Theory Of Goal Attainment Research Articles

「看護婦・士-患者相互行為における目標達成」と「看護婦・士-患者相互行為における満足感」に関する概念分析 : キング目標達成理論の検証に向けて

「看護婦・士-患者相互行為における目標達成」と「看護婦・士-患者相互行為における満足感」に関する概念分析 : キング目標達成理論の検証に向けて

目標達成度と満足度が高い看護婦・士の特性の探索 : キング目標達成理論を基盤にして

目標達成度と満足度が高い看護婦・士の特性の探索 : キング目標達成理論を基盤にして

Users’ participation in nursing care: an element of the Theory of Goal Attainment

Background: Users’ participation in care has been acknowledged as a key factor to improve health services. Aim: To analyze the Theory of Goal Attainment and to discuss the explicit and implicit relations between the Theory and the phenomenon of users’ participation in nursing care. Design: Theoretical analysis of the Theory of Goal Attainment. Methods: The analysis phase of the Framework for Analysis and Evaluation of Nursing Theories was applied. Then, the explicit and implicit relations between the Theory and the phenomenon of users’ participation were analyzed. Results: Users’ participation in nursing care is an element of the Theory of Goal Attainment, although limited to the goal setting and the means to achieve them. Conclusion: The choice for users’ participation in care is a right defended in health policies around the world. The Theory of Goal Attainment is an appropriate guide to nurses in defense of users’ participation in nursing care.

Knowledge and Attitude of Nursing Personnel and Accredited Social Health Activists (ASHAs) Regarding Prevention of Female Foeticide in Faridabad, Haryana

The present study was aimed to assess the effectiveness of structured training program regarding prevention of female feticide on knowledge and attitude of nursing personnel and Accredited Social Health Activists (ASHAs). The conceptual framework of the study was based on Imogene M. King's theory of goal attainment (1981). The research approach included both quantitative and qualitative. One group pretest-posttest design was used to assess the effectiveness of training program and phenomenological approach is used to analyze the experience of nurses and ASHA workers regarding female foeticide. The sample consisted of 39 subjects in interventional group and 40 in control group. The instruments of data collection include a self developed self administered knowledge questionnaire to assess the knowledge regarding female foeticide, a 5 point likert scale to assess the attitude of sample towards female foeticide and a short film on prevention of female foeticide to sensitize the nurses and ASHA workers. An in-depth interview was used to assess the experience of nursing personnel and ASHA workers regarding female foeticide. After pretesting of knowledge and attitude of interventional and control group, training program was administered to the intervention group, which include teaching program regarding selected aspects of female foeticide and administration of short film-‘JEEVANNIDHI’, which was prepared by the investigator. An in-depth interview was conducted for every 10th sample in the interventional and control group in order to analyze the experience of nursing personnel and ASHA workers regarding female foeticide. Post interventional assessment was done at one week and one month both in the interventional and control group. Among the total 79 sample, there were 56 ASHA workers, 20 ANMs and 3 LHVs. During the second post assessment, all the nurses and ASHA workers in the interventional group had excellent knowledge where as none of them had excellent knowledge in the control group. The mean post test attitude (156.65) of nurses and ASHA workers is higher than their mean pre test attitude (136.53). The results show significant difference in the knowledge and attitude score between the interventional and control group at 0.01 level of significance. The findings reveal that the training program is effective in sensitizing the nurses and ASHA workers regarding prevention of female foeticide. The findings of qualitative analysis reveal that the nurses and ASHA workers are sensitized about the issue and they want to take immediate steps to eliminate female foeticide from our country. The results substantiate that the nurses and ASHA workers can become channels in the prevention of female foeticide.

