The Theory Of Goal Attainment And Transactional Process

According to Alligood and Tomey the Neuman Systems Model is classified as a nursing conceptual model. “Nursing conceptual

The purpose of this paper is to compare and contrast nursing theorists from the four categories which are identified by Meleis as: Needs, Interaction, Outcome and Caring. (Meleis, 2012, Chapter 9) I have chosen Faye Abdellah, Imogene King, Myra Levine and Jean Watson as the grand theorists that I would like to explore for this study in contrast and comparison. This decision was made, in part, due to the fact that all of these theorists were born and educated in the twentieth century and I felt that their theories might be more applicable to my nursing practice. The information contained in the tables was obtained from several sources in an

King’s Theory of Goal Attainment was proposed in the 1960s and published in 1981. It was derived from her conceptual system which presented in 1968, and incorporates the concept of self, perception, growth, development, time, interaction, communication, role, and coping. The Theory of Goal Attainment is a practice methodology based on the nurse and patient setting goals together, and the nurse assisting the patient to meet these goals they set for their health (Caceres, 2015). These interactions between the nurse and patient are the process in which the professional relationship develops, mutual goals are set, and actions are planned to achieve these goals. It is an interaction-transaction process and is based on the nursing

Jones could vividly recall the collective support and motivation that was accompanied in his recovery by the entirety of his team (Jones, 2015). This presents the role of nursing, as well as the roles of the other health care professionals, is very collaborative and team oriented, as they were never addressed individually. This presentation of their roles was somewhat consistent with my pre-existent idea of what roles they play. An example would be in terms of emotional availability, by acknowledging Jones’ concerns. (Jones, 2015). However, I had never considered the role of nursing, or the other professions as being so largely team oriented or being in direct contact on a daily basis.

Description of Theory: Ida Orlando developed the theory that nurses are people who act deliberately. “Orlando’s theory is a reflective practice theory that is based on discovering and resolving problematic situations. If the problem is not discovered, it cannot be solved. The centrality of the patient is ever present when using Orlando’s theory (Schmieding, 1983).”

Human beings’ perceptions are programed through their experiences and these experiences influence their awareness. When each human being’s brain is mapping out their story, they are forming assumptions (Zander & Zander, 2000). People are not always aware of the assumptions they are making. Nurses encounter many different perceptions during a single patient interaction. There is the perception of the patient, the patient’s family, the doctor, co-workers and administration, just to name a few. These perceptions can all vary based on each person’s previous experiences. Nurses needs to be able to work with each person’s perception to be the best leader and patient advocate

The behavioral system model is a model developed by Dorothy Johnson. This theory was influenced by Florence Nightingale’s book titled notes on nursing and was developed using work of behavioral scientists in many disciplines such as psychology, sociology, and ethnology. This theory explains that nurse’s specific contribution to patient welfare is to foster an “efficient and effective behavioral functioning in the person, before, during, and after an illness.

Peplau’s theory of interpersonal relationship or nurse-client relationship revolves around interactions with clients. Previously, patients are merely view as objects that could only be observed by nurses. Nowadays, patients are view as individual who participate and interact actively in their care through communication by expressing their thought and concern (McCarthy & Aquino-Russell, 2009, p. 34) with the aim of supporting a client’s well- being and health.

AHIMA is the not-for-profit membership-based healthcare association representing more than 100,000 health information management (HIM) and informatics professionals who work in morethan 40 different types of entities related to our nation’s public health and healthcare industry.The Roadmap is aimed at building “an interoperable health IT ecosystem” and calls for “work in 3 critical pathways: (1) Requiring standards; (2) Motivating the use of those standards through appropriate incentives; and (3) Creating a trusted environment for the collecting, sharing, and using of electronic health information.”(p. 4)These efforts align very closely with AHIMA’sStrategy, “Drive the Power of Knowledge — Health Information Where and When It’s Needed,”aimed to:1. Ensure information governance and standards for electronic health information;2. Contribute to sound healthcare decision-making through analytics, informatics and decision support; and3. Empower consumers to optimize their health through management of their person health information. 2

“The nurse exemplifies teamwork and collaboration interventions by collecting data from the patient as well as involving the patient in the plan of care. The nurse then collaborates with the advanced practitioner to discuss findings and a plan of action. “The nurse implements patient teaching that eases the anxiety of having the exam or further treatment” (Potter & Perry,

“The basic concept of the theory is that the nurse and patient communicate information, set goals together, and then take actions to achieve those goals. It describes an interpersonal relationship that allows a person to grow and develop in order to attain certain life goals. The factors that affect the attainment of goals are roles, stress, space, and time” (Nursing Theory, 2011).   King desired to advance the profession of nursing by developing a framework and theory that can be understood and used by all nurses, in any situation. She not only developed the theory but she always remained active in the profession and availed herself to nursing students around the clock to aid with their knowledge and application of the theory right up until her sudden death in 2007.

The principles of goal setting were applied in this case by identifying the ever growing changing healthcare industry. The HIS department identified the need to create an achievement to reach the goal of switching from paper patient records to paperless electronic patient records. Due to the change in technology, new coding for diseases (ICD-10) it was imperative to remain up to date in their processes. Switching from a paper record keeping format is much more entailed than maintaining a paper patient health record. They needed to establish specific parameters in which to operate by. The department set descriptive business goals that enabled them to respond to each achievement in a measurable way. They established time sensitive goals in order to be prepared for the launch of ICD-10 by October 1, 2015 in the US. They knew there were valid reasons this change needed to occur, and knew it was not wise to keep employees working harder and not smarter. They also were aware of the need to be flexible due to the federal regulations that change throughout the year, from payment systems to new time lines to pay providers. All of these changes meant it was imperative to create system that and environment embraced change.

This theory explains, describes, guides, and supports nursing practice. It gives language to the unspoken beliefs and perspectives of the nursing profession. This allows the nursing professionals to better envision, realize, and articulate their unique role in healthcare (Green & Robichaux, 2009). Human caring is the basis of therapeutic relationships between human beings (Wade & Kasper, 2006)

The goals setting on the Health Information Services (HIS), are reflected in all the departments at the employee level, a job is a set of task, duties, assignments and responsibilities. The Leadership of the organization can examine and analyze the department’s alignment to achieve organizational goals at four different levels as re-engineering, restructuring, work design and job redesign. When is the analysis of an organization as HIS and the problems characteristics of the realignment of events by different departments, when the work have a significant distortion, fragmentations, and overload. “This theory maintains that employees will be far more motivated to work towards

Have you ever been so energized to do your work? If so, it probably was because of your massive motivation towards that work. Motivation is ‘psychological processes that arouse and direct voluntary actions towards goal-directed behavior’ (Kreitner, Kinicki, & Buelens, 2002). Goal-setting theory and expectancy theory are two process theories, ‘theories that focus on how we make choices with respected goals’, and this essay will investigate its effectiveness of enhancing employee performance (Buchanan & Huczunski, 2010).