This paper discusses the interactions between nurse and patient and how it leads to transactions which result in goal attainment. It then looks at how mutual goal setting and goal attainment leads to enhanced growth and development for the client. It discusses the interrelated concepts related to goal setting including perception, communication, role, stress and transactions. The paper particularly focuses on Imogene King's model as a framework for assessing and maintaining the social system which assists patients to achieve their stated goals.
From the Paper:
"Goal setting removes emphasis from the biomedical model and disease-driven concepts and leads to a more comprehensive perspective which is also patient centered. The theorist King provided the conceptual approaches; Roy and Andrews studied the applicability of those approaches; and Kemp and Richardson studied the use of goals in the nursing process. A hierarchy of behavioral goals was also established to determine behavioral goals that relate to physiological, self-concept, role and inter-dependence issues. In the nurse-patient interaction behavioral goals are crucial (Lawler & Dowswell, 1999). The patient is to derive just as much satisfaction from goal achievement and progress as the nurse."
Sample of Sources Used:
Fleury, J. & Thomas, T. (1997). Promoting wellness in individuals with coronary heart disease. Journal of Cardiovascular Nursing, 11 (3), 26-43.
Lawler, J. & Dowswell, G. (1999). Recovering from stroke: A qualitative investigation of the role of goal setting in late stroke recovery. Journal of Advanced Nursing, 30 (2), 401-409.
Murray, R. & Baier, M. (1996). King's conceptual framework applied to a transitional living program. Perspectives in Psychiatric Care, 32 (1), 15-20.
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