Model of Independency Mother in Caring for Preterm Infant based on Experiential Learning Care (ELC)

The role of parents have done less during the preterm infant care in hospitals caused dependence in caring for the baby. The Obyective of the study was to development a model of independence of the mother in the care of preterm infants with experiential learning approach based theory of goal attainment. Research’s design used analytic correlational in stage 1 and stage 2 used quasy experimental. The population used all mothers with preterm infants treated in perinatal dr. Wahidin Sudiro Husodo Mojokerto and Prof. Dr Soekandar Mojokerto Hospital with sample size was 28 samples respectively in the treatment group and the control group.Variables used knowledge, decision, action, interaction, experiential learning, and mother independence.The instrumen used questionnaire and checklist. The sample was selected by consecutive sampling method. The study was conducted in August to Desember 2014. In the treatment group was given ELC module and the control group was given treatment by leaflets.Technical data analysts used Partial Linear Square (PLS) and independent t-test. Knowledge maternal of preterm infants was influenced on the increase interaction with λ = 0,167. Decision mother in caring for preterm infants have a significant effect on the improvement of maternal interaction with the nurse with a value λ = 0,664. Measures mother caring for preterm infants have a significant effect on the improvement of maternal interaction with the nurse with a value λ = 0,172. Interaction significant effect on the increase of Experiential Learning mother in caring for preterm infants with a value λ = 0,790. Experiential Learning significant effect on the increase of the independence of mothers caring for preterm infants with a valuei λ = 0,560. Maternal interaction with nurses significant effect on the improvement of maternal autonomy treating preterm infants with a value λ = 0,204. T-test showed a significant difference between treatment groups increase independence and control groups. New finding of study is interaction with the approach of Experiential Learning Care (ELC) through methods role play a stronger in improving the independence than interaction direct to independence. Independence of the mother in caring of preterm infants used nursing interventions in the form of Experiential Learning Care (ELC) more meaningful improvement when compared to the conventional models of intervention. The presence of mothers in the intervention process would trigger a thought process and raises awareness. Awareness will be reflected in the thought process and used as a foothold in the act and acquire new skills to be able to solve the problem. Experiential Learning Care (ELC) can increase the independence of the mother in caring of preterm infants.

Hiring nurses re-entering the workforce after chemical dependence

Although many studies may have been conducted to gain greater insight into the experiences of chemically impaired nurses, few, if any, studies focused on understanding and explaining the experiences of administrators who have hired, fired, or supervised chemically rehabilitated professionals. Imogene King’s conceptual system and theory of goal attainment forms the framework for this study because the model is focused on three interacting systems identified as personal, interpersonal, and social systems. King views people as dynamic human beings whose discernment of persons, events, and objects guide their behaviors, social interactions, and physical well-being. This phenomenological study explored, the lived experiences of administrators, supervisors, and managers who have hired, fired, or supervised recovered chemical dependent nurses. Direct Nurse Managers’ perceptions and attitudes about rehabilitated professionals from chemical dependency who are re-entering practice are explored as well. The participants in the study unveiled assumptions as well as personal and professional insights about chemically rehabilitated professionals returning to the work setting. The themes that emerged from the study included demonstration of compassion, concern for the assignment of duties, the influence of personal values (forgiveness, acceptance, and respect for others), and concern for eligibility of employment and for the successful completion of the IPN program. The results from the study add to existing nursing literature and may assist leaders to construct a work setting conducive to meeting the goals set forth by nursing administrators as well as provide insight into and acceptance of the rehabilitated professional in the work setting.

Primerjava dveh teoretičnih modelov in teorije zdravstvene nege preko konceptov metaparadigme

