Imogene King's Conceptual System And Theory Of Goal Attainment '
Module Four Jessica M. Skaggs
Aspen University: N491
Tammy Fisher, RN, MSN, BSN
May 29, 2017
Module Four Imogene King and Myra Levine were nurses who viewed nursing as more than just handing out medications. Imogene King developed the Conceptual System and Theory of Goal Attainment in 1970’s-1980’s (George, 2011). Myra Levine developed the Conservation Principles in 1989 (George, 2011). Both women were well engaged with the aspect of direct patient care psychologically, emotionally, and physically. These theorists were wise beyond their years with the theories they developed.
King’s Conceptual System Imogene King’s Conceptual System was first established in 1971. King revamped the original Conceptual System in 1981. The conceptual …show more content…
system, as George stated, has health as a goal for nursing (George, 2011). With King's system, the patient and nurse usually do not know one another (George, 2011). The patient and the nurse brought judgements and perceptions of the situation together (Killeen & King, 2007). After bringing their decisions and observations together, they act and react to the opposite action (Frey, 2006). As George mentioned, those reactions led to an interaction (George, 2011).
Within King’s Conceptual System, there are three sub-systems. The three sub-systems are personal, interpersonal, and social systems (George, 2011). These three systems were vital to King’s theory in which she saw as focusing on human behavior. In that, there was an individual, which was what the personal system was (George, 2011). That would be like a member of a church. When the individuals interact with each other, they form the interpersonal system, like a Sunday School Class (George, 2011). Finally, when the groups interact with other groups that makes up the social system (George, 2011). An example of a social system would be the church. The church would be part of the social system where there would be other churches to make up the entire system triangle.
King’s Theory of Goal Attainment
Imogene King’s Theory of Goal Attainment is influenced by the three systems.
It is especially influenced by the interpersonal system. George stated, “The theories focus on interpersonal systems reflects King’s belief that the practice of nursing is differentiated from that of other health professions by what nurses do with and for individuals.” (George, 2011). Nurses tend to be present more at the bedside than that of any other profession. That is why King stated that the practice of nursing was different from any other health professional.
Current Interaction An example of a current interaction with patients that applies to King’s Theory of Goal Attainment would be a nurse and a patient, who do not know one another, are in a hospital. They come together to have the patient receive care to maintain a functioning role. The patient may have pneumonia and is requiring four liters of oxygen at rest and even more when ambulating. That would not be a functioning role for the patient who is a waitress in a diner. The nurse administers medications and breathing treatments and the patient ambulates frequently to be able to maintain a functioning role.
Case …show more content…
study Myra Estrin Levine’s theory, The Conservation Principles: A Model for Health, is achieved by adaptation (George, 2011). George also stated that conservation is preservation of the whole person (2011). Effective responses from different environmental can achieve this. It is typically based off of past events, like evidence-based practice (Lavin & Killeen, 2008). In the case study, it suggests that Jane is struggling with her illness of paranoid schizophrenia. This struggle can be seen with the frequent readmissions and abandonment of her extracurricular activities. Levine’s theory suggests that Jane preserves her whole self. This could be from starting to play piano again—something she did as a child. Not only did playing the piano comfort her but it was also the only activity she engaged in during her teenage years. It is very important that Jane felt some sort of purpose in her life.’ Jane does not adapt well to the internal and external environment.
As stated above, Jane felt ridiculed for things that had no reference to reality. Growing up Jane was shy and did not have very many friends. She found some reprieve playing the piano. After her mother and father divorced, she wanted to be alone and became even more withdrawn. She had little to no interest is any activities and eventually stopped playing the piano all together. Internally, she shut down and was even unable to read music anymore. There are several interventions that might ground the nurse in caring for Jane. The nurse can establish a therapeutic relationship, giving Jane someone who can use effective communication to help meet the individual needs (Ackley & Ladwig, 2014). The nurse can also promote social interactions by supporting Jane’s expression of feelings (Ackley & Ladwig, 2014). One other intervention a nurse might do for Jane is to assist her in identifying acceptable activities that encourage socialization (Ackley & Ladwig,
2014). Another theory that could be of benefit for Jane’s recovery is Ida Jean Orlando’s Nursing Process Discipline Theory. Applying this theory to the nursing care plan for Jane would meet her immediate need for help (George, 2011). The nurse would see the patient upset, and think the patient is upset, and finally the thought produces a feeling. The nurse’s response is only validated after she “checks for validity” with the patient (George, 2011). The reaction the nurse gives, is used to be helpful to Jane.
