King 's Conceptual System Theory A primary concept of nearly all nursing theories is the belief that humans are the center of nursing care. No matter what setting nurses are practicing in, the goal is to optimize patient outcomes by holistically caring for patients, families, and their environments. Imogene King took this idea, divided in into three systems: personal system, interpersonal system, and social system, and related the systems to goal attainment and specific concepts. Three Systems of King’s Conceptual System Theory The first system is the personal system. King expresses that every individual is a unique personal system that is in continuous interaction with the environment (Alligood, 2013). She also identified a number of concepts …show more content…
A patient and nurse interact and communicate and form an interpersonal system that is affected by situational factors in the environment (Alligood, 2013). Alligood (2013) also identifies the fundamental concepts of this theory as: perception, communication, interaction, transaction, self, role, growth and development, stress/stressors, coping, time, and personal space. These come from the personal and interpersonal system concepts. While the personal and social systems effect patient outcomes, the system that seems to have the biggest influence on this is the interpersonal system. This is typical in healthcare settings when two people, such as a patient and nurse, work together and fulfill the obligations of their individual roles to achieve mutually-set goals (Alligood, 2013). King refers to this process of a nurse interacting with a patient and setting a goal as a “transaction,” and that each transaction is beneficial to both individuals and is a step toward goal attainment (Smith & Parker, …show more content…
The concepts that King defined within each system are not confined to those systems, but rather flow through the systems fluidly (Sampoornam, 2015). These systems all influence one another, so each system must be addressed individually, and also as a whole. The focus of the committee will always be patient (personal system) outcomes, but it also must look at transactions between nurses and patients (interpersonal system), and how these transactions effect the healthcare system (social system) as a
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Nurses and physicians need to express themselves in a clear and precise manner, their message should rely on verification and collaborative problem solving. They need to displaying a calm and supportive demeanor under stress, maintenance of mutual respect, and authentic understanding of the unique role (Robinson, Gorman, Slimmer, Yudkowsky, 2010). Not everyone was born being able to express themselves in such a manner, therefore providing the necessary education and skills will help both nurses and physicians gain the confidence and competence they need to work
An example of the importance of interprofessional training is that when a physical therapist works with a patient in the hospital. If the patient is in too much pain or is sleepy from the medication the physical therapist will not be able to accomplish much. However, if the physical therapist contacts the nurses beforehand and informs them of the time he will arrive to work with a patient, the nurse could make accommodations. This would allow the patient to accomplish the physical therapist’s intended tasks for the day and the patient’s recovery time could decrease exponentially. Many patient’s care relies on their health care team effectively cooperating and acting as a cohesive unit for the patient to experience optimal
Interprofessional teamwork has become essential part of health care system in order to improve the quality of care. Many researches has suggested that collaboration of health care workers has impacted the patient care outcome in a positive way, as well as assisting to avoid errors by, “watching each other’s backs” (Cherry & Jacob, p 398). Furthermore, “Important indicators of safety, patient care, and environment of care, such as complications and error rate, length of hospital stay, conflict among caregivers, staff turnover, and mortality rate, have all been shown to decrease in collaborative care environment” (Green & Johnson, 2015, p. 2) In recent years, nurses are in front line in running health care in USA. According to Lomax and White (2015), the Institute of Medicine (IOM) published the report stating that in order to provide safe and high-quality care, it is crucial for nursed to collaborate with other health care professionals (para. 6).
Imogene King’s goal attainment theory focuses on the importance of the relationship between the nurse and patient along with the impacts it can have on attaining goals. There are many concepts within each system that King believes influence the outcome of the goals. The process of the nurse and patient relationship begins with the nurse. Then the patient along with the nurse both having their own experiences or thoughts on a situation, which can be completely different.
