WK3PT2Assgn Berger M

Topics: Nursing, Patient, Nursing theory Pages: 6 (962 words) Published: April 22, 2015


Nursing Theory of Practice
Mark A. Berger
Walden University
Primary Care of Adults Across the Lifespan
NURS - 6531N - 6
Dr Brown
September 21, 2014
Nursing Theory of Practice
A common goal for Advanced Practice Nurses (APN) in the healthcare setting is to work towards disease prevention and the management of chronic and acute diseases. Decisions about patient care are driven by the APN with collaboration of the patient. The nurse brings special knowledge and skill sets to the table whereas the patient brings knowledge of self and perception of problems at hand (Alligood & Tomey, 2010). The theory of goal attainment by Imogene King (1981) indicates that a professional nurse and embodies knowledge and skills into racks with a client possessing knowledge of self and perception of personal problem will interact collaboratively to formulate and achieve goals ("Imogene M. King," 2011). This paper will review the chosen Theory of Goal Attainment, practicum goals and objectives taking into consideration the nine domains of practice, and provide a timeline of practicum activities thus far. Imogene King: Goal Attainment Theory

Healthcare deliveries often involve interpersonal relationships between people who often times are strangers. Dr. King indicates that the premise of the goal attainment theory is to mutually set goals, communicate effectively, and work together to achieve goals of treatment. The patient assessment occurs through interaction and during the assessment; the nurse collects data regarding the patient. Data may be scientifically obtained through subjective and objective information. Subjective information may be perceived by each patient differently, nonetheless remains a basis for data collection ("Theory of goal attainment," 2012). Using the Goal Attainment Theory within the nursing process would appear as follows. Within the assessment element, the patient must consider their perception of the situation as well as the APN must understand their perception and particular belief surrounding a given situation. This information tends to come available in the chief complaint as well as the history of present illness. The practitioner responsibility in the assessment phase is to perform a history and physical examination of the patient as well as perform investigative diagnostic testing that can help the provider to determine potential cause of the condition. The next process step based on utilization of the Imogene Theory is to discern what the information means to the situation ("Theory of goal attainment," 2012). After a diagnosis is formulated, the goals of treatment should include the patient and decision-making that will support the best interest of the patient. A key guiding principle of the Goal Attainment Theory is to ensure that the alignment of the goals is congruent between the patient and the practitioner. In practice, collaborative relationships result in better patient outcomes (Alligood & Tomey, 2010). Practicum Goals and Objectives

Identifying the practicum goals and objectives originate from basis of the nine nurse practitioner core competencies as listed in by the National Organization of Nurse Practitioner Faculties, NONPF, (2011). The following goals and objective for this clinical rotation is as follows. Become familiar with the overall layout of the clinic as well as become acquainted with workflow throughout the office. Become familiar with charting processes including the electronic medical records (EMR). Use personal resources to clinically evaluate patient conditions to formulate differential diagnosis, synthesize information, and analyze treatment regimens. Perform patient education as needed that relates to preventative behavior and health promotion. Continually search for ways of improvement to deliver appropriate and effective healthcare to the patient population that is seen in the clinic. Reinforce and develop further skill sets that will provide an accurate...

References: Alligood, M. R., & Tomey, A. M. (2010). Nursing theorists and their work (7th ed.). Maryland Heights, MO: Mosby, Elsevier.
Application of theory of goal attainment. (2012). Retrieved from http://currentnursing.com/nursing_theory/goal_attainment_theory.html
The national organization of nurse practitioner faculties. (2011). Nurse practitioner core competencies. Retrieved from http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/competencies/npcorecompetenciesfinal2012.pdf
Theoretical foundations of nursing, Imogene M. King: King’s conceptual system and theory of goal attainment and transactional process. (2011). Retrieved from http://nursingtheories.weebly.com/imogene-m-king.html
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