Conclusion King contributed to the advancement of nursing knowledge through the development of her conceptual system and middle-range Theory of Goal Attainment.
Each of these systems has its own set of concepts. 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.
In goal attainment it is the continuation of transaction. During this phase, the nurse gathers data about the patient including his or her growth and development, the perception of self, and current health status.
If role expectations and role performance as perceived by nurse and client are congruent, transactions will occur.
Evaluation involves determining whether or not goals were achieved. It is both external to, and internal to, the individual. The environment is the background for human interaction. In the nurse-patient relationship, the nurse first uses his or her knowledge base to assess the patient and make a diagnosis.
Two interacting individuals form a dyad; three form a triad, and four or more form small or large groups. A model of transaction. Social systems are organized boundary systems of social roles, behaviors, and practices developed to maintain values and the mechanisms to regulate the practices and roles.
The planning is represented by setting goals and making decisions about the means to achieve those goals.
The goal of nursing is the health care of both individuals and groups. It involves the internal and external environments. For more detailed information: Power is social force that organizes and maintains society. It describes an interpersonal relationship that allows a person to grow and develop in order to attain certain life goals.
Understanding the interpersonal system requires the concepts of communication, interaction, role, stress, and transaction. In process of attaining goal the nurse identifies the problems, concerns and disturbances about which person seek help. This is also the basic assumption of the nursing process.
Function is demonstrated in reciprocal relations of individuals in interaction. Collaboration between the Dyads nurse-patient is very important for the attainment of the goal.
Persons exhibit common characteristics such as the ability to perceive, to think, to feel, to choose between alternative courses of action, to set goals, to select the means to achieve goals, and to make decisions.
The nurse and client share specific goals, problems, and concerns and explore means to achieve a goal. This phase is represented by setting goals and making decisions about the means to achieve those goals. Each is changed in the process of these experiences.The relationship of three interacting systems led to King’s Theory of Goal Attainment are the personal system (individual), the interpersonal system (nurse-patient dialogue), and the social system (the family, the school, and the church).
The Theory of Goal Attainment was developed by Imogene King in the early s. It describes a dynamic, interpersonal relationship in which a patient grows and develops to attain certain life goals.
Imogene King: Goal Attainment Theory 1. Goal Attainment Theory 2.
“A professional nurse, withspecial knowledge and skills, anda client in need of nursing, withknowledge of self and perceptionof personal problems, meet asstrangers in naturalenvironment.
Imogene M. King’s 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.
King’s Conceptual System and Theory of Goal Attainment and Transactional Process Dynamic Interacting Systems King has interrelated the concepts of interaction, perception, communication, transaction, self, role, stress, growth and development, time, and space into a theory of goal attainment.
In goal attainment planning is represented by setting goals and making decisions about and being agreed on the means to achieve goals. This part of transaction and client’s participation is encouraged in making decision on the means to achieve the goals.Download