Knowledge of nurses is based on client’s health experience with their environment and nurse client relationship. Metaparadigm of nursing has four concept person, health, environment and nursing from which theories and philosophies are originated. These concepts are linked with one another. This is the reasons why nursing model and grant theories are limited to nurse patient situation and person environment interaction. (Kenny, 2013).
There are many discrepancies that exist among individuals of African descent regarding the origins of Chronic Kidney Disease (CKD), a perilous affliction which can be caused by numerous factors. Although blacks and African Americans represent just 13.2% of the overall U.S. population, they account for more than 35% of all patients in the United States receiving dialysis for kidney failure (The National Kidney Foundation, 2016). Black men have been found to suffer major health disparities when compared to their Caucasian counterpart’s. They also have an increased rate of diabetes, cardiovascular disease, and obesity. Significant differences exist in this population and include a number of factors such as; socioeconomic status, education, cultural, and even trust issues with health care providers.
Nurse’s role has a unique contribution in the interprofessional team. The interprofessional team are group of individuals in a various healthcare disciplines communicating and working together towards common goals to provide quality, individualized care for patients. Each team members from different profession and occupation collaborates, supports, enhances, and provides knowledge, skills, and attitudes to coordinate processes and interventions. Nurse’s offers specialized service to society to meet the health care needs of their clients.
These viewpoints have importance for medicine as well as for nursing or other health professions. The complete practice of human caring theory is most fully realized in a nursing theory because nursing allows for the constant caring factor that medicine does not have;
Neuroscience tells that each human being have a different and unique way of communicating, speaking, and interacting, and that humans have different experiences of conflicts that allows one human to connect with the other (Teitelbum, 2016). Having the power to communicate with one another is a privilege, but being able to connect and speak from the heart is a gift. Nursing is a profession that allows a person to give comfort and care through an effective communication which bridges in healing a person’s body. Being unable to positively communicate with the patient causes an enormous struggle in building a relationship between the patient and the nurse. This paper will point out the positive and negative communication a nurse used to interact with her patient and will offer alternatives to improve the nurse-patient relationship.
His framework focuses on an individual’s ability to meet their basic needs, which allows them to function in their defined roles. The framework focuses on perception, self-growth and development, body image, time, personal space and learning. King (1981) stated, “Although personal systems and social systems influence quality of care, the major elements in a theory of goal attainment are discovered in the interpersonal systems in which two people who are usually strangers, come together in a health care organization to help.” (Zimmerman, 2007) King’s framework can be compared to the assessment part of the nursing care plan.
5 NURSING PROCESS The nursing process is a series of organized steps designed for nurses to provide excellent care. Learn the five phases, including assessing, diagnosing, planning, implementing, and evaluating. 5:1 Personnel Context As a nurse can make a huge difference in the health of my patients by many methods.
The final concept is nursing. To define it, it’s a serving service, and a technology (Dorothea Orem 's Self-Care Theory, 2014). Engagements intentionally designated and executed by the nurses to support individuals below their precaution to sustain or altered disorders (Dorothea Orem 's Self-Care Theory, 2014). This also includes the patient’s viewpoint of health state, the Doctor’s standpoint, and the nursing perspective (Dorothea Orem 's Self-Care Theory, 2014). Nursing’s goal is to concentrate on the patient and how to sustain his or her well-being, life and health (Dorothea Orem 's Self-Care Theory, 2014).
This means that the nurse and patient have an interpersonal relationship where they communicate information, set goals together and then take action to achieve these goals, in order to grow and develop in hope of attaining certain life goals (Petripin). The patient is a social being with three fundamental needs: the need for information, the need for care that seeks to prevent illness, and the need for care when a patient is unable to help themselves (Petripin). King (1992) states that “the goal of nursing is health promotion, maintenance and/or restoration; care of the sick or injured; and care of the dying”. Based on these goals of nursing, The Theory of Goal Attainment is then separated intro three interacting systems: the personal system, the interpersonal system, and the social system. According to King, Individuals compromise one type of system in the environment called personal systems.