ADVANCE NURSING PRACTICE

TOPIC: Imogene King's Theory

PREPAIRED BY:

Rabari Nilam N.

F.Y M.Sc Nsg.

GINERA
INTRODUCTION
• Imogene King was born in 1923.
• Completed her diploma nursing education in 1945, at St.
John's Hospital.
• 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 Teacher’s college, Columbia
University
• Theory of goal attainment was first introduced by Imogene
King in the early 1960’s.
• Theory describes a dynamic, interpersonal relationship
• She has practiced as a staff nurse, nurse educator, and
nurse administrator.
• She formulates her theory when she was an associated
professor of nursing at Loyola c in Chicago
King’s Theory of goal
Attainment
• Imogene King’s concepts focus on
these methods to help nurses in the nurse-
patient relationship. King used
a “systems” approach in the development
of her dynamic interacting systems
framework and in her subsequent Goal-
Attainment Theory. King emphasizes that
both the nurse and the client bring
important knowledge and information to
the relationship and that they work
together to achieve goals.
King’s ConCepTual
Framework

• Several basic assumptions

• Three interacting systems

• Several concepts relevant for

each system
 1.BASIC ASSUMPTION

• 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: concept for

personal system, concept for interpersonal
system, and concept for social system.
2. Conceptual framework
3.Several concepts relevant for each
system
A.Concepts for Personal System

Perception

Time Self

Personal
system
Growth &
Space Developm
ent
Body
Image
 b.CONCEPTS FOR
INTERPERSONAL SYSTEM

Interactio
n

Stress Communic
Inter- ation
personal
system
Transactio
Role
n
3.CONCEPTS FOR SOCIAL SYSTEM

Organizat
ion

Power Authority

Social
system

Status Decision
making
Nursing paradigms

1. Human being /person

2. Health

3. Environment

4. Nursing
proposiTions of King’s Theory

• 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
• 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.
 THEORY OF GOAL ATTAINMENT AND
NURSING PROCESS
Nursing process method Nursing process theory
A system of oriented concepts
A system of oriented actions

Perception, communication
Assessment and interaction of nurse and
client
Planning Decision making about the
goals. Be agree on the means
to attain the goals
Implementation Transaction made
Evaluation Goal attained
APPLICATION OF THEORY

• PRACTICE

• ADMINSITRAION

• NURSING EDUCATION

• RESEARCH