Uvod: Izbira primernega teoretičnega modela ali teorije zdravstvene nege je osnova za dobro prakso. V Sloveniji uporabljamo teoretični model Virginie Henderson, ki ga v članku primerjamo s teoretičnim modelom Imogene M. King in teorijo zdravstvene nege Hildegard E. Peplau. 
 Metode: Uporabili smo deskriptivno metodo dela s pregledom domače in tuje strokovne ter znanstvene literature. Uporabili smo metodo kritičnega branja javno dostopnih virov, navezujoč se na podatke iz doslej objavljenih knjig, člankov in ostale literature, ki se dotika izbrane teme. Spletno iskanje literature je bilo opravljeno preko vzajemne bibliografsko-kataložne baze podatkov (COBIB.SI) ter tujih podatkovnih baz, kot so Jupsline, Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL). Za primerjavo teoretičnih modelov in teorije je bil uporabljen okvir za vrednotenje teoretičnih modelov in teorij po Jacqueline Fawcett. 
 Rezultati: Primerjani teoretična modela in teorija zdravstvene nege opišejo koncepte metaparadigme in odnose med njimi. Koncept zdravstvena nega je najpomembnejši v vseh teoretičnih modelih, cilj vseh pa je zdravje. Vse tri teoretičarke se manj poglabljajo v koncept okolje. 
 Diskusija in zaključek: Na področju uporabe teoretičnih modelov in teorij zdravstvene nege v zadnjih letih je narejenega premalo, medtem ko razvoj zdravstvene nege na drugih področjih hitro napreduje. Medicinske sestre morajo nadaljevati z raziskovanjem in razvojem teoretičnih modelov in teorij.

King's theory of goal attainment: exploring functional status.

Imogene King's Theory of Goal Attainment provides a schema for nurses interested in functional status. However, the lack of a uniform definition for functional status has hindered development of a concise understanding of this phenomenon. Functional status is particularly important to nurses who are concerned with the safety and wellbeing of clients. With healthcare's increased focus on client-family-centered care it is important to develop innovative approaches for evaluating functional status that incorporate the client-family perspective. King's focus on mutual decision-making is an underutilized resource that can provide great insight into the study and understanding of functional status.

Articulating nurse practitioner practice using King's theory of goal attainment.

To further understand the interactions between nurse practitioners (NPs) and patients, King's nursing theory of goal attainment was applied as the conceptual framework to describe the interactions between NPs and patients in the primary care setting. Six dyads of NPs and their patients were video- and audio-taped over three consecutive clinic visits. For the purposes of this arm of the study, the audio-taped interactions were transcribed and then coded using King's concepts in her theory of goal attainment. King's theory was applicable to describe NP practice. King's concepts and processes of nurse-patient interactions, such as disturbances, mutual goal setting, and transactions, were observed in NP-patient interactions. Disturbances during clinical encounters were essential in the progression toward goal attainment. Elements, such as social exchange, symptom reporting, role explanation, and information around clinical processes facilitated relationship building. NPs as practitioners need to be reflective of their own practice, embrace disturbances in the clinical encounter, and attend to these as opportunities for mutual goal setting.

Effectiveness of School Based Teaching Programme (SBTP) for Teachers Regarding ‘Prevention of Suicide among Students’ in Selected Schools, Mangalore

Suicide is a growing health problem in the world. Adolescent students are the most vulnerable group for suicide. The great tragedy about suicide among students is that it takes place despite the suicidal students giving out warning signals. A school based teaching programme (SBTP) on knowledge and attitude of teachers regarding 'prevention of suicide among students' is important to make the teachers aware and which will enable them to prevent suicide among students. The main objective of the study is to determine the effectiveness of school based teaching programme on knowledge and attitude of teachers regarding prevention of suicide among students in selected schools. The conceptual framework adopted for the study was based on the Modified Imogene King's Goal attainment Theory. An evaluative approach with pre-experimental (one group pre-test post-test) design was adopted for the study in order to determine the effectiveness of school. based teaching programme (SBTP) on knowledge and attitude of teachers regarding 'prevention of suicide among students' in selected schools, Mangalore. The tool used for the study was structured knowledge questionnaire and attitude scale. The study result shows that the difference between the mean posttest and the mean pre-test knowledge scores was found to be statistically significant t =6.11 (t29 =2.05, p Language: en

Understanding knowledge contributors’ satisfaction in transactional virtual communities: A cost–benefit trade-off perspective

This study investigates knowledge contributors’ satisfaction with a distinct type of virtual communities (i.e., transactional virtual communities, TVCs), where knowledge sharing is guided mainly under the principle of economic exchange, and cost–benefit tradeoff is the primary motive for knowledge sharing. Drawing upon the goal attainment theory, we examine the effects of two types of benefits (i.e., extrinsic and intrinsic) and two types of costs (i.e., actual and opportunity) on knowledge contributors’ satisfaction, and highlight the mediating role of perceived net goal attainment. A field survey with 205 subjects in a TVC in China is conducted to test the research model.

