Goal Attainment Theory

King’s Theory of Goal Attainment was proposed in the 1960s and published in 1981. It was derived from her conceptual system which presented in 1968, and incorporates the concept of self, perception, growth, development, time, interaction, communication, role, and coping. The Theory of Goal Attainment is a practice methodology based on the nurse and patient setting goals together, and the nurse assisting the patient to meet these goals they set for their health (Caceres, 2015). These interactions between the nurse and patient are the process in which the professional relationship develops, mutual goals are set, and actions are planned to achieve these goals. It is an interaction-transaction process and is based on the nursing

The goal of nursing practice is providing patients care that is catered to their specific needs rather than what

This paper is being submitted on January 17, 2017, for Eugenie Cook’s Fundamentals of Professional Nursing course.

Nursing theory is vital to the nursing profession because it provides a foundation and framework which is reflected in nurses’ caring ideals and practice (William, 2015). Theory provides an understanding of a nurse’s role within the healthcare system. The first nursing theory, formed by Nightingale, was observations of interventions that improved patient outcomes (Mackey & Bassendowski, 2016). Nurses can improve quality of care by implementing theory into their practice (Mackey & Bassendowski, 2016). This paper will discuss the importance of nursing theory, Florence Nightingale’s Notes on Nursing: What It Is and What It Is Not, and the application of this theory in the nurse

Every profession has its rules, beliefs, theories, and principles. This aforementioned are the podium upon which the value and philosophies of the success of each profession is based. These philosophies and values do not operate in a vacuum. They influence the way which professionals carry out their day to day activities for maximum success. Consequently, Nursing and Nurses are not immune to the great influence of values and philosophies, be it at personal or corporate levels. This is because, nursing as a profession deals with the constant interaction with patients; therapeutically providing quality, cost-effective care, promoting health and wellness, they are constantly guided and influenced by their personal and nursing philosophies in

Although working as a team to reach goals seems straight forward and logical, King’s theory is based on several assumptions. King believed that the nurse-patient working relationship is affected by how each sees the situation as well as how the goals, needs, and values. She believed in patient rights to personal information and to make decisions effecting their lives including the receipt of care. King knew that

I selected Jean Watson’s theory to research and write about because of its significant relevance to the professional and personal qualities of an effective, successful, nurse. The Ten Carative Factors are the basis of the Caring Science Theory, and serve as a guide to use when caring. They are skills and qualities I hope to master, and also qualities I deeply admire in other nurses. Jean Watson’s theory and ideas can be helpful if applied beyond nursing to personal interactions between all people. The idea of nurses needing instruction in how to emotionally care for patients seems common sense, but almost everyone could benefit from having a poster of the Ten Carative Factors hanging in their bedroom. In today’s fast-paced, cost effective setting, nurses need reminders to bring the focus back to caring for the patient as a person, not just symptoms or disease.

(Killeen, Mary B;King, Imogene M Apr-Jun 2007 ) The Theory of Goal Attainment is a combination of personal and interpersonal system and focuses on nurse-patient interaction which in the end helps achieved positive outcome. We as nurses also need self goal and achievement. Self refection and goal orientation in order to provide quality care. We can only give the care needed to anyone if we take care of ourselves first. The other necessity to achieve the goal of quality care is to have a great patient-nurse relationship. When nursing staff and the patient are working together to reach the same goal of getting better treatment the results are always

Imogene King was the developer of both a Conceptual Framework and a Goal Attainment theory. The Goal Attainment theory is a middle-range theory that originated from the Conceptual System. The primary concepts of Goal Attainment theory are perception, communication, interaction, self role, grow and development, stress, and time and space (Frey, Sieloff & Norris, 2002). The main point of Goal Attainment theory is that the nurse and the patient work together to define and reach goals that they set together (Killeen & King, 2007). This process is done mostly through communication,

Comparison and Analysis of Peplau's and Orlando's theories Peplau's and Orlando's theory each discusses the interaction between the patient and the nurse. Both theories consist of processes in which the ultimate goal is to satisfy the needs of the patient. Orlando's theory focuses on the immediate needs of patient on a certain time and place. The nurse perceives this need, validates them with the patient, and together formulates a plan to resolve the need/s (George, 2011). Peplau approaches this with the diverse background and individual uniqueness by both the nurse and the patient in mind (George, 2011, p. 65). She believes that each therapeutic encounter of the nurse-as-a-person and the patient-as-a-person has significant impact on the patient's quality of nursing care (George, 2011, p. 66). Orlando resolves this need through sharing her own reactions to the patient to ascertain and correctly identify the problem, and employ a well thought of plan of action based on research and training (George, 2011,

This process assists the nurse in determining the nature of the patient's distress and how best to help meet his or her needs. The nurse-patient relationship becomes one of reciprocity as the nurse seeks to confirm his or her perceptions and thoughts of the patient's immediate needs by communicating this to the patient both verbally and through automatic and deliberative actions as outlined below (Sheldon & Ellington, 2008).

According to Kearney-Nunnery (2010) nursing models demonstrate the relationship between a set of hypothesis. Imogene King's dynamic interacting systems framework consists of three interacting systems. As nurses, we are assessing how the patient interacts within the personal systems, interpersonal systems, and social systems. Through these interactions the nurse and client relationship takes place to set and met a desired goal. The purpose of this paper is to discuss King’s Conceptual System and Theory of Goal Attainment and how it applies to nursing.

Throughout this course, this writer has explored multiple nursing theories, several of the theories the writer intends on implement in her nursing practice. This author believes that the most vital theory that was explored is Hildegard Peplau’s theory of the importance of a good nurse to patient relationship. No matter where the nurse is working in order for the patient to receive the finest quality care and holistic care it is crucial to have a good nurse to patient relationship. A good nurse to patient relationship “increase[s] patient-provider communication [which] can change the patients’ view of their role” (Moore, Holaday, Meehan, & Watt, 2015, p.47). This specific nursing theory as well as many other theories the author intends to use

“The basic concept of the theory is that the nurse and patient communicate information, set goals together, and then take actions to achieve those goals. It describes an interpersonal relationship that allows a person to grow and develop in order to attain certain life goals. The factors that affect the attainment of goals are roles, stress, space, and time” (Nursing Theory, 2011).   King desired to advance the profession of nursing by developing a framework and theory that can be understood and used by all nurses, in any situation. She not only developed the theory but she always remained active in the profession and availed herself to nursing students around the clock to aid with their knowledge and application of the theory right up until her sudden death in 2007.

needs, thus enhancing the quality of care and life. The main focus of Parse’s and Pender’s theories is to promote quality of care and life by allowing the patient to drive their care decisions. In this paper, these theories will be explored and applied to clinical situations.