Articulating nurse practitioner practice using King's theory of goal attainment

Leon-Demare, Kathleen de; MacDonald, Jane; Gregory, David; Katz, Alan; Halas, Gayle

doi:10.1002/2327-6924.12218

Cited by 12 publications

(8 citation statements)

References 16 publications

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“…Imogene King's descriptive study on nurse-patient interaction laid the foundation for concrete elements required for successful communication and transaction in the nurse practitioner-patient setting (33). Previous studies have demonstrated and validated King's transaction process using empirical data (30,34). These studies were conducted with nurses and in the pharmaceutical context, respectively.…”

Section: Discussionmentioning

confidence: 99%

The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China

Julien

Wang

Han

et al. 2021

Front. Public Health

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Objectives: To investigate the communication mechanism between international students and Chinese physicians by evaluating the influence of the transaction process on patient satisfaction, self-rating anxiety and self-efficacy.Methods: A cross-sectional survey was conducted among international students living in Central, Northern and Eastern China; enrolled at Chinese universities and experienced outpatient and inpatient healthcare services. Guided by the elements of King's transaction process: IR, Initiating and Responding; IP, Identifying Problems; MGS, Mutual Goal Setting; and EM, Exploring means and agreeing on means to achieve goals. We used spearman correlation analysis to calculate the correlation of the variables: patient satisfaction, self-efficacy, transaction process, IR, IP, MGS, and EM and regression analysis to measure the influence of transaction process on patient satisfaction, self-rating anxiety and self-efficacy.Results: Four hundred and four (404) participants were investigated for this study. The results of correlation analysis showed that there was a significant positive correlation among patient satisfaction, self-efficacy, transaction process, IR, IP, MGS, and EM (p < 0.05). Regression analysis showed that the higher scores of IR (β = 0.176, p = 0.003) and MGS (β = 0.249, p = 0.002) was associated with the higher score of patient satisfaction; the higher the score of IR and IP was associated with the higher self-efficacy score (β = 0.148,0.225; p = 0.016,0.001); and higher the MGS score was associated the lower the self-rating anxiety (β = −0.220, p = 0.022).Conclusion: The influence of transaction process on patient satisfaction, self-rating anxiety and self-efficacy between Chinese physicians and international students (Patients) was established. Findings support the urgent implementation of tools at healthcare facilities to improve the communication between Chinese doctors and international students, therefore improving patient satisfaction and self-efficacy, and reducing anxiety.

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Section: Discussionmentioning

confidence: 99%

The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China

Julien

Wang

Han

et al. 2021

Front. Public Health

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“…In an exemplar of King's theory of goal attainment practiced in a clinical context, six dyads of nurse practitioners and their patients were video-taped over three consecutive clinic visits, and these visits were coded using King's concepts of goal attainment (Leon-Demare, MacDonald, Gregory, Katz, & Halas, 2015). The researchers reported that staff members recognized disturbances and embraced opportunities for goal setting to improve the health status of individuals.…”

Section: Theoretical Nursing Knowledgementioning

confidence: 99%

Nursing Role for Medication Stewardship Within Long-Term Care Facilities

et al. 2019

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Long-term care facilities (LTCFs) provide rehabilitative, restorative, and/or ongoing skilled care to residents requesting assistance with activities of daily living over extended periods of time. The residents within LTCFs are often susceptible to infection and vulnerable to different diseases, which arise as exposure to high medication consumption increases (Tolson et al., 2013). Residents who live with multiple medications both prescribed and administered has been labelled polypharmacy. In a systematic review defining polypharmacy, Masnoon, Shakib, Kalisch-Ellett, and Caughey (2017) reported that the operational definition of polypharmacy includes "five or more medications prescribed/administered daily with a range include from two or more right up to 11 or more medications" (p. 2). In the literature, various factors have been reported that either enhance or impede achieving rational utilization of antimicrobial medications. For example, Van Buul et al. (2014) reported six categories of factors influencing antibiotic prescribing patterns, which include "clinical situation, advance care plans, diagnostic resources, physicians' perceived risks, influence of others, and influence of environment" (p. 1). In a retrospective audit, 519 records of residents within a LTCF for a 6-month time period of time appropriate antibiotic prescribing for urinary tract infections (UTIs) were compared to published criteria. When audit results were compared with published McGeer criteria "85% of patients did not meet criteria, yet antibiotic treatment was initiated in 41% of the cases" (Rotjanapan, Dosa, & Thomas, 2011 p. 438). The updated McGreer criteria serve as a standard for antimicrobial prescribing and focus on the following constitutional criteria for residents in LTCFs: fever, leukocytosis, acute change in mental status from baseline, and acute functional decline. Also outlined in McGreer criteria are three important conditions that provide specificity for LTCF residents to meet when reviewing constitutional criteria: 826310N SQXXX10.

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“…In this regard, the theory represents respect for patients and has a strong emphasis on information exchange, goal-setting, and patient-centered treatment. Therefore, applying King's goal attainment theory in nursing settings is expected to strengthen the foundation of nursing [14].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

“…The examination of recent studies in Korea and overseas has indicated that the goal attainment theory has been reflected in researches on the relationship between patients and nurses [12], nursing practice [14], nursing role [15], mentoring tools for nursing educators [16], telenursing practice [17], and nursing interventions [18,19].…”

Section: Introduction 1backgroundmentioning

confidence: 99%

Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis

Park

2021

Healthcare

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This study aimed to evaluate the effects of the goal attainment theory-based nurse-led intervention programs using a systematic review and meta-analysis. Randomized and non-randomized controlled trials, published from January 2001 to December 2020, were examined using four international databases and four domestic databases. The search, selection, and coding were performed independently by two researchers. R version 4.0.3 and Review Manager (version 5.3) were employed for meta-analysis and quality assessment, respectively. Of the 7529 articles retrieved, 18 were selected for analysis. The random overall effect size of the programs was 0.77 (95% CI = 0.61–0.94). Effect size by dependent variables were 2.36 (95% CI = 0.91–3.82), 1.25 (95% CI = 0.66–1.83), 0.83 (95% CI = 0.55–1.10), 0.64 (95% CI = 0.39–0.89), and 0.58 (95% CI = 0.30–0.85) for interpersonal, cognitive, health behavior, psychological, and indicators of physical health, respectively. Effect size by independent variables were 1.25 (95% CI = 0.86–1.64), 0.76 (95% CI = 0.48–1.03), 0.72 (95% CI = 0.37–1.06), 0.35 (95% CI = 0.21–0.49), and 1.35 (95% CI = −0.15–2.85) for prevention, health promotion, counseling and education, goal-setting and health contract, and parent participation programs, respectively. The effect size by control variables was 1.72 (95% CI = 0.88–2.56) at age ≤17, 0.85 (95% CI = 0.54–1.15) at time (min) 61–90, 1.04 (95% CI = 0.76–1.32) at sessions seven to eight, and 0.93 (95% CI = 0.66–1.19) at duration (weeks) five to eight. Thus, these programs were effective in improving various health aspects. Additionally, they can be recommended in various settings. Because efficacy is also influenced by control variables, considering treatment designs based on intervention characteristics and methodological approaches is warranted.

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Articulating nurse practitioner practice using King's theory of goal attainment

Cited by 12 publications

References 16 publications

The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China

The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China

Nursing Role for Medication Stewardship Within Long-Term Care Facilities

Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis

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