Effectiveness of Infrared Lamp on Reducing Pain and Inflammation due to Episiotomy Wound

The objective of the study was to assess the intensity of pain experienced by postnatal mothers due to episiotomy wound before and after infrared lamp therapy and to evaluate the effectiveness of use of infrared lamp on reducing pain and inflammation. Imogene M King's theory of Goal attainment was used as a conceptual framework for this study. The study involves evaluative approach and the design was a single- blind randomized control trial. One hundred and twenty postnatal mothers were selected from maternity wards of K.L.E.S Dr. Prabhakar Kore Charitable hospital, Belgaum. The investigator collected the data for analysis and interpretation, using standardized scales such as Visual Analogue Scale (VAS) and REEDA scale. In order to examine the proposed association the data was tabulated, analyzed and interpreted using descriptive and inferential statistics.

Effect of health contract intervention on renal dialysis patients in Korea

This study is a randomized, controlled trial to examine the effect of the health contract intervention, based on the goal attainment theory, on the self-care behavior and physiological indices of renal dialysis patients in Korea. The experimental group (n = 21) underwent health contract intervention for 4 weeks, while the control group (n = 22) received routine care. The data were collected using questionnaires and measurement of physiological indices and analyzed using the SPSS WIN 12.0 program. A P value < 0.05 was considered statistically significant. Total score of self-care behavior (P = 0.011) and individual scores for behaviors, such as diet (P = 0.017), exercise and rest (P = 0.001), and blood pressure and body weight (P = 0.006) were higher in the experimental group. Serum potassium concentration and mean weight gain between dialysis sessions were significantly low in the experimental group (P = 0.002, P = 0.017). Therefore, the health contract intervention based on the goal attainment theory proved effective in improving self-care behavior and physiological indices (K, P, mean weight gain) in renal dialysis patients in Korea.

Managerial coaching: a concept analysis

This article presents a report of a concept analysis of managerial coaching. Managerial coaching has been identified as a means for managers to give support to staff nurses, however, no clear delineation of what behaviours and attributes constitute managerial coaching or differentiate it from other career development relationships is provided in the current nursing literature. The CINAHL, ProQuest, Business Source Complete and PscyhIFNO databases were searched for articles published between 1980-2009 using the keywords coaching, managerial coaching, nurse manager support, nursing leadership, self-efficacy, work environment and empowerment. A hybrid approach was used, incorporating both Walker and Avant's method of concept analysis and King's conceptual system and Theory of Goal Attainment to explore the meaning of managerial coaching. Inclusive years of search ranged from 1980-2009. Managerial coaching is a specific dyadic relationship between the nurse manager and staff nurse intended to improve skills and knowledge as they relate to expected job performance. Antecedents and consequences are categorized at the individual and organizational level. Defining attributes, empirical referents and a model case are presented. The theoretical definition for this concept helps to differentiate it from other types of career development relationships and will give a basis for nurse managers to understand what skills and attributes are necessary to establish an effective managerial coaching relationship with staff nurses. Conceptualization will also assist in developing empirical studies examining managerial coaching behaviours in the work environment.

Effects of Active Parenting Today based on Goal Attainment Theory on Parenting Stress, Parenting Behavior, and Parenting Satisfaction in Mothers of School-Age Children

The purpose of this study was to verify effects of the Active Parenting Today (APT) program based on King's Goal Attainment Theory on parenting stress, parenting behavior, and parenting satisfaction in mothers of school-age children. This was a quasi-experimental study with a non-equivalent control group pre-post test design. Participants were 39 mothers of school-age children (19 in the experiment group and 20 in the control group) who were registered at two community children centers in G city. The experimental group received the APT program (2 hours/session/week) and telephone counseling (2 times/week) for 8 weeks. Data were analyzed using χ²-test, t-test, Fisher exact probability test, and ANCOVA with the SPSS/Win15.0 program. Parenting stress was significantly lower in the experimental group than in the control group. Positive parenting behavior and parenting satisfaction were significantly higher in the experimental group than in the control group. However, negative parenting behavior was not significantly different between the two groups. The results of this study indicate that the APT program based on King's Goal Attainment Theory is useful in reducing parenting stress, creating positive parenting behavior change, and promoting parenting satisfaction in mothers of school-age children.

