SUBMITTED TO = SUBMITTED BY = Mrs. ANNAMMA SUMON RAHUL JOSHI ASSOCIATE PROFESSOR M.sc.NURSING BATCH-2023
G.C.O.N, JODHPUR G.C.O.N, JODHPUR
INTRODUCTION • Imogene King was born on Jan. 30 1923 in west point, Lowa. • She completed her basic nursing education in 1945 she received her diploma in nursing from St. John‘s hospital school of nursing, St Louis.
• In 1948, she received her B.Sc in nursing
education from St. Louis university. • In 1957, her M.Sc. in nursing from St. Louis University. • In 1961 she was awarded a doctorate in education from teachers college, Colombia University, New York City. • She held various positions in nursing education, administration and practice. • Her death occurred on 24 dec. 2007. • She from 1947 to 1958 worked as an instructor on medical surgical nursing and was an assistant director at St. john’s hospital school of nursing. • Her first theory article appeared in 1964in the journal, nursing science, which nurse theorist Martha rogers’edited. BASIC ASSUMPTION : 1. The assumptions that human beings are open system in constant interaction with their environment. 2. That nursing focus is human being interacting with their environment. 3. Nursing goals is to help individuals and groups to maintain health. 4. basic assumption of goal attainment theory is that nurse and client communicate information set goal mutually and then act to attain. PROPOSITIONS OF KING’STHEORY
1. If perceptual interaction accuracy is present in
nurse client interactions, transaction will occur. 2. If nurse and client make transaction, goal will be attained. 3. If goal are attained, satisfaction will occur. 4. If transactions are made in nurse-client interactions, growth & development will be enhanced’ 5. If role expectations and role performance as perceived by nurse & client are congruent, transaction will occur. 6. If role conflict is experienced by nurse or client or both, stress in nurse-client interaction will occur. 7. If nurse with special knowledge skill communicate appropriate information to client, mutual goal setting and goal attainment will occur. MAJOR CONCEPT INTERACTING SYSTEM:- 1. Personal system. 2. Interpersonal system. 3. Social system. • THE PERSONAL SYSTEM:- Individuals are personal systems. Each individual is an open, total, unique system in constant interaction with the environment. 1. Perception. 2. Self. 3. Growth and development. 4. Body image. 5. Space. 6. Time. 1.Perception :- A process of interpreting information from sense data and memory that gives meaning experience. 2. Self :- A composite of thought and feeling that constitutes a person awareness of individual existence of who and what he or she is. 3. Growth and development :- ―The processes that take place in an individual‘s life like cellular, molecular and behavioural change in human being. 4. Body image :- An individual‘s perceptions of his own body and others reactions to his appearance. 5. Space :- Existing in all directions and is the same everywhere. Defined by physical area known territory. 6. Time :- Existing in all directions and is the same everywhere. Defined by physical area known territory. Interpersonal system :- Interpersonal systems are formed by the interactions of two or more individuals. King refers to two individuals as dyads, three as triads and four or more individuals as small group or large group. 1. Communication. 2. Interaction. 3. Role. 4. Stress. 5. Stressors. 6. Transaction. • 1.Communication :- intrapersonal, interpersonal, verbal and non-verbal modes of interaction that contribute to development of human relationships. A person provides information directly the goals and the means to achieve it. • 2. Interaction :- The acts of two or more person in mutual presence. It is the observable verbal and nonverbal goal-directed behavior of two or more people in mutual presence and includes a perception and communication. • 3. transaction :- A process of interaction in which human being communicate with the environment to achieve goals that are valued. Two individuals mutually identify the goals and the means to achieve it. They reach an agreement about; how to attain these goals and then set about to realize them. • 4. Role :- Set of behaviours expected when occupying a position in a social system. Each person occupies a position in a social system that has specific rules and obligations. Roles can be congruent (resulting in transactions) or in conflict (resulting in stress). • 5 Stress :- Dynamic state whereby a human exchange energy and information between the person and the environment for regulation and control of stressors. • 6.Stressors :- Events that produce stress. SOCIAL SYSTEM :- Social systems are composed of large groups with common interests or goals. This shows how the nurse interacts with co-workers, superiors, subordinates and the client environment in general. Interactions with social systems influence individuals throughout the life span. 1. Organization. 2. Authority. 3. Decision making. 4. Power. 5. Status. 1. Organization :- A system whose continuous activities are conducted to achieve goals. Refers to a group of people with similar interest, who have prescribed roles and positions and who use resources to achieve personal and organizational goals. 2. Authority :- A transactional process characterized by active, reciprocal and perceptions play a role in defining, validation and accepting the authority of individual within an organization. 3. Decision making :- A dynamic and systematic process by which goal directed choice of perceived alternatives is made and acted upon by individuals or group to answer a question and attain a goal. • 4. Power :- Which is situational, dynamic and goal- directed, is characterized by the ability to use resources for goal achievement; power is also a means by which one or more persons can influence others. • 5. Status :- The position of an individual in a group or a group in relation to other group in anorganization. MATAPERADIGM 1.Human being/person. 2. Health. 3. Environment. 4. Nursing. 1.Human being/person :- King described a person existing in an open system as a spiritual being and rational thinker who makes choices, selects alternative courses of action, and has the ability to record their history through their own language and symbols, unique, holistic and have different needs, wants and goals. • 2. Health :- Health involve dynamic life experiences of a human being, which implies continuous adjustment to stressors in the internal and external environment through optimum use of one resource to achieve maximum potential for daily living. 3. Environment :- King defined Environment as the process of balance involving internal and external interactions inside the social system. o Reactions from the interaction between the internal and external environment can be biological, psychological, physical, social or spiritual. It has a direct exchange of information between the internal and external. 4. Nursing :- Nursing is a process of action, reaction, and interaction whereby nurse and client share information about their perceptions in the nursing situation. The nurse and client share specific goals, problems, and concerns and explore means to achieve a goal.