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HUM N491 Concepts And Theories In Nursing

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HUM N491 Concepts And Theories In Nursing

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Course Code: HUMN491
University: Aspen University

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Country: United States

1. Explain how the systems influence goal attainment
2. How could King’s theory help define a clinical quality problem?3. Apply this theory to a potential practice quality improvement initiative within your clinical practice.

King’s Conceptual System Theory
In theory development of nursing, Imogene king played a crucial role. King’s conceptual system theory refers to both theories, theory of goal attainment and conceptual framework which have incorporated in the major nursing practice. In 1981, she provided insight of her concept into basic assumptions which include”focus of nursing is in the care of a human being”, “the aim of nursing is the individual’s health and healthcare for groups” and “humans are an open system in the continuous interactions with the environment”(Alligood, 2017). The conceptual framework that Imogene king developed involves three interactive systems. These interaction systems are the following:
Personally systems
The personal system defined as the smallest level of an interactive system which comprised of individuals. A study suggested that personal system involve perception, self, development, and growth, space, time and body image (Kaakinenet al., 2018). The proposition was each concept of the king in the personal system defines each individual and influences their clinical practice. Example of personal interaction system is individual nurses and patients. 
Interpersonal system
The interpersonal system is defined as the second level of interaction. Williams (2017), defined that interpersonal system formed by human interaction, communication, transaction, role, and stress. This system is characterized by values, communication in between one or more individual where information’s is given to another person directly or indirectly (Kaakinen et al., 2018).The example of the interpersonal system is a family where a nurse and patient interact as well as family members interact. 
Social system
The social system is defined as the largest level of a system or society. The social system comprises ofauthority, status, organization, decision making, and power. The social interactive system is driven by an individual’s position in that particular social system. (Alligood, 2017). The examples of the social interactive system are religious organizations, hospitals or any other big organizations.
Explanation of the systems influences goal attainment
Nurses have certain goals for themselves and for the patient. These three system aids in influence the goal by building dynamic, interspersion and social relationship in which a patient grows and develops to attain a certain goal of life.Williams (2017),stated that a perceptual interaction that present between nurse and patient which is a part of personal system, help in building the communication between nurse and patient along with family members.  The communication will empower patient and aid in setting goals related to health and accomplishment of it with the assistance of the organization (Boulton& O’Connell, 2017).
King’s theory with regard to problem in clinical quality
King’s theory challenges nurses to continually educate themselves according to requirement and identify clinical problem through evidence-based practice (Williams, 2017). King’s theory highlighted that in order to serve patient communication of the nurses with the patient is essential where trust plays a massive role (Brockett&Hiemstra, 2018). Therefore, according to the King’s theory, communicating with the patients and working with them to attain goal will help in identifying a clinical quality problem.
Application of the king’s theory into the clinical practice
King’s conceptual system theory is one of the crucial theories of nursing development in orthopaedic clinical nursing practice. The theory of King promotes the idea of proper relationship between nurses and patient and emphasises on the mutual understanding between them. Along with that, this theory also suggests the idea that nurses and patient’s idea has to be synced and nurses need to use her/his skills for setting up of goals. To be particular, orthopaedic nursing deals with musculoskeletal disease such as broken bones, joint, and arthritis. A study byBarry (2017), suggested that in musculoskeletal diseases such as bone fracture, genetic deformities, and osteoporosis, severe joint pain is one of the crucial systems which needs clinical attention. It has been usually observed that due to lack of empathy in nurses along with skills of therapeutic communication, it affected the quality of patients’enteric care and patient refuse to seek clinical assistance (Brockett&Hiemstra, 2018). All of these above mentioned issues can be handled by implementing the King’s conceptual system theory in clinical practice.Therefore, as quality improvement initiatives, I would apply the king’s conceptual system to communicate with patients and show them empathy during pain management. Building a therapeutic relationship between nurse and patient with the assistance of the king’ theory help in addressing the patient’s concern and better pain management which in turn enhance clinical outcome. It will also empower the patient and improve patient satisfaction. 
Alignment of King’s Conceptual System Theory with regards to quality committee outcomes
All of the quality committee members have to be able to communicate on regular basis in order to settle in the present intervention of patient-centric care where the leadership quality of each member must be reflected. Any disagreement must be resolved through discussion and information must be provided to every layer of the health care system for meeting patient’s criteria and to achieve the designed outcome (Hall, 2018). The quality committee members should be involved in the patient-centric care and their input would be utilized for any changes. In this way, alignment of the King’s Conceptual System Theory can be achieved in regards with quality committee outcomes.
Additional nursing theory
King’s conceptual system theory is in alignment with the Peplau’s Patient – Nurse Relationship.  The rationale behind choosing the Peplau’s Patient theory is that the importance of construction a credulous relationship between patient and nurse is highlighted in the both theories and both the theories aid in designing process of a care plan for patient. Peplau’s theory defined nursing as a therapeutic and interpersonal process which takes place when professionals involve themselves in the therapeutic relationship with the patient (Brockett&Hiemstra, 2018). Therefore, to conclude, both the theories suggested that one must be open-minded and able to adapt to the changes in order to provide patient-centric care.    
Alligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences.
Barry, P. (2017). Beginning theory: An introduction to literary and cultural theory. Oxford University Press.
Boulton, M., & O’Connell, K. A. (2017). Nursing Students’ Perceived Faculty Support, Stress, and Substance Misuse. Journal of Nursing Education, 56(7), 404-411.
Brockett, R. G., &Hiemstra, R. (2018). Self-direction in adult learning: Perspectives on theory, research and practice. Routledge.
Hall, M. (2018). The theory of groups. Courier Dover Publications.
Kaakinen, J. R., Coehlo, D. P., Steele, R., & Robinson, M. (2018). Family health care nursing: Theory, practice, and research. FA Davis.
Sowden, S., Koehne, S., Catmur, C., Dziobek, I., & Bird, G. (2016). Intact automatic imitation and typical spatial compatibility in autism spectrum disorder: challenging the broken mirror theory. Autism Research, 9(2), 292-300.
Williams, L. A. (2017). Imogene King’s interacting systems theory: Application in emergency and rural nursing. Online Journal of Rural Nursing and Health Care, 2(1), 40-50.
Zarea, K., Maghsoudi, S., Dashtebozorgi, B., Hghighizadeh, M. H., &Javadi, M. (2014). The impact of peplau’s therapeutic communication model on anxiety and depression in patients candidate for coronary artery bypass. Clinical practice and epidemiology in mental health: CP & EMH, 10, 159.

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