An examination of the sustainable adoption of whole-person care (WPC)

This study illustrates how King's theory of goal attainment was used to focus an examination of whole-person care (WPC) and to extend the range of knowledge needed for WPC and nursing practice. Leadership implemented a faith-based innovation using continuing education for patient care that incorporates body-mind-spirit and eight principles called CREATION. Three questions arose: (1) Is there an evidence-based framework to determine whether the philosophy supports the discipline of nursing? (2) How extensive is the adoption and application of WPC? (3) Does the model make a difference in the context of nurse-patient interactions and outcomes in support of Magnet recognition criteria? Interpretative phenomenology was used and an interview protocol was developed to examine the adoption and movement toward a culture of WPC. WPC was 'lived.' it is a relationship-oriented patient care model. However, except in direct patient care, the principles of creation were poorly diffused. These results contribute to nursing leadership's roles in fostering a workplace climate that enables the diffusion of innovative models of care. In addition, these results support the Institute of Medicine's call for nurses to take the lead in adopting innovations and provides leaders with actionable strategies.

Determinants of reproductive health and related quality of life among Indian women in mining communities

This article is a report of a mixed method to examine the determinants of reproductive health and quality of life among Indian women. Reproductive health among married women in stressed regions of industrialized countries is an increasingly important consideration, but little is known about the important factors influencing reproductive health and quality of life. A descriptive correlational research design was used between January and April 2006 with 145 randomly selected married women in a rural mining region of India. The instruments used were the Reproductive Health Index Questionnaire and Interview and Ferrans and Power's Quality of Life Index. Inferential statistics were done using anova and manova. Thematic content analysis was used to analyse qualitative data. Reproductive health and quality of life was low among Indian women in mining communities. Higher age groups, better economic status, higher age at menarche, fewer number of children, absence of long-term illness, reproductive illness and domestic violence were important determinants of reproductive health and quality of life among these women in mining communities. The findings suggest that physical, psychological, sexual, family, socio-economic, energy level and cognitive domains of reproductive health and quality of life need to be assessed and are influenced by important determinants among women. These domains reflected in the theory of goal attainment should be an essential part of nursing process for providing women's reproductive health care in the mining community.

Effects of Integrated Menopause Management Program for Middle Aged Woman.

The purpose of this study was to examine the effects of integrated menopause management program derived theoretical framework of King (1981)'s goal attainment theory model for middle aged women. This research was a nonequivalent control group non-synchronized design. The subjects of this study were 37 middle aged women in Busan and experiencing menopause; 17 for the experimental group and 20 for the control group. Experimental group was educated for 1 hour group interchange activity and five minutes individual interchange activity, once a week during 8 weeks. Measurement for comparison were taken two times, at baseline, 8wks. The effects were evaluated with menopause symptom, menopause knowledge, menopause attitude and menopause management. The experimental group was significantly lower than control group on menopause symptom (F=5.936, p=.010) and higher than control group on menopause knowledge (F=12.031, p=.001) and menopause management (F=5.861, p=.010) after integrated menopause management program. However integrated menopause management program did not make significant differences on menopause attitude (F=0.105, p=.374). Results indicate that integrated menopause management program could be an effective intervention decreasing menopause symptom and for increasing menopause knowledge, menopause management in middle aged women.