Conclusion
Imogene King and Myra Levine were amazing nurses, whom cared deeply for providing excellent care for their patients. As stated above, these two theorists were wise beyond their years with the theories they developed. The consistencies throughout their theories are testament to that.
References
Ackley, B. J., & Ladwig, G. B. (2014). Nursing diagnosis handbook: An evidence-based guide to planning care. Maryland Heights, Mo: Mosby/Elsevier.
Frey, M. A. (2006). (Imogene) king's conceptual system and theory of goal attainment (2nd. ed. ed.). New York: Springer Publishing Company. Retrieved from https://search.proquest.com/docview/189457400?accountid=34574
George, J. B. (2011). Nursing theories: The base for professional nursing practice (6th).
Upper Saddle River, NJ: Pearson. ISBN: 978-0-13-513583-9
Killeen, M. B., & King, I. M. (2007). Viewpoint: Use of king's conceptual system, nursing informatics, and nursing classification systems for global communication. International
Journal of Nursing Terminologies and Classifications, 18(2), 51-7. Retrieved from https://search.proquest.com/docview/194468556?accountid=34574 Lavin, Mary Ann, ScD,R.N., F.A.A.N., & Killeen, Mary B, PhD,R.N., C.N.A.A. (2008). Tribute
to imogene king. International Journal of Nursing Terminologies and Classifications,
19(2), 44-7. Retrieved from
https://search.proquest.com/docview/194483920?accountid=34574
Aspen University: N491
Tammy Fisher, RN, MSN, BSN
May 29, 2017
Module Four Imogene King and Myra Levine were nurses who viewed nursing as more than just handing out medications. Imogene King developed the Conceptual System and Theory of Goal Attainment in 1970’s-1980’s (George, 2011). Myra Levine developed the Conservation Principles in 1989 (George, 2011). Both women were well engaged with the aspect of direct patient care psychologically, emotionally, and physically. These theorists were wise beyond their years with the theories they developed.
King’s Conceptual System Imogene King’s Conceptual System was first established in 1971. King revamped the original Conceptual System in 1981. The conceptual …show more content…
system, as George stated, has health as a goal for nursing (George, 2011). With King's system, the patient and nurse usually do not know one another (George, 2011). The patient and the nurse brought judgements and perceptions of the situation together (Killeen & King, 2007). After bringing their decisions and observations together, they act and react to the opposite action (Frey, 2006). As George mentioned, those reactions led to an interaction (George, 2011).
Within King’s Conceptual System, there are three sub-systems. The three sub-systems are personal, interpersonal, and social systems (George, 2011). These three systems were vital to King’s theory in which she saw as focusing on human behavior. In that, there was an individual, which was what the personal system was (George, 2011). That would be like a member of a church. When the individuals interact with each other, they form the interpersonal system, like a Sunday School Class (George, 2011). Finally, when the groups interact with other groups that makes up the social system (George, 2011). An example of a social system would be the church. The church would be part of the social system where there would be other churches to make up the entire system triangle.
King’s Theory of Goal Attainment
Imogene King’s Theory of Goal Attainment is influenced by the three systems.
It is especially influenced by the interpersonal system. George stated, “The theories focus on interpersonal systems reflects King’s belief that the practice of nursing is differentiated from that of other health professions by what nurses do with and for individuals.” (George, 2011). Nurses tend to be present more at the bedside than that of any other profession. That is why King stated that the practice of nursing was different from any other health professional.
