Nursing Theory
Nursing Theory
Question one: How does King’s Goal Attainment Theory contribute to nursing care planning, implementation, and evaluation?
The King’s theory of Goal Attainment analyzes the output of nurses in achieving health goals and promoting patient outcomes. In the given case, the Goal Attainment theory would play a big role in planning, implementing, and evaluating the care of the patient. The goal attainment theory claims that effective communication between nurses and patients helps in attaining healthcare goals (Basavanthappa, 2007, p. 165).
Planning:
The theory promotes good nurse-patient interpersonal relationships, which will be used in planning visits to monitor blood sugar levels, diet advice, exercise courses and mode of medication. The theory ensures timely consultation between the two parties making it easier for the implementation of the planned activities.
Implementing:
After planning for the patient’s care activities, implementation follows. The theory ensures effective communication between the nurse and the patient promoting togetherness that helps in timely implementation of the proposed plan.
Evaluation:
The evaluation process involves identifying the patient’s outcomes and analyzing them to determine whether there is any observable change. The theory introduces a framework that helps in evaluating the outcome of a health care plan. The concept of a personal system helps in understanding the patient’s nature, making it easier for the nurse to self-evaluate the patient.
Question two: Why is Levine’s Four Conservation Principles Theory applicable to Ann Ching’s case, and what nursing interventions should be applied?
The Levine’s Four Conservation Principles theory is the most appropriate for Ann Ching’s case. Levine’s theory claims that different individuals adapts differently to internal and external environments. Some individuals might have similar adaptive features, but organismic responses are unique (Levine, 2009). From Levine’s theoretical perspective, Ching suffered from two main problems. Firstly, the organ transplant caused Ching to develop a poor interaction with the environment, which resulted in poor adaptation to the environment. There was lack of balance between her normal body organs and the new liver. Secondly, Ching’s lifestyle changed because she used to live a healthy lifestyle but suddenly started surviving on drugs. As a mother of two and an employee, she could not bear sitting down and taking drugs while her family had no one to take care of since the husband was busy developing new software. Ching undergoes a stressful life. Stress is one of the aspects of the Levine’s theory.
The most appropriate nursing intervention for Ching’s case would be constant therapy and counseling sessions in order to make her accept the new life. In addition, Ching needs to be assigned a home-care practitioner to constantly check her status, encourage her to take medication and eat a healthy diet in order to ensure quick adaptation of the new liver to her body system. It is expected that Ching’s body will effectively adapt to the new environment and go back to her normal life.
Question three: How does the positivist paradigm shape the approach to nursing research and understanding healthcare issues?
The positivist paradigm observes the world as a base for unchanging universal laws and assumes that everything occurring in nature is explained through the knowledge of universal laws. People need to observe and understand the situations surrounding them in order to understand the universal law and promote positivism. The knowledge of positivism comes from scientific research, in which researchers use a quantitative methodology approach. It results in a scientific, logical approach to research. Positivists also form the source of all authoritative knowledge. In the field of nursing and medicine, positivist knowledge assumes that all healthcare issues in society would be explained in a theoretical approach. In addition, positivists acquire knowledge from philosophers who derive logical and mathematical treatments and reports that explain the nature of universal law and its application to the field of nursing research.
References
Basavanthappa, B. T. (2007). Nursing theories. New Delhi: Jaypee Brothers.
Levine, M. E. (2009). Myra Levine’s Conservation Theory. Retrieved November 3, 2014 from
http://nursingtheories.blogspot.com/2009/07/myra-levines-conservation-theory.html
Frequently Asked Questions
What is King’s Goal Attainment Theory, and how is it applied in nursing?
King’s Goal Attainment Theory emphasizes the importance of effective communication between nurses and patients to achieve healthcare goals. It guides planning, implementing, and evaluating patient care through collaborative communication.
How does Levine’s Four Conservation Principles theory help in nursing care?
Levine’s theory focuses on how individuals adapt to internal and external environments. It is particularly useful for patients experiencing significant lifestyle changes, such as after an organ transplant, helping them adapt and achieve balance.
What is the positivist paradigm, and how does it relate to nursing research?
The positivist paradigm views the world through universal laws and relies on scientific research to explain health issues. In nursing, positivism influences a scientific, logical approach to understanding and addressing healthcare challenges.
What nursing interventions are appropriate for patients undergoing significant life changes?
Interventions such as therapy, counseling, and regular check-ups from healthcare providers are vital for helping patients adapt to life changes and manage stress or lifestyle adjustments, as demonstrated in the case study.