Imogene King - Ashley Raley

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Imogene King: Theory of Goal Attainment: 

Imogene King: Theory of Goal Attainment Ashley Raley Maryville University

Imogene King Educational Background : 

Imogene King was known as: A l eader Educator A nurse of great wisdom 1945- Nursing Diploma from St. John’s Hospital of Nursing St. Louis, Missouri 1948 - BSN with minors in Philosophy and Chemistry from St. John’s Hospital of Nursing in St. Louis, Missouri 1957- MSN from St. John’s University 1961- Doctorate in Education from Teachers College, Columbia University 1980- Honorary Ph. D from Southern Illinois University Imogene King Educational Background

Imogene King Recognitions & Awards: 

1989 – King received the honor society’s Elizabeth Russell Founders Award for Education 1996 – Received the Jessie M. Scott Award from ANA Convention 1998 - Founder of King International Nursing Group and Inducted into the ANA Hall of Fame and Florida Nurses Association Hall of Fame 2005 – Given title as “Living Legend" by the American Academy of Nursing King’s career spanned over 60 years Imogene King Recognitions & Awards

Theory of Goal Attainment Overview: 

Theory developed through Imogene King’s use of the conceptual system and the transaction process. Conceptual System: Social Systems (Communities) Interpersonal System (Families) Personal System (Individuals – i.e. nurse, patient) Transaction Process: T heoretical knowledge base for nurses Method to assess , diagnose, plan, implement and evaluate nursing care Similarly related to the nursing process. Nurse patient interaction Transactions Attainment of goals Theory of Goal Attainment Overview

Theory of Goal Attainment Conceptual System: 

Theory of Goal Attainment Conceptual System

Theory of Goal Attainment Assumptions: 

King’s basic assumption: Nurses and patients interact which leads to transactions that result in attainment of goals. Assumptions were focused on the following within her theory of goal attainment: N urse-patient interaction Patient’s involvement in their care Nurse-patient d ecision making process Changes in the patient’s environment Theory of Goal Attainment Assumptions

Theory of Goal Attainment Critique : 

Chinn and Kramer Model used to critique King’s Theory of Goal Attainment Evaluates 5 specific areas: Clarity Simplicity Generalizability Accessibility Importance Theory of Goal Attainment Critique

Theory of Goal Attainment Clarity: 

“How well can the theory can be understood and how consistently are the ideas conceptualized?” Assumptions remain consistent and clear in regards to nurse-patient interaction. Language is easily understood and tautology is not evident Connections of the metaparadigm: person, health, nursing, and environment are clearly defined. The conceptual systems framework provides structure and also clearly defines relationships. The process of transaction and consistency of ideas provides more clarity. Theory is considered of high clarity as parsimony is evident. Theory of Goal Attainment Clarity

Theory of Goal Attainment Simplicity: 

Use of multiple concepts Increased complexity Concepts derived from Von Bertanlanffy’s general systems theory. King has given them a new meaning in defining nurse-patient relationships, which is central to her theory of goal attainment. “The more phenomena the theory considers, the more potential relationships it could generate, and the more complex the theory is” ( Meleis , 2012, p. 195). Theory of Goal Attainment Simplicity

Theory of Goal Attainment Concepts: 

Theory of Goal Attainment Concepts Self Perception Role Communication Interaction Transaction Growth and development Time Space Stress S pecific concepts may affect goal attainment and decrease the theory’s simplicity

Theory of Goal Attainment Generalizability: 

Grand theory not too broad or too limited Provides foundation for the following: Nursing practice Research Development of middle-range theories “The broader the range of specific events it explains, the more powerful the theory” (King, 1999, p. 292). Generalizability is of high ranking. Theory of Goal Attainment Generalizability

Theory of Goal Attainment Accessibility: 

Accessibility refers to the extent to which empirical indicators can be identified for concepts within the theory. Theory of Goal Attainment - Grand theory Highly abstract concepts Does not lend itself to empirical testing Development of middle-range theories derived from King’s theory Less abstract concepts Allows for empirical testing Accessibility is of low ranking Theory of Goal Attainment Accessibility

Theory of Goal Attainment Importance: 

According to Chinn and Kramer, the importance of a theory is closely related to the idea of its clinical significance . Implementation of theory in practice, resulting in positive outcomes: Through means of nurse-patient interaction Nursing school programs and curriculum Goal Oriented Nursing Record Quality Assurance programs Attainment of goals represents outcomes. “Outcomes indicate a measure of quality care” (King, 1999, p. 293). H igh rank of importance and usefulness of King’s theory in nursing practice. Theory of Goal Attainment Importance

Theory of Goal Attainment Linking to Research: 

Research study performed by Frey and colleagues (2007) Purpose – To gain greater insight on the influences and complex factors associated with management of diabetes in adolescents. Goal - Improve blood sugar control and health behaviors by focusing on diabetic management. Result - Adolescents ’ health behaviors were influenced resulting in positive health outcomes and behavioral changes. King’s theory guided the approach through use of the conceptual systems, transaction process, mutual goal setting, and decision making process to achieve goals. A middle-range was derived - Theory of Multisystem T herapy and empirically tested to measure behavioral change for improving diabetes management in adolescents. Theory of Goal Attainment Linking to Research

Theory of Goal Attainment Linking to Practice: 

Nurse-patient interaction and goal attainment is the central focus in the community health setting . Nurse-patient interaction is important in establishing a relationship and setting mutual goals . It is essential to understand one’s values, concerns, and needs in order to set mutual goals to be met . Providing each patient with education and the resources needed to help them attain their goals and gain independence is key. Theory of Goal Attainment Linking to Practice

Theory of Goal Attainment Conclusion: 

High Ranking: Clarity Generalizability Importance King’s theory of goal attainment applies to: Individuals Families Communities King’s theory provides a foundational basis for the following : Further research Development of middle-range theories Advancement of nursing knowledge Theory of Goal Attainment Conclusion Low Ranking: Accessibility Importance