Who uses nursing theory? A univariate descriptive analysis of five years’ research articles

Since the early 1950s, nursing leaders have worked diligently to build the Scientific Discipline of Nursing, integrating Theory, Research and Practice. Recently, the role of theory has again come into question, with some scientists claiming nurses are not using theory to guide their research, with which to improve practice. The purposes of this descriptive study were to determine: (i) Were nursing scientists' research articles in leading nursing journals based on theory? (ii) If so, were the theories nursing theories or borrowed theories? (iii) Were the theories integrated into the studies, or were they used as organizing frameworks? Research articles from seven top ISI journals were analysed, excluding regularly featured columns, meta-analyses, secondary analysis, case studies and literature reviews. The authors used King's dynamic Interacting system and Goal Attainment Theory as an organizing framework. They developed consensus on how to identify the integration of theory, searching the Title, Abstract, Aims, Methods, Discussion and Conclusion sections of each research article, whether quantitative or qualitative. Of 2857 articles published in the seven journals from 2002 to, and including, 2006, 2184 (76%) were research articles. Of the 837 (38%) authors who used theories, 460 (55%) used nursing theories, 377 (45%) used other theories: 776 (93%) of those who used theory integrated it into their studies, including qualitative studies, while 51 (7%) reported they used theory as an organizing framework for their studies. Closer analysis revealed theory principles were implicitly implied, even in research reports that did not explicitly report theory usage. Increasing numbers of nursing research articles (though not percentagewise) continue to be guided by theory, and not always by nursing theory. Newer nursing research methods may not explicitly state the use of nursing theory, though it is implicitly implied.

Nursing care in the Conceptual Model and Theory of Goal Attainment

ABSTRACTObjective: to present the conceptual model of open systems and King's Theory of Goals Attainment, as well as its contribution for nursing practice, approaching the need of an health assistance with the objective of attend society needs and develop the critical conscience in order to provide positive changes in people's lifestyle and the care aiming the valorization of the other, in order to stimulate active participation of the clientele in the health-disease-care process. Method: this is a reflection on the theory as support to the nursing interactive assistance. Results: we believe that the presented theory can contribute to the nursing practice. Final considerations: based on the theoretical-conceptual reference we have an alternative of humanized nursing care ruled in the interaction between professional and customer in order to propitiate the improvement of health and well-being of the clientele. Descriptors: health; nursing; nursing theory; models theoretical.RESUMOObjetivos: apresentar o modelo conceitual de sistemas abertos e a Teoria do Alcance de Metas de King; discutir a sua contribuição à prática do (a) enfermeiro (a), abordando a assistência à saúde que atenda às necessidades da sociedade no intuito de desenvolver a consciência crítica proporcionando mudanças positivas no estilo de vida das pessoas e o cuidado com vista à valorização do outro, de modo a estimular a participação ativa da clientela no processo de saúde-doença-cuidado. Método: reflexão sobre a teoria como subsídio para a assistência interativa de enfermagem. Resultados: acredita-se que a teoria apresentada poderá contribuir à prática da enfermagem. Considerações finais: a partir do arbouço teórico-conceitual, tem-se uma alternativa de cuidado de enfermagem humanizado, pautado na interação entre profissional e cliente, de modo a propiciar a melhoria da saúde e o bem-estar da clientela. Descritores: saúde; enfermagem; teoria de enfermagem; modelos teóricos.RESUMENObjetivo: presentar el modelo conceptual de sistemas abiertos y la Teoría de Alcance de Metas de King, y su contribución para la práctica del enfermero, señalando la necesidad de una asistencia de salud con la pretensión de atender a las necesidades de la sociedad y desarrollar la conciencia crítica de modo a proponer câmbios positivos en el estilo de vida de las personas y la atención con objetivo de valorar el otro, para estimular la participación activa de la clientela en el proceso de salud-enfermedad-atención. Método: reflejo sobre la teoría como soporte para la asistencia interativa de enfermería. Resultados: se cre que la teoria presentada podrá contribuir como posibilidad para la atención humanizada. Consideraciones finales: delante de marco teórico-conceptual, se mira una alternativa de atención de enfermería humanizado, basada en la interacción entre el profesional y cliente, para promover la mejoría y el bienestar de la clientela. Descriptores: salud; enfermería; teoría de enfermería; modelos teóricos.