Conceptual Framework of Imogene M.

King

Personal Systems Interpersonal Systems Social Systems

Personal System

Perception Self Body Image Growth and development Time Space

Interpersonal System

Role Human interaction Communication Transaction Stress

Social System

Organization Authority Power Status Decision making

 King was presented three dynamic interacting system as an open system framework for nursing. (King, 1981 , p.141 )

A Theory of Goal Attainment has been oriented from open system framework. ( King, 1981, p.142 )

Social System Interpersonal System Personal System

A conceptual framework for nursing: dynamic interacting systems.

How do the nurses apply this theory into the nursing practice ?

Focus to nursing process of concept of Kings Theory of Goal Attainment.

Perception Communication Interaction Decision making Transaction

Feedback

Perception Judgment

Nurse
Patient

Action
Reaction Interaction Transaction

Action Judgment Perception

Feedback

A Process Of Human Interaction

* to guide nursing practice in a specific nurse - patient * Identify patients perception about illness * To have judgment nurse- patient trough action and reaction between nurse - patient * Nurse - patient associate reaction, interaction, and transaction

Nursing Process Base On Kings Theory

Evaluation

Nurse
Assessment Diagnosis Planning Implementation

Patient

Evaluation

Assessment
* Occur during the interaction of nurse - patient * Nurse - patient have perception. * Communication of nurse and patient help nurses to collect patients data and their health status. * Interaction of nurse and patient * Use GONR tool to assessment * Development of GONR ( put / delete )

Diagnosis
* Share information between nurse - patient during assessment use to identify problem of patient * King identifies nursing diagnosis as disturbances problem about patient * Use GONR to list problem making nursing diagnosis

Planning

* After nursing diagnosis, nurse patient make planning * Nurse - patient interaction to making decision about goals. * Patient participate in decision about their health care

Implementation

* Interactions nurse - patient who come together in nursing care * Occurs in the activities to meet the goal * Continuation of transaction made between nurse and patient

Evaluation

* Nurse - patient identified goals are attain and if not, why not * Nurse - patient identified effectiveness of nursing care * Communication, decision making, perception, interaction and transaction are importance thing for outcome

Modified GONR
- Delete from data base
Admitted Assistive device

Personal habit

Skin clean Decubiti Bathing

- Put in form data base under psychological status

Stress factor Coping

Because we need to get more information from MI patient or their family

to support nursing process:

assessment, diagnosis, plan,

implementation, and evaluation

Relationship between concept and assessment Myocard Infarct patient base on Kings Theory

Perception
Patients perception important to their perceive about MI that perceive is : Good health
Anxiety Afraid

Interaction
Relationship with family or another Feeling of the patient when they have interaction Consult with doctor

Transaction
Association of patient

with nurse and doctor to support

the treatment planing include to get information from each others

Communication
Communication of patient
with their family

Changing information or idea

between patient , nurse,

doctor and health care team

Growth and Development

Identify information about:
Age

Gender
Weight

Family history
Illness history

Time
Illness Characteristic : Pain Pattern living

Sleep
Rest Activities Vacation Family

Role
Patient
Family wife children Nurse or Doctor Health Care Teams

REFERENCE
King, I. M. (1981). A Theory for Nursing: System, concepts, process. New York: John Wiley Medical Publication Kozier, B., Erb, G., Blais, K. & Wilkinson, J. M. (1995). Fundamentals of nursing: Concepts, process, and practice (5th ed). California: Addison Wesley