaluation speaks about goal attainment of goal and effectiveness of nursing care

29. APPLICATION OF THEORY PRACTICE ADMINSITRAION NURSING EDUCATION RESEARCH

30. STRENGTHS OF THEORY Easily understood Clear and conceptually defined from research literature at the time when the theory was developed.

31. King’s theory presents nine major concepts, thus making theory complex Kings theory has been criticized for having limited application in areas of nursing where patients are unable to interact competently with the nurse in case of unconscious and psychiatric patients King’s took learning and control as a sub-concept but does not define it OF THEORY

32. ANY QUESTIONS???