Nurse Practitioners
Nurse Practitioners (NP) are becoming an important part of today’s health care system and their role has grounded in the disciple of nursing. Many studies proved the effectiveness of NP as a primary care provider compared to physician. These studies also indicated that care provided by NP in primary care settings brought improved patient satisfaction. This improved satisfaction is related to certain approaches NPs used in patient interaction such as, openness, connection, concern, respect, reciprocity, competence, and time. Kings theory of goal attainment can be used as a framework to guide NP–patient interactions. According to King’s theory “nursing is defined a process of human interactions whereby the nurse and patient each perceive the
other, set goals, and agree on a means to achieve the goals” (De Leon-Demare et al., 2015, p.632). A major concept in this theory is transaction that defines the transmission of values, aspirations and wants between nurses and patients. These are goal related human behaviors that are obvious, where the nurse and patient share frames of references, institute a reciprocal relationship, and negotiate mutually set goals. Transactions are purposeful interactions made by human beings to communicate with their environment to achieve goals that are valued. When transactions are made stress and tension is reduced, which facilitate growth and development. Disturbance is one of the key element of transaction. Goals are accomplished when nurse patient transaction occur. According to King’s theory there is a positive correlational relationship between the presence of transactions and patients’ perspectives of trust and satisfaction as outcomes of the NP–patient relationship. This study was conducted to describe the interactions between NPs and patients in the primary care setting by using King’s nursing theory of goal attainment. The study found that application of King’s theory exemplifies respect for patients and places importance on information exchange, goal setting, and patient-centered care. Therefore, this theory can be used by NPs as well as me to guide NP-patient interactions. Therefore, NPs can be more reflective and patient centered in their practice (De Leon-Demare et al., 2015). Watson’s caring theory also can be utilized by nurse practitioners as it helps to provide holistic care to patients.
other, set goals, and agree on a means to achieve the goals” (De Leon-Demare et al., 2015, p.632). A major concept in this theory is transaction that defines the transmission of values, aspirations and wants between nurses and patients. These are goal related human behaviors that are obvious, where the nurse and patient share frames of references, institute a reciprocal relationship, and negotiate mutually set goals. Transactions are purposeful interactions made by human beings to communicate with their environment to achieve goals that are valued. When transactions are made stress and tension is reduced, which facilitate growth and development. Disturbance is one of the key element of transaction. Goals are accomplished when nurse patient transaction occur. According to King’s theory there is a positive correlational relationship between the presence of transactions and patients’ perspectives of trust and satisfaction as outcomes of the NP–patient relationship. This study was conducted to describe the interactions between NPs and patients in the primary care setting by using King’s nursing theory of goal attainment. The study found that application of King’s theory exemplifies respect for patients and places importance on information exchange, goal setting, and patient-centered care. Therefore, this theory can be used by NPs as well as me to guide NP-patient interactions. Therefore, NPs can be more reflective and patient centered in their practice (De Leon-Demare et al., 2015). Watson’s caring theory also can be utilized by nurse practitioners as it helps to provide holistic care to patients.