N491 Assignment Mod 8

Running Head: KING’S FRAMEWORK 1

KING’S FRAMEWORK 3

King’s framework

Jadiam Lopez

Aspen University

Professor Anny Dionne

N491

08/16/20

Introduction

The concept of the King’s Conceptual System Theory has considerably been referred to as the general systems framework, interacting systems framework, and the open systems model. The overall interpretation of the King's Theory entails the concentration with regards to the individuals' ability of continuity with regards to the achievement of their basic necessities to enhance their functioning with regards to their socially defined roles alongside the concept of interactions between individuals within the three, interacting, dynamic, and open systems. Therefore, the value attached to the King's theory is the ability of guidance provision with regards to the nursing practice. This was developed with regards to the conceptual framework whereby the King established the goal attainment theory. Thus, the middle-range theory is established to enhance a concentration with regards to the interactional process, which is established as the fundamental nature of nursing, consequently enhancing guidance to individuals with regards to the concept of goal attainment subject to their health (Fitzpatrick & Meredith Kazer, 2011).

This theory was established in early 1960s by Imogene King. The King’s System basically provides a description with subject to the interpersonal and dynamic relationships with regards to the patient’s growth and development subject to the attainment of specified life goals. The King's theory provides an explanation with regards to the factors affecting the attainment of life goals as being the concept of time, stress, roles, and space. This particular theory regarding goal attainment provides a nursing description as the process of action that entails the reaction and interaction that involves the sharing of information between the nurse and the patient regarding their perception subject to a nursing situation. The nursing concept has also been defined as a process that entails the concept of human interactions involving the nurse and the patient with regards to their perception regarding both the situation and each other, setting goals, the exploration of means, and establishing the appropriate means to enhance the achievement of goals (Christina Leibold Sieloff; Ph.D.; CNA; BC & Frey, 2007).

Goal achievement

The King's model enhances the interaction of various systems established as the personal system, interpersonal systems, and the concept of the social system. Thus, all three established systems are described as having their own established set of concepts. The personal system is rested on the concepts of self, body image, time, space, perception, and growth and development. On the other hand, the concept of an interpersonal system is attributed to communication, interaction, stress, role, and transaction. Additionally, the social system concepts rest on the elements of authority, organization, decision-making, status, and power. The theory provides various factors with regards to the systems established that translate to influences that impact the aspect of goal attainment (Sitzman & Eichelberger, 2010).

The theory is attributed to various propositions with regards to goal attainment that include the fact that in a situation that enhances the presence of perpetual interaction accuracy with regards to interactions between the nurse and the patients would translate to the occurrence of interactions. In a situation where there is a transaction that occurs between the nurse and the patient, the goals end up being achieved. Thus, the achievement of goals enhances satisfaction, whereby the aspect of growth and development is enhanced with regards to the interactions having been conducted between the nurse and the patient. In the situation whereby the nurse and the patient's perception of role performance and role expectations are established as being congruent, then this will consequently translate to the occurrence of a transaction. In the situation that establishes a role conflict with subject to both the nurse and the patient, it establishes the occurrence of nurse-patient interaction. In the situation whereby the nurse possesses special knowledge communication subject to particular information with regards to a patient, there will be a mutually enhanced goal-setting that will translate to the occurrence of goal achievement (Christina Leibold Sieloff; Ph.D.; CNA; BC & Frey, 2007).

Basing on King's assumptions, his theory establishes the human being as being a social being that is sentient and rational. The human being is established to possess the ability to perceive, feel, think, choose, make decisions, set goals, and select means for achieving goals. The human being is established to have three fundamental needs established as being the need for health-related information, the need for sickness prevention established by the need for care alongside the need for care in the situation where an individual isn't capable of helping out themselves (Butts et al., 2013).

Clinical quality problem definition

The concept of King’s Conceptual System has considerably enhanced the definition of clinical quality problems basing on the fact that the nurse is obligated to understand that communication is established to be key with regards to the trust between the nurse and the patient is the most significant element. Clinical pathways have been established to serving the purpose with regards to nurses communicating their patient care goals and outcomes alongside working with one another. Therefore, nurses are mandated to enhance the advocacy for a common nursing language that would translate to unity among nurses globally. The application of King's Conceptual System in our nursing career with regards to goal attainment has considerably elevated us with regards to having more power on the subject to our perception, growth and development, self, body image, time, and space (Butts et al., 2013).

