Imogene King Theory

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Cebu Normal University
Osmeña Blvd., Cebu City
COLLEGE OF NURSING
Undergraduate School
School Year 2010-2011
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Imogene King’s Theory of Goal Attainment in the Care of Patient with Chronic Obstructive Pulmonary Disease A Research Proposal
In Partial Fulfillment of the Course Requirement for the
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Theoretical Foundations in Nursing
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Submitted to:
Mr. Julius Daño
Clinical Instructor

Submitted by:
Bernard John Ezra R. Icamen IV
Level I

I. Introduction
Chronic Obstructive Pulmonary Disease (COPD) is among the leading causes of death worldwide, along with lower respiratory tract infections, tuberculosis and lung cancer (Global Burden of Diseases [GBD], 2004). In 2004, World Health Organization estimated that there are 64 million people with COPD (World Health Organization, 2011). In the Philippines, the Department of Health (DOH) considers COPD as one of the country's major health problems. It is seventh among the top ten causes of mortality in the country (Department of Health, 2011) Considering the results of previous statistics, the researcher proposed a study that will address the patients who suffer from COPD. The theoretical framework guiding this study is Imogene King’s Theory of Goal Attainment. This study aims to focus on the attainment of goals, or outcomes, by nurse-patient partnerships.

II. Rationale
COPD (Chronic Obstructive Pulmonary Disease) is an umbrella term used to describe chronic lung diseases that are characterized by progressive obstruction of the airflow into and out of the lungs and increased shortness of breath. The two main diseases included under the umbrella term of COPD include emphysema and chronic bronchitis (WebMD, 2012). Cigarette smoking or exposure to tobacco smoke is the primary cause of COPD. (WebMD, 2012) The upside is that COPD, though considered a chronic, debilitating and sometimes fatal disease, can be managed, controlled and slowed down. The most important treatment for COPD is smoke cessation. Unfortunately, only about one third of the patients can abstain from smoking long-term. (COPD-International, 2002) The researcher decided to utilize Imogene King’s Theory of Goal Attainment in the treatment of this medical condition since it requires the interaction between the nurse and the patient and mutual goal setting. Nurses purposely interact with clients to mutually establish goals, and to explore and agree on means to achieve goals. Mutual goal setting is based on nurses’ assessment of clients’ concerns, problems, and disturbances in health, their perceptions of problems, and their sharing information to move toward goal attainment (King, 1981). King’s theory was chosen for this study as the theory focuses on the interaction that occurs between the patient and the nurse and how these two work together and move towards goal attainment. Through perception and communication goal attainment is greatly influenced. (Bailey, 2003) King (1981) described: “Effective communication and accuracy in perceptions in situations determine learning as well as the growth of the patient and nurse” (p. 86). Misperceptions between patients and nurses on educational areas can possibly hinder goal attainment. Patient compliance with a recommended treatment regimen is higher when there is a strong nurse and patient relationship (Dracup, et al., 1994). Focusing on the interaction of the nurse and patient, there would be a greater chance for agreement and fulfillment by the patient with the specified treatment for COPD, which is smoke cessation.

III. Review of Related Literature

Several researches and studies have been conducted using Imogene King’s Theory of Goal Attainment. Eñego (2009) utilized the Theory of Goal Attainment in the care of a client with chronic renal...
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