Imogene King Essay

As indicated from the article “Expert Voices” (2015), including the subtitle of what we do to end health disparities is a merit question for everybody to ask and then act and think about it. As a community nurse, my potent goal is to work with people in the community, dig down deeply to find the root of the problems, inform the people and solve it (Alvaro, C., 2014).

This statement clearly defines the scope of practice of a nurse. But in the field of nursing there are several kinds of care givers. It includes registered nurses, midwives, licensed practitioner nurses, enrolled nurses and nurse assistants. The scopes of practice for these care givers are not so common. The scope of practice depends on their education qualification and experience which are well defined by the governing bodies. Some areas in the scope of practice of a nurse according to Queensland nursing council are,

The purpose of this post is to discuss the nurse’s scope of practice. The American Nurses Association (ANA) has established guidelines to provide nurses a safe parameter to work within, while also protecting the patient. These laws are based on the competency, knowledge, judgment, and skills required by nurses in order to provide safe care for the public (National Council of State Boards of Nursing, 2015). It is imperative that nurses know their scope of practice within their state to avoid being charged with a violation of the Nurse Practice Act (Wilkinson & Treas, 2011). I will be discussing my states scope of practice in this posting.

Select an allied health care profession and provide a description of the jobs and services provided by that profession. Research regulatory or professional organizations that serve the profession you chose, and describe an area in which the profession seeks to improve or expand. In what other ways might the profession grow to better serve the ever-changing health care population?

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

2. Explain how you and other nurses might work with the community and the population of interest to improve the health concern.

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

a. Ensure the newly hired nurses have all the information needed to describe what it will be like to work at the hospital.

“Advanced nursing practice is the deliberative diagnosis and treatment of a full range of human responses to actual or potential health problems.” (Calkin, 1984). Advanced nurse practitioners attempt to maximize the use of knowledge and skills and improve the delivery of nursing and health care services. The field of advanced nursing practice differs from basic practice as the former requires clinical specialization at the master’s level. At this level, nurses become expert practitioners whose work includes direct and indirect patient care. Direct patient care involves caring for patients and their families; this is the focus of my section on nurse clinicians. Indirect patient care includes work as an educator, researcher, and a

Imogene King was the Midwestern, twentieth century nursing theorist that developed the conceptual system and theory of goal attainment and transactional process. Although not without controversy, her theory has been the spring board for some middle range nursing theories and nursing education programs. This theory is particularly intriguing to individuals who are goal driven and will be explored in detail in the following paragraphs.

When the purpose is to improve practice, nurses must give special consideration to questions such as these:

Based on my findings and the studies mentioned above, there are some variations in achieving better outcomes by age, gender, and race. This could affect my future practice, because I could be evaluated by my patients’ outcomes. Yet, quality healthcare outcomes depend upon patients' adherence to the recommended preventive services, lifestyle modifications, and treatment. So, my future practice is contingent upon my future patient population.

These impose severe constrictions on the ability of the nurse to move forward or advance into the areas of practice where traditional nursing practices were not allowed {Institute of Medicine, 2010}. However with the increase in the number of nurses graduating with advance degrees in nursing; the situation is changing. These well educated nurses are leading the charge to confront the complex issues that the rapidly changing health care situation presents. Regulatory barriers must be lifted so that nurses can practice within their scope in order to be reimbursed by private insurance for the services they provide. These changes can be done through the federal and state legislators as well as supervisory agencies and bodies such as congress and licensing regulatory boards. The IOM also recommends that nurses will expand their scope of practice and increase their responsibility through teaching and counseling of patients. {Institute of Medicine,2010}. The use of Advance Practice Registered Nurses and Physician Assistant in providing primary care services will decrease wait time and increase patient satisfaction. The high turnover of nurses transitioning from school to practice also affects the quality of care. These nurses do not have enough experience to make decisions in patient care.{Institute of Medicine,2010}.The IOM and JCAHO{2012} report supports the recommendations for the introduction of nursing residency

“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.

Nurses are welcomed to be more involved to lead the discussion, keeping the focus on patient care and good nursing.