King’s Conceptual System application

I would apply the King's Conceptual System on a post-op patient that has been subjected to a cholecystectomy surgery. Being a nurse, I would ask questions that would be making a determination with regards to understanding whether the patient understands the risk factors associated with their condition alongside their understanding with regards to a post-op patient. Additionally, both the patient and I identified with regard to the problems relating to the lack of interest in ambulation subject to post-op exercises. Being a nurse, I provided education to the patient with regards to both the significance and the risk factors associated with the patient, not understanding the importance associated with ambulation after undergoing surgery, for instance, translating to more severe complications. After the education session, the patient and I set a goal that we established as the patient remained free from complications associated with post-op. Additionally, we selected agreed approaches and being a nurse, and I assisted the patient with regards to the performance of agreed appropriate actions after the surgery, which included an exercise that entailed deep breathing, ambulation, alongside adequate intake of both food and water that would enhance the provision of adequate nutrition. This translated to the overall outcome becoming the fact that the patient was free of complication, consequently being discharged (Fitzpatrick & Meredith Kazer, 2011).

Quality committee outcome

Through the application of King's Conceptual System with regards to the research, there was resource limitation with regards to nursing informatics and project management. This necessitated the need for nursing informatics alongside a guidebook that entails project management with subject to combining these two concepts. Subject to the combination, various links regarding scholarly articles were also availed. Subject to the dissemination, there was evidence relating to the guidebook being received by 30 healthcare professionals on the basis of attendance, the implementation discussion, and an approach that enhanced feedback. In the future, the clinical-informatics subcommittee will enhance a program created with regards to discussing the learned lessons, which would enhance the guidebook becoming more specific with regards to my local hospital (Sitzman & Eichelberger, 2010).

Additional theory

The concept of the theory developed by Florence Nightingale with regards to our readings is another theory that could align with the subject of improved quality of practice. The concepts of modern nursing are established as being multi-focused, ever-changing, and complex. Basing on the times associated with Florence Nightingale, nursing's theory hasn't changed, which entails the provision of a caring and safe environment that enhances the promotion of well-being and patient health. The aspect of the application of effective interpersonal skills, for instance, advocacy, has been established to enhance the concept of caregiving environment. Florence Nightingale is established to have employed the concept of advocacy with regard to the development of modern nursing. Being a nurse, it is easy to undertake the combination of the two theories with regards to enhancing quality patient care subject to the ultimate and most cost-effective patient outcome (Christina Leibold Sieloff; Ph.D.; CNA; BC & Frey, 2007).

Conclusion

The overall interpretation of the King’s Theory entails the concentration with regards to the individuals’ ability of continuity with regards to the achievement of their basic necessities to enhance their functioning with regards to their socially defined roles alongside the concept of interactions between individuals within the three, interacting, dynamic, and open systems. The King’s Conceptual System has significantly enhanced both effectiveness and efficiency with subject to my nursing career (Christina Leibold Sieloff; Ph.D.; CNA; BC & Frey, 2007).

References

Butts, J. B., Professor Emeritus University of Alabama Tuscaloosa Inez Rovegno, Bandhauer, D., Rich, K. L., Visiting Professor Visiting Professor at the University of Miami Florida Tomas B Garcia, & Professor the University of Southern Mississippi College of Nursing Hattiesburg Mississippi Janie B Butts. (2013). Philosophies and theories for advanced nursing practice. Jones & Bartlett Publishers.

Christina Leibold Sieloff; Ph.D.; CNA; BC, & Frey, M. A. (2007). Middle range theory development using King's conceptual system. Springer Publishing Company.

Fitzpatrick, J. J., & Meredith, Kazer, A. (2011). Encyclopedia of nursing research (3rd ed.). Springer Publishing Company.

Sitzman, K., & Eichelberger, L. W. (2010). Understanding the work of nurse theorists: A creative beginning. Jones & Bartlett Learning

Smith, M. C., & Parker, M. E. (2015). Nursing theories and nursing practice (4th ed.). Philadelphia, PA: F.A. Davis. Chapters 9 & 14