Imogen M. King

• conceptual system and theory of global attainment

  Imogen M. King
• 3 concepts formed:

  Personal system

  Interpersonal system

  social system
•  patient or a nurse

  Specifically: body image perception, growth & development of self, space and time

  
  

  personal system
• formed when two or more persons interacting with increasing complexity, forming dyads or triads

  Ex. nurse and patient dyad

  interpersonal system
• groups of people who share common goals, interests, and values within a community or society

  Ex. religious, educational, and health care decisions

  • Authority, decision making organization, power and status guides the understanding of this system

  social system
• • Human process of interaction formed the basis for this mode of transaction

  theory of global attainment
• develop to create awareness of the complex dynamics of human behavior in nursing situations

  conceptual system
• processes (global attainment)

  actions

  reactions

  interactions

  transactions
• • sequences of behavior involving mental & physical abilities

  actions
• • sequence of behaviors described in action

  reaction
• • process of communication & perception 

  interactions
• • interactions between humans represented by verbal/non verbal way

  transactions
• • Observable behavior found in the healthcare systems in society
  • Goal : help individuals maintain their health so they can do their roles
  • Involves the interpersonal process of action, reaction, interaction, and transaction

  Nursing
• • Are unique and holistic individuals of intrinsic worth and capable of rational thinking and decision-making in most situations
  • Individuals differ in their needs, wants, and goals
  • Individuals are spiritual beings

  Person
• • A dynamic state in the life cycle whereas illness interferes with that process
  • Implies continuous adjustment to stress in internal and external environment through the optimum use of one’s resources to achieve the maximum potential for daily living

  health
• • Refers to the background for human interactions 
  • Involves internal and external environment whereby interactions are constant 
  • Understanding the ways that human beings interact

  environment
• THEORY OF GOAL ATTAINMENT HYPOTHESES

  • Perceptual accuracy in nurse-patient interactions increases mutual goal setting
  • Communication increases mutual goal setting between nurse-patient and leads to satisfaction
  • Satisfaction in nurse-patient increases goal attainment
• KING’S  HYPOTHESES

  • Goal attainment decreases stress and anxiety in nursing situations
  • Goal attainment increases patient learning and coping ability in nursing situations
  • Role conflict experienced by patients and nurses or both, decreases transactions
  • Congruence in role expectations and performance increases transactions