Current Interaction An example of a current interaction with patients that applies to King’s Theory of Goal Attainment would be a nurse and a patient, who do not know one another, are in a hospital. They come together to have the patient receive care to maintain a functioning role. The patient may have pneumonia and is requiring four liters of oxygen at rest and even more when ambulating. That would not be a functioning role for the patient who is a waitress in a diner. The nurse administers medications and breathing treatments and the patient ambulates frequently to be able to maintain a functioning role.
Case …show more content…
study Myra Estrin Levine’s theory, The Conservation Principles: A Model for Health, is achieved by adaptation (George, 2011). George also stated that conservation is preservation of the whole person (2011). Effective responses from different environmental can achieve this. It is typically based off of past events, like evidence-based practice (Lavin & Killeen, 2008). In the case study, it suggests that Jane is struggling with her illness of paranoid schizophrenia. This struggle can be seen with the frequent readmissions and abandonment of her extracurricular activities. Levine’s theory suggests that Jane preserves her whole self. This could be from starting to play piano again—something she did as a child. Not only did playing the piano comfort her but it was also the only activity she engaged in during her teenage years. It is very important that Jane felt some sort of purpose in her life.’ Jane does not adapt well to the internal and external environment.
As stated above, Jane felt ridiculed for things that had no reference to reality. Growing up Jane was shy and did not have very many friends. She found some reprieve playing the piano. After her mother and father divorced, she wanted to be alone and became even more withdrawn. She had little to no interest is any activities and eventually stopped playing the piano all together. Internally, she shut down and was even unable to read music anymore. There are several interventions that might ground the nurse in caring for Jane. The nurse can establish a therapeutic relationship, giving Jane someone who can use effective communication to help meet the individual needs (Ackley & Ladwig, 2014). The nurse can also promote social interactions by supporting Jane’s expression of feelings (Ackley & Ladwig, 2014). One other intervention a nurse might do for Jane is to assist her in identifying acceptable activities that encourage socialization (Ackley & Ladwig,
2014). Another theory that could be of benefit for Jane’s recovery is Ida Jean Orlando’s Nursing Process Discipline Theory. Applying this theory to the nursing care plan for Jane would meet her immediate need for help (George, 2011). The nurse would see the patient upset, and think the patient is upset, and finally the thought produces a feeling. The nurse’s response is only validated after she “checks for validity” with the patient (George, 2011). The reaction the nurse gives, is used to be helpful to Jane.
Conclusion
Imogene King and Myra Levine were amazing nurses, whom cared deeply for providing excellent care for their patients. As stated above, these two theorists were wise beyond their years with the theories they developed. The consistencies throughout their theories are testament to that.
References
Ackley, B. J., & Ladwig, G. B. (2014). Nursing diagnosis handbook: An evidence-based guide to planning care. Maryland Heights, Mo: Mosby/Elsevier.
Frey, M. A. (2006). (Imogene) king's conceptual system and theory of goal attainment (2nd. ed. ed.). New York: Springer Publishing Company. Retrieved from https://search.proquest.com/docview/189457400?accountid=34574
George, J. B. (2011). Nursing theories: The base for professional nursing practice (6th).
Upper Saddle River, NJ: Pearson. ISBN: 978-0-13-513583-9
Killeen, M. B., & King, I. M. (2007). Viewpoint: Use of king's conceptual system, nursing informatics, and nursing classification systems for global communication. International
Journal of Nursing Terminologies and Classifications, 18(2), 51-7. Retrieved from https://search.proquest.com/docview/194468556?accountid=34574 Lavin, Mary Ann, ScD,R.N., F.A.A.N., & Killeen, Mary B, PhD,R.N., C.N.A.A. (2008). Tribute
to imogene king. International Journal of Nursing Terminologies and Classifications,
19(2), 44-7. Retrieved from
https://search.proquest.com/docview/194483920?accountid=34574