IMOGENE KING: THEORY OF GOAL ATTAINMENT

Introduction of Theorist Born in 1923 Completed her Bachelor in science of nursing from St. Louis University in 1948 Completed her Master of science in nursing from St. Louis University in 1957 Completed her Doctorate from Teachers college, Columbia University Kings Conceptual Framework It includes: Several basic assumptions Three interacting systems Several concepts relevant for each system Basic assumptions Nursing focus is the care of human being Nursing goal is the health care of individuals & groups Human beings: are open systems interacting constantly with their environment Interacting systems: personal system Interpersonal system Social system Concepts are given for each system Concepts for Personal System Perception Self Growth & development Body image Space Time Concepts for Interpersonal System Interaction Communication Transaction Role Stress Concepts for Social System Organization

 Authority Power Status Decision making Major Theses of Kings conceptual framework Each human being perceives the world as a total person in making transactions with individuals and things in environment Transaction represents a life situation in which perceiver & thing perceived are encountered and in which person enters the situation as an active participant and each is changed in the process of these experiences Kings Theory of Goal Attainment Theory of goal attainment was first introduced by Imogene King in the early 1960s. Theory describes a dynamic, interpersonal relationship in which a person grows and develops to attain certain life goals. Factors which affects the attainment of goal are: roles, stress, space & time Propositions of Kings Theory From the theory of goal attainment king developed predictive propositions, which includes: If perceptual interaction accuracy is present in nurse-client interactions, transaction will occur If nurse and client make transaction, goal will be attained If goal are attained, satisfaction will occur Proposition cont 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 If role conflict is experienced by nurse or client or both, stress in nurse-client interaction will occur If nurse with special knowledge skill communicate appropriate information to client, mutual goal setting and goal attainment will occur. Major concepts of kings theory 1. 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 According to King, human being has three fundamental needs: (a) The need for the health information that is unable at the time when it is needed and can be used (b) The need for care that seek to prevent illness, and (c) The need for care when human beings are unable to help themselves. 2. 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 ones resources to achieve maximum potential for daily living 3. 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 patients environment. 4. Nursing Nursing: is defined as 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. 1. Action: is defined as a sequence of behaviors involving mental and physical action. 2. Reaction: not specified, but might be considered as included in the sequence of behaviors described in action. 3. (a) (b) (c) In addition king discussed: goal domain and functions of professional nurse

4. Goal of nurse: To help individuals to maintain their health so they can function in their roles. 5. Domain of nurse: includes promoting, maintaining, and restoring health, and caring for the sick, injured and dying. 6. Function of professional nurse: To interpret information in nursing process to plan, implement and evaluate nursing care. King said in her theory, A professional nurse, with special knowledge and skills, and a client in need of nursing, with knowledge of self and perception of personal problems, meet as strangers in natural environment. They interact mutually, identify problems, establish and achieve goals. Theory of Goal Attainment and Nursing Process Assumptions

Basic assumption of goal attainment theory is that nurse and client communicate information, set goal mutually and then act to attain those goals, is also the basic assumption of nursing process. Assessment King indicates that assessment occur during interaction. The nurse brings special knowledge and skills whereas client brings knowledge of self and perception of problems of concern, to this interaction. During assessment nurse collects data regarding client (his/her growth & development, perception of self and current health status, roles etc.) Perception is the base for collection and interpretation of data. Communication is required to verify accuracy of perception, for interaction and transaction. Nursing diagnosis The data collected by assessment are used to make nursing diagnosis in nursing process. Acc. to king in process of attaining goaI the nurse identifies the problems, concerns and disturbances about which person seek help. Planning After diagnosis, planning for interventions to solve those problems is done. 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 clients participation is encouraged in making decision on the means to achieve the goals. Implementations In nursing process implementation involves the actual activities to achieve the goals. In goal attainment it is the continuation of transaction. Evaluation It involves to finding out weather goals are achieved or not. In king description evaluation speaks about attainment of goal and effectiveness of nursing care. Nursing Process and Theory of Goal Attainment Nursing process method A system of oriented actions Assessment Planning Nursing process theory A system of oriented concepts Perception, communication and interaction of nurse and client Decision making about the goals Be agree on the means to attain the goals

Implementation Evaluation References

Transaction made Goal attained

1. Alligood M.R, Tomey. A.M. Nursing theory utilization and application. 2nd Ed.
Mosby, Philadelphia, 2002.

2. George B. Julia , Nursing Theories- The base for professional Nursing Practice ,
3rd ed. Norwalk, Appleton & Lange.

3. Wills M.Evelyn, McEwen Melanie (2002). Theoretical Basis for Nursing

Philadelphia. Lippincott Williams& wilkins. ed. Philadelphia, Lippincott.

4. Meleis Ibrahim Afaf (1997) , Theoretical Nursing : Development & Progress 3rd 5. Taylor Carol,Lillis Carol (2001)The Art & Science Of Nursing Care 4th ed.
Philadelphia, Lippincott.

6. Potter A Patricia, Perry G Anne (1992) Fundamentals Of Nursing Concepts

Process & Practice 3rd ed. London Mosby Year Book.

7.

Tomey AM, Alligood. MR. Nursing theorists and their work. (5th ed.). Mosby, Philadelphia, 2002