The meaning of high-quality nursing care derived from King’s Interacting Systems

2.50
Hdl Handle:
http://hdl.handle.net/10755/149362
Type:
Presentation
Title:
The meaning of high-quality nursing care derived from King’s Interacting Systems
Abstract:
The meaning of high-quality nursing care derived from King’s Interacting Systems
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Gunther, Mary, PhD
P.I. Institution Name:University of Tennessee
Title:Assistant Professor
The purpose of this study is to conceptualize quality within a framework unique to nursing, King’s General Systems Framework. By doing so, nursing knowledge is differentiated from that of medicine resulting in theoretical and practical clarity necessary for the discipline’s survival and growth. Gadamer’s philosophical hermeneutics involves a dialogical interaction between the whole and parts of the text and between the horizons of the text and the interpreter. In this research study, using dialogical interaction, King’s (1981) A theory for nursing: Systems, concepts, process is approached with the question: What are the characteristics of high quality nursing care? Using the framework of Fawcett’s Structural Hierarchy of Nursing Knowledge, the meaning and experience of high-quality care is found in the metaparadigm relational proposition that nursing is concerned with the nursing actions or processes by which positive changes in the person’s health status are effected. Findings: Nursing actions are performed in an interpersonal field and influenced by the developmental level of the personal system of each participant as well as the conceptual characteristics of the larger social system. Quality is an experiential judgment emerging from the nurse-patient interaction and reflects both the unique and shared values of the participants. High-quality nursing care necessitates an accurate identification of patient problems and needs, appropriate actions, and realistic goals. Goal attainment provides measurable evidence of the quality of nursing care provided. The patient’s active participation in the activities of the nursing process facilitates the provision of high-quality care. Nevertheless, the nurse retains responsibility for the quality of care provided. Conclusion: Examination and interpretation of the metaparadigm concepts and relational propositions in King’s Interacting Systems Framework yields the following theory regarding high-quality nursing care. Empathic understanding, requiring the nurse’s self-awareness and perceptual accuracy, guides the communication occurring during the nurse-patient interaction aimed at decision-making regarding actions leading to goal attainment. These goals and subsequent actions are reflections of the patient’s values manifested through nursing interventions. Applications: The fusion of the horizons of the text and the interpreter’s situation in today’s health care environment results in a theory of high-quality nursing care from which specific empirical indicators may be developed. Applications include support for the baccalaureate degree as entry level, increased emphasis on teaching in the affective domain, differentiated practice delivery models, and hospital RN staffing levels.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe meaning of high-quality nursing care derived from King’s Interacting Systemsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149362-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The meaning of high-quality nursing care derived from King&rsquo;s Interacting Systems</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gunther, Mary, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Tennessee</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mgunther@utk.edu</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study is to conceptualize quality within a framework unique to nursing, King&rsquo;s General Systems Framework. By doing so, nursing knowledge is differentiated from that of medicine resulting in theoretical and practical clarity necessary for the discipline&rsquo;s survival and growth. Gadamer&rsquo;s philosophical hermeneutics involves a dialogical interaction between the whole and parts of the text and between the horizons of the text and the interpreter. In this research study, using dialogical interaction, King&rsquo;s (1981) A theory for nursing: Systems, concepts, process is approached with the question: What are the characteristics of high quality nursing care? Using the framework of Fawcett&rsquo;s Structural Hierarchy of Nursing Knowledge, the meaning and experience of high-quality care is found in the metaparadigm relational proposition that nursing is concerned with the nursing actions or processes by which positive changes in the person&rsquo;s health status are effected. Findings: Nursing actions are performed in an interpersonal field and influenced by the developmental level of the personal system of each participant as well as the conceptual characteristics of the larger social system. Quality is an experiential judgment emerging from the nurse-patient interaction and reflects both the unique and shared values of the participants. High-quality nursing care necessitates an accurate identification of patient problems and needs, appropriate actions, and realistic goals. Goal attainment provides measurable evidence of the quality of nursing care provided. The patient&rsquo;s active participation in the activities of the nursing process facilitates the provision of high-quality care. Nevertheless, the nurse retains responsibility for the quality of care provided. Conclusion: Examination and interpretation of the metaparadigm concepts and relational propositions in King&rsquo;s Interacting Systems Framework yields the following theory regarding high-quality nursing care. Empathic understanding, requiring the nurse&rsquo;s self-awareness and perceptual accuracy, guides the communication occurring during the nurse-patient interaction aimed at decision-making regarding actions leading to goal attainment. These goals and subsequent actions are reflections of the patient&rsquo;s values manifested through nursing interventions. Applications: The fusion of the horizons of the text and the interpreter&rsquo;s situation in today&rsquo;s health care environment results in a theory of high-quality nursing care from which specific empirical indicators may be developed. Applications include support for the baccalaureate degree as entry level, increased emphasis on teaching in the affective domain, differentiated practice delivery models, and hospital RN staffing levels.</td></tr></table>en_GB
dc.date.available2011-10-26T10:00:54Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:00:54Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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